Leveraging Autism Intervention for Families Using Telehealth (LIFT)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 主要终点
- Change in Acceptability: Caregiver Diary
研究概览
简要总结
The purpose of the LIFT study is to develop a technology-assisted adaptation of the JASPER (Joint Attention, Symbolic Play, Engagement, and Regulation: Kasari et al., 2021) social communication intervention for young children with autism spectrum disorder (ASD). In partnership with community early intervention (EI) and early childhood special education (ECSE) practitioners in Oregon, implementation strategies to help caregivers learn to the use the intervention strategies with their young children will delivered in a pilot randomized trial. The pilot trial will compare primarily self-directed learning through online materials and brief practitioner support (ONLINE) with the addition of live synchronous coaching (ONLINE + COACH) on caregivers' strategy use (primary) and children's joint engagement and social communication (secondary).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Independent evaluators as well as outcome coders will be blinded to time point and treatment condition
入排标准
- 年龄范围
- — 至 72 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Receiving Early Intervention (EI) or Early Childhood Special Education (ECSE) services from partnered providers in Southern Oregon Education Service District (SOESD).
- •Child has received or is awaiting a diagnosis of autism spectrum disorder (ASD)
排除标准
- •Child is not receiving services from a partnered educational service district
结局指标
主要结局
Change in Acceptability: Caregiver Diary
时间窗: Entry, Early Response (6 weeks), Exit (12 weeks), Follow up (24 weeks)
Caregivers' ratings of their strategy use, confidence, and interest in using the strategies with their child. Each item is rating on a scale of 0-5 with higher score indicating greater acceptability.
Change in Adoption: Caregiver Involvement Scale
时间窗: Entry, Early Response (6 weeks), Exit (12 weeks), Follow up (24 weeks)
Using the Caregiver Involvement Scale, interventionists will rate caregivers' comfort, confidence, and accurate usage of the strategies with their child using seven questions rated from 1 (not comfortable) to 5 (very comfortable). Higher scores indicate greater adoption.
Change in Fidelity: JASPER Coaching Fidelity
时间窗: Coaching session 1 (week 1), last session of phase 1 (week 6), last session of phase 2 (week 12)
Interventionists' JASPER coaching will be measured to assess the local providers' ability to accurately deliver the intervention across families. The items are rated from 0 (strategy is missing) to 5 (high quality, consistent and appropriate strategy use) and are summed to obtain a total coaching fidelity percentage score. High scores indicate greater coaching fidelity.
次要结局
- Change in Caregivers' JASPER Strategy Use: JASPER Implementation Fidelity(Entry, Early Response (6 weeks), Exit (12 weeks), Follow up (24 weeks))
- Change in Children's Time in Child Initiated Joint Engagement (Caregiver Child Interaction)(Entry, Early Response (6 weeks), Exit (12 weeks), Follow up (24 weeks))