School-based Paraeducator Education for Engagement at Recess

Not Applicable

Recruiting

• Conditions: Autism Spectrum Disorder; Neurodevelopmental Disorders
• Interventions: Behavioral: Remaking Recess; Other: TEAM

• Registration Number: NCT06559267
• Lead Sponsor: University of Washington

Brief Summary

The purpose of the proposed three-site study is to test whether an educator-level implementation strategy, coaching, with or without a school-level implementation strategy, school-based teams, will maximize paraeducators' use (fidelity and sustainment) of an evidence-based social engagement intervention, Remaking Recess (RR). RR aims to improve peer related social skills for autistic students and their non-autistic peers who are socially isolated or peripheral and need support during recess.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2024-07-01
• Status Verified: 2024-08
• Study First Submitted: 2024-08-15
• Study First Submitted QC: 2024-08-15
• Last Update Submitted: 2024-08-15
• Study First Posted: 2024-08-19
• Last Update Posted: 2024-08-19
• Primary Completion: 2029-08
• Study Completion: 2029-08

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 350

Inclusion Criteria

• Students: Elementary aged students in K-5th grade who are autistic or have a neurodevelopmental disorder (Age 5-12)
• Educators: Paraeducators, teachers, or other school personnel that work with K-5th grade students in a public school in the United States (Age 18+)

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Exclusion Criteria

• Students or educators that have previously participated in Remaking Recess studies will not be eligible to enroll in this study.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
TEAM	TEAM	Schools that are randomized to the TEAM condition will receive an additional implementation support intervention. TEAM will leverage existing human resources in the school to specifically focus on developing an implementation blueprint to foster a supportive implementation context for paraeducators to use Remaking Recess.
TEAM	Remaking Recess	Schools that are randomized to the TEAM condition will receive an additional implementation support intervention. TEAM will leverage existing human resources in the school to specifically focus on developing an implementation blueprint to foster a supportive implementation context for paraeducators to use Remaking Recess.
Remaking Recess	Remaking Recess	Remaking Recess is a school-based social engagement intervention designed to enhance elementary school contextual factors to better support peer engagement during recess. Remaking Recess is delivered to educators through direct training and in vivo coaching by a certified Remaking Recess Coach.

Primary Outcome Measures

Name	Time	Method
Remaking Recess Fidelity	Baseline, 4 months, 8 months, 12 months, 16 months	This 20-item observation measure rates how well educators are observed to be using core Remaking Recess strategies with students on the playground. Minimum score 1, maximum score 5. Higher scores indicate better outcome.

Secondary Outcome Measures

Name	Time	Method
Playground Observation of Peer Engagement (POPE)	Baseline, 4 months, 8 months, 12 months, 16 months	This observation-based instrument measures children's engagement with activities and peers. It rates children's engagement states and the frequency within a set amount of time.
Friendship Survey	Baseline, 4 months, 8 months	This 5-item free response survey asking students to identify their preferred peers at school. The results of the survey will be analyzed to identify student social network centrality in their classroom (Nuclear, Secondary, Peripheral, or Isolated).
Teacher Perceptions Measure	Baseline, 4 months, 8 months	This 12-item measure asks teachers to report on their perceptions of their target student's social skills. Minimum score 1, maximum score 3. Higher scores indicate better outcome.
Acceptability of Intervention Measure (AIM)	Baseline, 4 months, 8 months, 12 months, 16 months	This 12-item self-report measure asks educators to rate how acceptable the interventions (Remaking Recess and TEAM) were. Minimum score 1, maximum score 5. Higher scores indicate better outcome.
Cost Measure	Baseline, 4 months, 8 months, 12 months, 16 months	This survey measure asks educators how much time they spent on study-related procedures (Remaking Recess and TEAM) each week. The measure then calculates the average dollar cost each week of study-related procedures based off of the educator's salary in order to better understand the cost of implementation and intervention.
Provider Report of Sustainment Scale (PRESS)	12 months, 16 months	This 3-item self-report measure asks educators to reflect on the sustainment of the use of the target intervention (Remaking Recess) at their school. Minimum score 0, maximum score 4. Higher scores indicate better outcome.
School Implementation Leadership Scale (S-ILS)	Baseline, 4 months, 8 months, 12 months, 16 months	This 25-item measure captures educator perceptions of their school leadership and how well the leadership supports the use of the intervention (Remaking Recess). Minimum score 0, maximum score 4. Higher scores indicate better outcome.
School Implementation Climate Scale (SICS)	Baseline, 4 months, 8 months, 12 months, 16 months	This 21-item measure captures educator perceptions of their school culture and how well the intervention (Remaking Recess) fits in. Minimum score 0, maximum score 4. Higher scores indicate better outcome.
Team Process Survey Measure (TPS)	Baseline, 4 months, 8 months, 12 months, 16 months	A 10-item self-report measure to capture team process. Minimum score 1, maximum score 5. Higher scores indicate better outcome.
Quality of Play Questionnaire	Baseline, 4 months, 8 months, 12 months, 16 months	A 19-item measure for parents/caregivers to complete about their child's playdates. Items 1-17 are a numerical rating of how much time a child spends on an activity in their play, with score ranging from a minimum of 0 to maximum of 3. Items 18-19 are a free response numerical frequency rating for parents to report on the number of playdates their child had in the last month.

Trial Locations

Locations (3)

University of California Los Angeles; 🇺🇸 Los Angeles, California, United States

University of Oregon; 🇺🇸 Eugene, Oregon, United States

University of Washington; 🇺🇸 Seattle, Washington, United States