Stepped-care Telehealth for Young Children With ASD

Study Overview
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Brief Summary
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This proof-of-concept study addresses the gap in the access to care literature by examining a stepped-care version of a telehealth naturalistic developmental behavioral intervention (NDBI), Online RIT. Online RIT is an interactive website introducing Reciprocal Imitation Training (RIT), an NDBI focused on enhancing social imitation. RIT uses a naturalistic behavioral approach to teach object and gesture imitation to young children with ASD within a play-based context. The efficacy of RIT has been demonstrated through a small randomized control trial, several single-subject design studies, as well as in independent replications. Prior research also suggests that parents can be taught to effectively use RIT with their children in person, and two single-subject design studies detail the development and feasibility testing of Online RIT plus therapist assistance. These preliminary data suggest Online RIT may serve as an ideal platform for examining the potential of individualized telehealth delivery formats, such as stepped-care. Therefore, the goal of this study was to compare a stepped-care format of Online RIT to a waitlist control condition to determine initial feasibility and effectiveness of this innovative intervention and service delivery model.

Official Title
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Examining a Stepped-care Telehealth Program for Parents of Young Children With Autism: a Proof of Concept Trial

Conditions
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Autism Spectrum Disorder

Intervention / Treatment
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* Behavioral: Online RIT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Have a diagnosis of ASD or significant concerns of ASD Parent reported imitation deficits Exclusion Criteria: Children of parents who are non-English speaking Actively participating in other parent training programs

Ages Eligible for Study
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Minimum Age: 16 Months
Maximum Age: 60 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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Stepped-Care Online Reciprocal Imitation Training (Online RIT)<br>Participants completed four telehealth modules over a period of 5 weeks ( 1 per week, 1 week to practice). Two variables were selected as tailoring variables for this stepped-care model. Fidelity (RIT-PFF) and self-efficacy (EIPSES) at 5 weeks were used to determine which participants were in need of a step up in care, in the form of remote parent coaching. Parents who demonstrated ≥80% on the RIT-PFF, and who reported gains on the EIPSES continued to have access to Online RIT and practiced on their own for the next 5 weeks, but did not receive any remote coaching. Parents who demonstrated <80% fidelity on the RIT-PFF and/or who didn't report increases in the EIPSES were directed into coaching. Coaching involved videoconferences once per week (wks. 6-10) with a parent coach (PI), and followed the occupational performance coaching model. Sessions included review of successes and challenges, parent practice with feedback, problem solving, and planning. | Behavioral: Online RIT<br>* Online RIT presents RIT techniques in four sequential learning modules: (1) Setting Up For Success (2) Imitating your Child (3) Describing Play (4) Teaching Object Imitation. Each learning module includes an instructional video, quiz, interactive exercises, and at-home planning and reflection. The website also includes a video library, Frequently Asked Questions, downloadable visual aids, links to relevant external resources, and a customizable dashboard that allows users to track their individualized goals and the amount of time they have spent working on their goals (e.g., practice log).<br>|
| No Intervention: Wait List Control<br>Participants provided with information about available community resources after randomization. These participants were given the opportunity to engage in the stepped-care format of Online RIT after the post-intervention data collection time point; however their data was included exclusively in control group analyses. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline RIT Parent Fidelity Form (RIT-PFF) Score at 15 weeks | Trained observers scored the parent-child interactions for parent fidelity of the RIT intervention techniques. | Baseline and 15 weeks | 
| Change from Baseline Unstructured Imitation Assessment (UIA) Score at 15 weeks | The UIA was used to measure child social imitation. It is a standardized assessment that evaluates spontaneous imitation of actions with objects and gestures during play. | Baseline and 15 weeks | 
| Change from Baseline Early Intervention Parenting Self-Efficacy Scale (EIPSES) Score at 15 weeks | The EIPSES is a 20-item parent questionnaire designed to measure parenting efficacy within the context of early intervention. | Baseline and 15 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Social Communication Checklist (SCC) Score at 15 weeks | The SCC is a 47-item checklist completed by parents to indicate if a child uses a specific social communication skill. | Baseline and 15 weeks | 
| Change from Baseline Beach Center Family Quality of Life Scale (FQOL) Score at 15 weeks | The FQOL Scale is a 25-item self-report measure designed to assess family interaction, parenting, emotional well-being, physical/maternal well-being, and disability-related supports. | Baseline and 15 weeks |