Testing a Family Service Navigator Program for Low-resourced Families of Young Children With Autism Spectrum Disorder
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Change in Advocacy at 9 months
研究概览
简要总结
The purpose of this study is to develop and test a family navigator training and an app (a technology-based treatment support system) for low-resourced families of young children (aged 3-5) with autism. The hypothesis is that the navigator training and treatment support system will help enable navigators to support families of young children with autism in accessing needed services.
详细描述
The purpose of this project is to determine whether access to a family service navigator/treatment support system improves outcomes among families of young children (aged 3-5) from low-resourced communities. Pilot work includes interviews and pre/post surveys. Then, a randomized controlled trial will be conducted by randomly assigning families to navigators/treatment support systems or the non-personalized comparison condition (information, training, and referral services). Three-month, six-month, and nine-month follow-up survey data will be collected. Each of the 20 navigators will support two families. Intervention families will have access to the navigator and the treatment support system, which includes a dashboard showing their child's service needs, resources, and a platform to facilitate and document communication between navigators and families. The treatment support system will also allow the navigator supervisor to ensure fidelity of the navigators' support to the family. The statistician will randomize 55 families who meet the inclusionary criteria to each condition--40 individuals will receive navigator/treatment support system (intervention group) and 15 individuals will receive information, training, and referrals (comparison group).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •For the families in the clinical trial, there are the following inclusion and
排除标准
- •Inclusion criteria:
- •Be a parent who is in some way from a low-resourced community,
- •Be the parent a child with autism between the ages of 3-5,
- •Be age 18 or older,
- •Want assistance with navigating service delivery systems,
- •Be English speaking or Spanish-speaking,
- •Be able to provide informed consent,
- •Own a phone which can use the treatment support system (or be provided a phone from the Public Assistance Office or from the grant)
- •Exclusion criteria:
- •Individuals who do not meet all inclusion criteria are by definition excluded.
- •For the navigators in the clinical trial, they must meet inclusion and exclusion criteria:
- •Inclusion Criteria:
- •Agree to participate in the navigator training and become an navigator,
- •Be a parent who is in some way from a low-resourced community,
- •Be the parent a child with autism who is older than 5,
- •Be age 18 or older, Be English speaking,
- •Be able to provide informed consent,
- •Own a phone which can use the treatment support system (or be provided a phone from the Public Assistance Office or from the grant)
- •Exclusion criteria:
- •Individuals who do not meet all inclusion criteria are by definition excluded.
研究组 & 干预措施
Control Group (Access to Information, training and referral)
15 participants will be randomly assigned to the non-personalized comparison group (i.e., information, training, and referral).
Intervention Group (Access to an FSN/TSS)
40 participants will be randomly assigned to the intervention group (i.e., to receive an FSN and have access to the TSS). The FSN may meet with the participant at least twice and provide navigation support.
干预措施: Access to a Family Service Navigator and Treatment Support System (Behavioral)
结局指标
主要结局
Change in Advocacy at 9 months
时间窗: At the pre-survey and at the nine-month survey
Called the Advocacy Skills Scale, a multi-item measure examining the frequency of advocacy activities. There are nine items with higher scores indicating greater advocacy. Scale ranges from 9 to 45.
Change in Service Delivery Outcomes
时间窗: At the pre-survey and at the three-month, six-month, and nine-month survey
Called the adapted service measure scale, access to the type, number, and quality of services and unmet service needs. There are over 20 services with higher scores indicating needing greater services. Scale ranges from 0 to 20.
Change in Skills at 9 months
时间窗: At the pre-survey and at the nine-month survey
Called the Comfort with Advocacy Scale, A multi-item measure examining skills to identify, access, and receive services. There are 12 items with higher scores indicating greater advocacy. Scale ranges from 0 to 60.
Change in Parenting self-efficacy at 9 months
时间窗: At the pre-survey and at the nine-month survey
Called the Self-Efficacy scale, a multi-item measure examining competence in parenting. There are nine items with higher scores indicating greater self-efficacy. Scale ranges from 0 to 36.
Change in Adaptive and maladaptive behavior at 9 months
时间窗: At the pre-survey and at the nine-month survey
Called the Vineland Adaptive Behavior Scale, a multi-item measure examining adaptive and maladaptive behavior. There are 100 items with higher scores indicating greater adaptive behavior. Scale ranges from 0 to 100.
Change in Social responsiveness at 9 months
时间窗: At the pre-survey and at the nine-month survey
Called the Social Responsiveness Scale, a multi-item measure to examine social responsiveness. There are sixty items with higher scores indicating greater social responsiveness. Scale ranges from 0 to 180.
Change in Empowerment at 9 months
时间窗: At the pre-survey and at the nine-month survey
Called the Family Empowerment Scale, aa multi-item measure examining empowerment in family, services, and community/political environments. There are 34 items with higher scores indicating greater empowerment. Scale ranges from 0 to 136.
Change in Knowledge at 9 months
时间窗: At the pre-survey and at the nine-month survey
Called the Autism Knowledge Scale, a multi-item measure examining knowledge of autism services. There are 24 items with higher scores indicating more knowledge. Scale ranges from 0-24.
次要结局
未报告次要终点
研究者
Meghan Burke
Professor
Vanderbilt University