Parent Telehealth Intervention for Children With Autism

Study Overview
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Brief Summary
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As a result of the COVID-19 pandemic, telecoaching/telepractice models are of urgent importance. Given this, parents in the study will receive parent coaching through weekly video calls. To help us understand the best types of telecoaching, we will offer all participants responsive coaching, with half of the participants receiving an additional opportunity to reflect on their own use of language strategies with a therapist using video feedback and the other half receiving responsive coaching as usual, without video feedback. This information is important in helping us to understand the best way to coach parents using a telepractice model so that parents implement the intervention at high fidelity. Furthermore, we will aim to understand how parent learning style may also influence the implementation of these strategies.

Official Title
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Parent Language Intervention for Autism

Conditions
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Autism Spectrum Disorder, Autism

Intervention / Treatment
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* Behavioral: Responsive training with no video feedback
* Behavioral: Responsive training with video feedback


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Child inclusion criteria include: diagnosis of ASD or showing signs of ASD based on autism screening chronological age of less than 48 months a parent who is willing to learn intervention strategies English as the primary language spoken in the home Parent inclusion criteria include: - Biological Mother Exclusion Criteria: Children or parents with additional impairments (e.g., blindness, deafness, genetic syndromes) will be excluded from the study. Fathers or caregivers other than the child's Mother will be excluded from the study.

Ages Eligible for Study
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Minimum Age: 18 Months
Maximum Age: 48 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Children will enroll in the study between 18-48 months of age and will be randomly assigned to either receive responsive training with video feedback or responsive training without video feedback.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Parent Learning Style 1<br>Mothers with Learning Style 1 will be randomly assigned to receive the responsive intervention with video feedback or without video feedback. | Behavioral: Responsive training with no video feedback<br>* Parents will receive responsive training, but will not watch themselves on video to reflect on their strategy use.<br>* Other names: No Video Feedback;|
| Experimental: Parent Learning Style 2<br>Mothers with Learning Style 2 will be randomly assigned to receive the responsive intervention with video feedback or without video feedback. | Behavioral: Responsive training with video feedback<br>* Parents will receive responsive training and watch themselves on video to reflect on their strategy use.<br>* Other names: Video Feedback;|
| Active Comparator: Learning Style 1 (Parent)<br>Mothers with Learning Style 1 will be randomly assigned to receive the responsive intervention with video feedback or without video feedback. | Behavioral: Responsive training with video feedback<br>* Parents will receive responsive training and watch themselves on video to reflect on their strategy use.<br>* Other names: Video Feedback;|
| Active Comparator: Learning Style 2 (Parent)<br>Mothers with Learning Style 2 will be randomly assigned to receive the responsive intervention with video feedback or without video feedback. | Behavioral: Responsive training with no video feedback<br>* Parents will receive responsive training, but will not watch themselves on video to reflect on their strategy use.<br>* Other names: No Video Feedback;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parent Use of Language Support Strategies (Mother-child interaction) | Mother use of intervention strategies will be measured by transcribing and coding mother behaviors during 12-minute parent-child interactions, using a standard set of toys. The primary dependent variable will be the amount of correct strategy used expressed as a percentage correct. This is the percentage of child communication to which the adult responds correctly (i.e., contingently and within 5 seconds). | Two months after the start of the study | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MacArthur-Bates Communicative Development Inventory (MCDI) (Child) | Parent report of child's expressive vocabulary and prelinguistic communication skills | Two months after the start of the study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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autism, parent intervention, parent coaching, early intervention, parent-mediated intervention