Leveraging Autism Intervention for Families Using Telehealth (LIFT)

Not Applicable

Not yet recruiting

• Conditions: Autism Spectrum Disorder

• Registration Number: NCT05582655
• Lead Sponsor: University of Oregon

Brief Summary

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).

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-08
• Study First Submitted: 2022-09-07
• Study First Submitted QC: 2022-10-12
• Study First Posted: 2022-10-17
• Last Update Submitted: 2022-10-31
• Study Start: 2022-11-01
• Last Update Posted: 2022-11-03
• Primary Completion: 2024-12-31
• Study Completion: 2024-12-31

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• 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)

Exclusion Criteria

• Child is not receiving services from a partnered educational service district

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Primary Outcome Measures

Name	Time	Method
Change in Acceptability: Caregiver Diary	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	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	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.

Secondary Outcome Measures

Name	Time	Method
Change in Caregivers' JASPER Strategy Use: JASPER Implementation Fidelity	Entry, Early Response (6 weeks), Exit (12 weeks), Follow up (24 weeks)	Total JASPER Implementation Fidelity (percentage). Each item is rated on a score of 0 (skill is not present) through 5 (high quality, consistent use of the skill/strategy). Higher scores indicate greater use of JASPER strategies.
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)	Duration (time in seconds) the child is in a child initiated joint engaged state during the caregiver child interaction.