Using Mobile Technology to Reduce Stereotypy

Not Applicable

Completed

• Conditions: Child Development Disorders, Pervasive
• Interventions: Behavioral: iSTIM

• Registration Number: NCT02124720
• Lead Sponsor: Université de Montréal

Brief Summary

Nearly all children with autism spectrum disorders engage in non-functional repetitive vocal and motor behaviours commonly referred to as stereotypy. These repetitive behaviours may considerably interfere with the child's daily functioning, learning, and social inclusion. As such, stereotypy generally has a negative impact on the child and family's health and quality of life. Several behavioural interventions have been developed to reduce engagement in stereotypy in children with autism spectrum disorders, but the limited number of specialists available, the long waiting lists associated with public health services in Canada, and the high costs of private services have considerably restricted accessibility. One potential solution to the limited availability and high costs of services is using a mobile application to recommend, teach, and monitor interventions designed to reduce engagement in stereotypy. To this end, the purpose of the study is to evaluate the effects of the iSTIM (i.e., individualized Stereotypy Treatment Integrated Modules), a mobile application designed to assist parents in reducing stereotypy in children with autism spectrum disorders. Specifically, we will assess whether the iSTIM correctly estimates the frequency or duration of stereotypy, offers suggestions consistent with recommended clinical practices, effectively reduces engagement in stereotypy, and is socially acceptable, safe, and easy to use for parents of children with autism spectrum disorders. The results of the study will allow us to determine whether the mobile application may be used to treat this core symptom in children with autism spectrum disorders, which could potentially reduce waiting times and costs of providing health services to this population. By reducing engagement in stereotypy, the iSTIM may also promote and facilitate the social participation as well as improve the quality of life and health of children with autism spectrum disorders and their families.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-04-24
• Study First Submitted QC: 2014-04-24
• Study First Posted: 2014-04-28
• Study Start: 2014-12
• Primary Completion: 2019-02
• Study Completion: 2019-02
• Status Verified: 2019-09
• Last Update Submitted: 2019-09-24
• Last Update Posted: 2019-09-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 39

Inclusion Criteria

• Clinical diagnosis of autism spectrum disorders
• Must engage in at least one form of stereotypy

Exclusion Criteria

• Stereotypy occurs less than 12 times per hour (or less than 20% of time)
• The form of stereotypy is potentially dangerous for the person (e.g., head banging, self-biting)
• The form of stereotypy is maintained by social consequences (e.g., attention, task avoidance)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Mobile application	iSTIM	Use of the iSTIM mobile application 2 to 4 times per week over approximately 8 to 16 weeks

Primary Outcome Measures

Name	Time	Method
Frequency and duration of stereotypy	2 to 4 times per week over 8 to 16 weeks	Direct observation of the frequency and duration of stereotypy during 10- to 60-minute sessions

Secondary Outcome Measures

Name	Time	Method
Social validity score	Immediately following the end of the intervention (i.e., after 8 to 16 weeks)	The user responds to a social validity questionnaire

Trial Locations

Locations (3)

Monarch House; 🇨🇦 Mississauga, Ontario, Canada

CRDITED de Montréal; 🇨🇦 Montreal, Quebec, Canada

Gold Centre; 🇨🇦 Montreal, Quebec, Canada