School-based Paraeducator Education for Engagement at Recess
NCT Number: NCT06559267
Acronym: SPEER
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Autism Spectrum Disorder|Neurodevelopmental Disorders
Interventions: BEHAVIORAL: Remaking Recess|OTHER: TEAM
Sponsor: University of Washington
Sex: ALL
Age: CHILD, ADULT, OLDER_ADULT
Enrollment: 350
Study Design: Allocation: RANDOMIZED|Intervention Model: FACTORIAL|Masking: DOUBLE (PARTICIPANT, OUTCOMES_ASSESSOR)|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2024-07-01
Completion Date: 2029-08
Locations: University of California Los Angeles, Los Angeles, California, 90095, United States|University of Oregon, Eugene, Oregon, 97403, United States|University of Washington, Seattle, Washington, 98115, United States

Summary:
The purpose of the proposed three-site study is to test whether an educator-level implementation strategy, coaching, with or without a school-level implementation strategy, school-based teams, will maximize paraeducators' use (fidelity and sustainment) of an evidence-based social engagement intervention, Remaking Recess (RR). RR aims to improve peer related social skills for autistic students and their non-autistic peers who are socially isolated or peripheral and need support during recess.

Primary Outcome Measures: Remaking Recess Fidelity, This 20-item observation measure rates how well educators are observed to be using core Remaking Recess strategies with students on the playground. Minimum score 1, maximum score 5. Higher scores indicate better outcome., Baseline, 4 months, 8 months, 12 months, 16 months
Secondary Outcome Measures: Playground Observation of Peer Engagement (POPE), This observation-based instrument measures children's engagement with activities and peers. It rates children's engagement states and the frequency within a set amount of time., Baseline, 4 months, 8 months, 12 months, 16 months|Friendship Survey, This 5-item free response survey asking students to identify their preferred peers at school. The results of the survey will be analyzed to identify student social network centrality in their classroom (Nuclear, Secondary, Peripheral, or Isolated)., Baseline, 4 months, 8 months|Teacher Perceptions Measure, This 12-item measure asks teachers to report on their perceptions of their target student's social skills. Minimum score 1, maximum score 3. Higher scores indicate better outcome., Baseline, 4 months, 8 months|Acceptability of Intervention Measure (AIM), This 12-item self-report measure asks educators to rate how acceptable the interventions (Remaking Recess and TEAM) were. Minimum score 1, maximum score 5. Higher scores indicate better outcome., Baseline, 4 months, 8 months, 12 months, 16 months|Cost Measure, This survey measure asks educators how much time they spent on study-related procedures (Remaking Recess and TEAM) each week. The measure then calculates the average dollar cost each week of study-related procedures based off of the educator's salary in order to better understand the cost of implementation and intervention., Baseline, 4 months, 8 months, 12 months, 16 months|Provider Report of Sustainment Scale (PRESS), This 3-item self-report measure asks educators to reflect on the sustainment of the use of the target intervention (Remaking Recess) at their school. Minimum score 0, maximum score 4. Higher scores indicate better outcome., 12 months, 16 months|School Implementation Leadership Scale (S-ILS), This 25-item measure captures educator perceptions of their school leadership and how well the leadership supports the use of the intervention (Remaking Recess). Minimum score 0, maximum score 4. Higher scores indicate better outcome., Baseline, 4 months, 8 months, 12 months, 16 months|School Implementation Climate Scale (SICS), This 21-item measure captures educator perceptions of their school culture and how well the intervention (Remaking Recess) fits in. Minimum score 0, maximum score 4. Higher scores indicate better outcome., Baseline, 4 months, 8 months, 12 months, 16 months|Team Process Survey Measure (TPS), A 10-item self-report measure to capture team process. Minimum score 1, maximum score 5. Higher scores indicate better outcome., Baseline, 4 months, 8 months, 12 months, 16 months