Exploring the Impact of Theatrical Expressive Tasks in Children With Autism Spectrum Disorder (ASD).
Trial ID: NCT06468072
Status: RECRUITING
Study type: INTERVENTIONAL
Phase: NA
Start date: 2024-05-01
Completion date: 2026-06-30
Sponsor: Istituto per la Ricerca e l'Innovazione Biomedica
Collaborators: Messina, Italy
Conditions: Autism; Autism Spectrum Disorder
Interventions: Expressivity protocol for children with autism; Expressivity protocol for non-autistic children
Locations: Institute for Biomedical Research and Innovation (IRIB) - National Research Council (CNR)
Countries: Italy
Enrollment: 20
Age range: 6 Years - 11 Years
Sex: ALL

Summary:
Autism Spectrum Disorder (ASD), according to the diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders- V Edition (DSM-5), is a disorder involving (a) persistent deficits in social communication, social interaction and (b) patterns of restricted and stereotyped behavior and/or interests and/or activities. Specifically, impairment in social interaction manifests itself in different areas of individual functioning and through various facets: social-emotional reciprocity, poor understanding of social rules, reduced sharing of interests, emotions or feelings, reduced or absent theory of mind, inability to initiate or respond to social interactions (turn-taking in conversation), and difficulties in the use of communication. Facial expressions, vocal intonation, postures and gestures are crucial components of non-verbal communication that play a fundamental role in social-communicative functions. However, people with ASD may show significant deficits in these forms of expression, negatively affecting the ability to generate an appropriate social response, which is essential for initiating and maintaining social interactions. Children with ASD tend to avoid eye contact with others and show little or no interest in people, often looking past them or away from them. This behavior contributes to presenting them as "markedly aloof and distant". The aim of the study is to explore the effect of specific expressive tasks, conducted by highly qualified personnel, in a group setting, by means of targeted theatrical activities. These activities include exercises focusing on the use of voice and posture, the variety of vocal intonations and the harmonization between verbal production and facial expressiveness. In the context of this study, 20 children will be involved, divided into an experimental group and a control group. The experimental group will include 10 children with ASD who voluntarily participate in activities organized by the IRIB-CNR of Messina. These children, aged between 6 and 11 years, present a medium-high level of cognitive functioning, as assessed by the Wechsler Intelligence Scale for Children- IV Edition (WISC-IV) cognitive test. In parallel, the control group will consist of 10 normo-typical children, selected from the Istituto Comprensivo San Francesco di Paola of Messina, having the same age group, who will not participate in the experimental activities.

Eligibility criteria:
Inclusion Criteria:

* Diagnosis of autism spectrum disorder;
* Age between 6 and 11 years;
* IQ over 80 assessed by means of WISC-IV.

Exclusion Criteria:

* Presence of other medical disorders

Outcomes:
Profiling Elements of Prosodic Systems in Children (PEPS-C); Pragmatic Skills in the Medea Language (APL MEDEA); Test for understanding emotions (TEC); Movement Assessment Battery for Children - Second Edition (ABC-Movement - 2); Children's Communication Checklist - Second Edition (CCC-2); Social Responsiveness Scale (SRS); Khymeia Virtual Reality Rehabilitation System (VRRS); NEuroPSYcology second edition (NEPSY-II) evaluations