Self-Monitoring Shopping Intervention

Not Applicable

Completed

• Conditions: Intellectual Disability; Down Syndrome
• Interventions: Behavioral: Self-monitoring shopping intervention

• Registration Number: NCT04020302
• Lead Sponsor: Columbia University

Brief Summary

The purpose of this study is to examine the effectiveness of a self-monitoring intervention to improve shopping performance in adults with intellectual disability (ID) secondary to Down syndrome (DS). The research question asks, can an 8-week self-monitoring intervention, provided in a community-based setting, increase observable shopping skills in adults with ID secondary to DS?

Detailed Description

Adults with intellectual disability secondary to Down syndrome often have difficulty performing complex activities of daily living, such as shopping. These difficulties may, in part, be influenced by deficits in metacognitive abilities, which include self-monitoring of one's performance. There is evidence that interventions which target self-monitoring skills can improve functional performance in adults and adolescents with traumatic brain injury.

Functional magnetic resonance imaging (fMRI) studies on adults with Down syndrome have demonstrated impairments in metacognitive abilities, resulting from significant volume reduction in the frontal lobes and anterior cingulate cortex. These deficits likely contribute to the difficulties experienced by this population when performing instrumental activities of daily living (IADL), such as shopping. Although metacognitive-focused interventions that address self-monitoring skills have been used to improve functional performance in adults and adolescents with traumatic brain injury, these techniques have not yet been used to improve IADL performance in adults with intellectual disability secondary to Down syndrome.

This 16-week study is a single-subject ABA design across ten participants to determine the effectiveness of a self-monitoring intervention on shopping performance in adults with intellectual disability secondary to Down syndrome. The intervention will span 8 weeks and will include weekly sessions that are delivered in an alternating group-individual format. Sessions will provide participants the opportunity to practice and apply self-monitoring techniques across a variety of shopping tasks and settings to promote generalization and transfer of learning. This study has the potential to provide preliminary information on the effectiveness of a self-monitoring intervention, provided in community-based settings, to increase observable shopping skills in adults with intellectual disability secondary to Down syndrome.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2019-07-11
• Study First Submitted QC: 2019-07-11
• Study First Posted: 2019-07-16
• Study Start: 2019-09-06
• Status Verified: 2019-10
• Primary Completion: 2019-12-15
• Study Completion: 2019-12-20
• Last Update Submitted: 2020-01-22
• Last Update Posted: 2020-01-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

• Adults with intellectual disability secondary to Down Syndrome
• Members of a community center called GiGi's Playhouse Hillsborough

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Exclusion Criteria

• Severe behavioral disorder that would prevent cooperation with study protocol

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Shopping group	Self-monitoring shopping intervention	Participants will receive an 8-week intervention which will include weekly sessions that are delivered in an alternating group-individual format. Sessions will provide participants the opportunity to practice and apply self-monitoring techniques across a variety of shopping tasks and settings to promote generalization and transfer of learning (Phase B).

Primary Outcome Measures

Name	Time	Method
Number of subjects with change in level of assistance post intervention	Baseline, up to 8 weeks	Shopping Skills Recording Sheet will be used to record the level of assistance (5-point ordinal scale) required by participants to demonstrate targeted shopping skills observed in the community. Completion of the instrument requires 25 minutes. There are five levels: 1. Independent (I) Client performs the task completely without cueing or assistance; 2. Indirect cueing (IC) Therapist provides general information regarding performance, without explicitly stating what is to be done; 3. Direct cueing (DC) Therapist provides specific instructions or feedback about performance; 4. Partial assistance (PA) Client performs part, but not all of the task; 5. Full assistance (FA) Therapist completes the task for the client in its entirety

Trial Locations

Locations (1)

GiGi's Playhouse Hillsborough; 🇺🇸 Hillsborough, New Jersey, United States