Feasibility of Using Telepractice to Provide Modified Interaction Guidance.

Study Overview
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Brief Summary
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The purpose of this study is to determine the feasibility of using telepractice to provide Modified Interaction Guidance (MIG) to caregivers and their child with autism. MIG as an intervention to improve attachment for children with autism and their primary caregiver.

Detailed Description
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The process objectives target focus on1) recruitment, 2) retention, 3) engagement with tools, 4) time demand on dyads, and 5) eligibility criteria. The resource assessment objectives include: 1) equipment and internet accessibility 2) communication methods, and 3) timelines. The management assessment objectives address: 1) ethical standards, 2) researcher qualifications and 3) data storage and collection. Finally, when looking at the scientific assessment, the objectives relate to: 1) Is use of a concurrent multiple baseline single-subject design feasible with this population? 2)capturing dyad needs, 3) burden levels, and 4) safety protocols. This study will evaluate the above listed dimensions of feasibility using a embedded mixed methods approach that incorporates both a single-subject design and qualitative data gathered throughout the research process and post intervention individual interviews.

Official Title
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Feasibility of Using Telepractice to Provide Modified Interaction Guidance as an Intervention Tool for Caregivers and Their Child With Autism

Conditions
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Autism Spectrum Disorder

Intervention / Treatment
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* Behavioral: Modified Interaction Guidance


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of autism spectrum disorder Child between the ages of 24-60 months First born child No physical or medical conditions that affect the child's ability to participate in the activities that are part of the intervention process Ability to follow simple verbal directions in English No current plan to initiate any treatment alternatives during the study period Willingness to participate in a -week intervention with a frequency of once a week Adults are primary caregiver Under age of 35 Speak English Minimum grade 5 schooling Access to a computer and broadband wired or wireless (3G or 4G/LTE) internet connection? Exclusion Criteria: Participants (both child and adult) will be excluded from the present study if they were deemed low functioning child is not the first-born child child already receiving ABA treatment parents have a history of mental illness

Ages Eligible for Study
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Minimum Age: 10 Months
Maximum Age: 35 Years

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
Intervention Model: Single Group Assignment
Interventional Model Description: This study is a mixed methods feasibility study using a single-subject research design and qualitative description.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Caregivers and their child will interact for 10 minutes while being observed and videotaped. Psychoeducation will be provided and goal setting will occur to ensure dyad specific relationship gains are made. | Behavioral: Modified Interaction Guidance<br>* The main steps in the procedure are to have the family identify the primary concern they are facing, highlight the strengths that the family already has in place and expand on those strengths, convey/impart caregiving and societal norms, and offer other perspectives (McDonough, 2004). The goal of this therapy is to engage the family to take an active role in the construction of their overall treatment. The individualized treatment approach focuses and builds on existing strengths.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parenting Interactions with Children Checklist of Observations Linked to Outcomes (PICCOLO) | Serves as an observational tool to determine parental abilities in four specific domains; Affection, Responsiveness, Encouragement and Teaching. | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Goal Attainment Scale (GAS) | Used to evaluate client specific goals. When goals are established by the client, the goals are then evaluated and measured by client specific criterion. | Immediately right before and after the Intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Modified Interaction Guidance