Interactive Guidance Therapy With Video Feed-back of Parent and Child With Autism Spectrum Disorder
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 27
- 试验地点
- 4
- 主要终点
- Percentage of time spent in a joint attention situation
研究概览
简要总结
The purpose of this study is to assess the effect of Interactive Guidance Therapy with video feed back (IGT) of parent and child with Autism Spectrum Disorder, under three years of age, using a Single Case Experimental Design (SCED) with multiple baseline across subjects, multicentric, randomized, with multiple replications, blinded scored
详细描述
The purpose of this study is to assess the effect of Interactive Guidance Therapy with video feed back (IGT) of parent and child with Autism Spectrum Disorder, under three years of age, using a Single Case Experimental Design.
Early Interventions in Autism Spectrum Disorders (ASD) undergo a major development. The investigators identify three generations of early support: 1) Behavioral studies ; 2) Early Intensive Behavioral Interventions (EIBI), inspired by ABA, focused on targeted ASD disorders 3) Naturalistic Behavioral Developmental Behavioral Interventions (NDBI), more ecological, focused on the child's skills.
Among them, methods of video feedback target parental sensitivity (identification, interpretation, response, contingency and synchrony). The VIPP (Video Interactive Positive Parenting) in children less than one year of age, has shown moderate and long term effects on parent-child interaction. The PACT (Preschool Autism Communication Trial) showed immediate and in the long term effects on the synchronization of the parental response, the child initiation, less importantly on the joint attention, and on the autistic symptoms. The dyadic communication allows for changes in autistic symptoms.
Interactive guidance is a brief video-feedback therapy, based on the analysis of "the here and now" with the parent (s), of videotaped interactions with their child. The objective is to strengthen parental skills, their sensitivity, their ability to decipher and respond to the specific needs of their child.
The interest of IGT in the field of ASD, compared to VIPP and PACT, is to offer a standardized feedback intervention adapted to each dyad, according to the child's and parents skills and difficulties, structured on the "here and now" more than on a predetermined sequence of goals.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Months 至 3 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 months to 3 years child at screening
- •Child with a diagnosis of Autism Spectrum Disorder (DSM 5) or pervasive Developmental Disorder (ICD 10)
- •Child with ADI R and ADOS-2 fulfilling the criteria for TSA / PDD at diagnosis
- •Developmental age > 12 months in motility with the Brunet-Lézine test
- •Child with availability of parent most present in daily life, only this parent participating directly in play sessions
- •Signed Informed consent form by both parents
- •Patient affiliated to the health insurance system
排除标准
- •Level of language in French of parents insufficient to benefit from the care and fill in the questionnaires
- •Psychiatric parental pathology interfering with interactions with the child, qualitatively assessed by the referring psychiatrist
- •Severe sensory illness of the child (blindness, deafness, degenerative disease)
研究组 & 干预措施
3 baselines sessions Treatment As Usual (TAU)
Patients received 3 baseline sessions before interactive guidance therapy
干预措施: Baseline sessions TAU (Behavioral)
3 baselines sessions Treatment As Usual (TAU)
Patients received 3 baseline sessions before interactive guidance therapy
干预措施: Developmental and diagnostic assessments (Diagnostic Test)
3 baselines sessions Treatment As Usual (TAU)
Patients received 3 baseline sessions before interactive guidance therapy
干预措施: Interactive guidance therapy (Behavioral)
3 baselines sessions Treatment As Usual (TAU)
Patients received 3 baseline sessions before interactive guidance therapy
干预措施: Developmental assessment -Parental scales (Behavioral)
3 baselines sessions Treatment As Usual (TAU)
Patients received 3 baseline sessions before interactive guidance therapy
干预措施: Qualitative analysis (Behavioral)
4 baselines sessions TAU
Patients received 4 baseline sessions before interactive guidance therapy
干预措施: Developmental assessment -Parental scales (Behavioral)
4 baselines sessions TAU
Patients received 4 baseline sessions before interactive guidance therapy
干预措施: Baseline sessions TAU (Behavioral)
4 baselines sessions TAU
Patients received 4 baseline sessions before interactive guidance therapy
干预措施: Interactive guidance therapy (Behavioral)
4 baselines sessions TAU
Patients received 4 baseline sessions before interactive guidance therapy
干预措施: Developmental and diagnostic assessments (Diagnostic Test)
4 baselines sessions TAU
Patients received 4 baseline sessions before interactive guidance therapy
干预措施: Qualitative analysis (Behavioral)
5 baselines sessions TAU
Patients received 5 baseline sessions before interactive guidance therapy
干预措施: Developmental assessment -Parental scales (Behavioral)
5 baselines sessions TAU
Patients received 5 baseline sessions before interactive guidance therapy
干预措施: Baseline sessions TAU (Behavioral)
5 baselines sessions TAU
Patients received 5 baseline sessions before interactive guidance therapy
干预措施: Interactive guidance therapy (Behavioral)
5 baselines sessions TAU
Patients received 5 baseline sessions before interactive guidance therapy
干预措施: Developmental and diagnostic assessments (Diagnostic Test)
5 baselines sessions TAU
Patients received 5 baseline sessions before interactive guidance therapy
干预措施: Qualitative analysis (Behavioral)
6 baselines sessions TAU
Patients received 6 baseline sessions before interactive guidance therapy
干预措施: Baseline sessions TAU (Behavioral)
6 baselines sessions TAU
Patients received 6 baseline sessions before interactive guidance therapy
干预措施: Interactive guidance therapy (Behavioral)
6 baselines sessions TAU
Patients received 6 baseline sessions before interactive guidance therapy
干预措施: Developmental and diagnostic assessments (Diagnostic Test)
6 baselines sessions TAU
Patients received 6 baseline sessions before interactive guidance therapy
干预措施: Developmental assessment -Parental scales (Behavioral)
6 baselines sessions TAU
Patients received 6 baseline sessions before interactive guidance therapy
干预措施: Qualitative analysis (Behavioral)
7 baselines sessions TAU
Patients received 7 baseline sessions before interactive guidance therapy
干预措施: Baseline sessions TAU (Behavioral)
7 baselines sessions TAU
Patients received 7 baseline sessions before interactive guidance therapy
干预措施: Interactive guidance therapy (Behavioral)
7 baselines sessions TAU
Patients received 7 baseline sessions before interactive guidance therapy
干预措施: Developmental and diagnostic assessments (Diagnostic Test)
7 baselines sessions TAU
Patients received 7 baseline sessions before interactive guidance therapy
干预措施: Developmental assessment -Parental scales (Behavioral)
7 baselines sessions TAU
Patients received 7 baseline sessions before interactive guidance therapy
干预措施: Qualitative analysis (Behavioral)
8 baselines sessions TAU
Patients received 8 baseline sessions before interactive guidance therapy
干预措施: Interactive guidance therapy (Behavioral)
8 baselines sessions TAU
Patients received 8 baseline sessions before interactive guidance therapy
干预措施: Baseline sessions TAU (Behavioral)
8 baselines sessions TAU
Patients received 8 baseline sessions before interactive guidance therapy
干预措施: Developmental and diagnostic assessments (Diagnostic Test)
8 baselines sessions TAU
Patients received 8 baseline sessions before interactive guidance therapy
干预措施: Developmental assessment -Parental scales (Behavioral)
8 baselines sessions TAU
Patients received 8 baseline sessions before interactive guidance therapy
干预措施: Qualitative analysis (Behavioral)
结局指标
主要结局
Percentage of time spent in a joint attention situation
时间窗: Up to 15 months
Coordinated Joint Attention (COJ) rate is evaluated during the parents-child play-time
次要结局
- Parent-child interactive features / Parental synchrony(Up to 15 months)
- Change process(Up to 15 months)
- Parent-child interactive features/ joint attention(Up to 15 months)
- Parent-child interactive features / DCMA scale(Up to 15 months)
- Parent-child interactive features / Communication(Up to 15 months)
- Parent-child interactive features / Initiation of communication(Up to 15 months)
- Child development / MSEL(Up to 15 months)
- Child development / CDI(Up to 15 months)
- Child development / IFDC(Up to 15 months)
- Autistic Symptoms / CARS(Up to 15 months)
- Autistic Symptoms ECAR(Up to 15 months)
- Autistic Symptoms ADOS-2(Up to 15 months)
- Content analysis of guidance session by parent(At 16 months)
- Adaptive behavior of the child(Up to 15 months)
- Autistic Symptoms ADIR(Up to 15 months)