Improving the Part C Early Intervention Service Delivery System for Children with ASD: a Randomized Clinical Trial

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Despite strong consensus that early, specialized intervention for children with autism spectrum disorder (ASD) can have a dramatic impact on outcomes, the public health system's capacity to provide such services is severely challenged by the rapid rise in ASD prevalence. The goal of this research project is to increase timely and equitable access to ASD-specialized early intervention during the critical first three years of life by capitalizing on the existing infrastructure of the Part C Early Intervention (EI) system, which is publicly funded and available in all states in the United States. This project will train EI providers to use an evidence-based, parent-mediated intervention that can improve child and family outcomes as well as mitigate the long-term substantial economic costs associated with ASD.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 1
Maximum Age: 2
Healthy Volunteers: f
View:

• Child has a diagnosis of ASD or displays early social communication challenges

• Child receives ≥ 1 weekly session with the participating provider (not co-treated with another provider)

• Caregiver is present during EI sessions

• Caregiver is the biological parent or custodial guardian

• Caregiver is at least 18 years of age

• Caregiver speaks either English or Spanish

Locations
United States
Illinois
Rush University Medical Center
RECRUITING
Chicago
Massachusetts
University of Massachusetts Boston
RECRUITING
Boston
Michigan
Michigan State University
RECRUITING
East Lansing
Washington
Carol A Schubert
RECRUITING
Seattle
Contact Information
Primary
Carol A Schubert, MPH
schubca@uw.edu
206-543-2823
Backup
Wendy K Stone, PhD
stonew@uw.edu
206-685-2821
Time Frame
Start Date: 2021-09-27
Estimated Completion Date: 2025-05-31
Participants
Target number of participants: 440
Treatments
Experimental: RIT Training Group
Providers in the RIT group (n=80) will receive intensive training (online tutorial, 2-day workshop, and virtual coaching and feedback in the field) in RIT and parent coaching and will be required to achieve fidelity prior to enrolling families from their caseload. They will then be asked to use the intervention with enrolled families for a minimum of 3 months. One intervention session per month for each enrolled family will be videotaped and scored for fidelity. Providers will receive monthly consultation from RIT trainers while these families are in the active treatment phase.
No_intervention: Treatment as Usual
Providers in the TAU group (n=80) will have three sessions videotaped and scored for each enrolled family to assess treatment differentiation. To incentivize agency participation, RIT training will be provided to the TAU group and other providers when data collection is complete.
Authors
Brooke Ingersoll
Related Therapeutic Areas
Sponsors
Collaborators: University of Massachusetts, Boston, National Institute of Mental Health (NIMH), Michigan State University, Rush University Medical Center
Leads: University of Washington

This content was sourced from clinicaltrials.gov