Changing Developmental Trajectories Through Early Treatment
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology, Psychiatric, Psychiatric, Autism |
| Therapuetic Areas: | Neurology, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 1/18/2019 |
| Start Date: | May 2013 |
| End Date: | December 2019 |
| Contact: | Nathan Call, PhD |
| Email: | nathan.call@choa.org |
| Phone: | 404-785-9400 |
Autism Center of Excellence: Project 3 - Changing Developmental Trajectories Through Early Treatment
The major purpose of this study is to directly compare two parent intervention conditions for
children diagnosed with autism spectrum disorders at 18 months of age to document the
effectiveness.
children diagnosed with autism spectrum disorders at 18 months of age to document the
effectiveness.
Previous research has suggested that earlier intervention may contribute to better outcomes
in autism. Answering the question "how early?" has significant health and educational
implications for age of screening for autism spectrum disorders (ASD) and age of entry into
early intervention for children with ASD. With the increased number of young children
identified with ASD, there is a pressing need for evidence-based, manualized intervention
that is accessible to and implemented by parents within their natural environments. This
collaborative project is directed by Dr. Amy Wetherby at Florida State University and Dr.
Nathan Call at Emory University to compare the effectiveness of parent implemented
intervention for toddlers with autism spectrum disorders (ASD). The major objective is to
directly compare two parent intervention conditions: 1) a parent-implemented intervention
(PII) offered in a 2-3 weekly sessions to teach parents treatment strategies to support
social communication skills within everyday routines, activities, and places for 25 hours a
week; and 2) an information, education and support group (IES) offered twice monthly.
Ninety-two children who 12 months of age and are at risk for developing an ASD because they
have an older sibling who has an identified ASD will participate. Participants will be
recruited from those children who are part of prerequisite studies on ASD in infancy that are
also being conducted at Emory University. Families will be randomly assigned to either PII or
IES at 12 months of age for a total of 9 months of intervention. The effectiveness of PII and
IES will be examined with growth trajectories of social communication and autism symptoms and
group outcomes on developmental level and adaptive behavior. The findings of this study will
provide evidence of the effects of parent implemented intervention beginning at 12 months of
age and substantiate that autism screening for toddlers is crucial for families to access
early intervention.
in autism. Answering the question "how early?" has significant health and educational
implications for age of screening for autism spectrum disorders (ASD) and age of entry into
early intervention for children with ASD. With the increased number of young children
identified with ASD, there is a pressing need for evidence-based, manualized intervention
that is accessible to and implemented by parents within their natural environments. This
collaborative project is directed by Dr. Amy Wetherby at Florida State University and Dr.
Nathan Call at Emory University to compare the effectiveness of parent implemented
intervention for toddlers with autism spectrum disorders (ASD). The major objective is to
directly compare two parent intervention conditions: 1) a parent-implemented intervention
(PII) offered in a 2-3 weekly sessions to teach parents treatment strategies to support
social communication skills within everyday routines, activities, and places for 25 hours a
week; and 2) an information, education and support group (IES) offered twice monthly.
Ninety-two children who 12 months of age and are at risk for developing an ASD because they
have an older sibling who has an identified ASD will participate. Participants will be
recruited from those children who are part of prerequisite studies on ASD in infancy that are
also being conducted at Emory University. Families will be randomly assigned to either PII or
IES at 12 months of age for a total of 9 months of intervention. The effectiveness of PII and
IES will be examined with growth trajectories of social communication and autism symptoms and
group outcomes on developmental level and adaptive behavior. The findings of this study will
provide evidence of the effects of parent implemented intervention beginning at 12 months of
age and substantiate that autism screening for toddlers is crucial for families to access
early intervention.
Inclusion Criteria:
- Participants will be recruited who have already completed Project 1 and Project 2 of
the Emory Autism Center of Excellence project.
- Participants will be the younger siblings of children with a diagnosed ASD
- Positive screen on 2 of 3 measures of risk for an autism spectrum disorder before
treatment 15 months of age or younger by the start of treatment
- Normal hearing and adequate motor control to make simple actions (giving, reaching)
- Families agree to twice monthly play group sessions for 9 months and 2-3 intervention
sessions per week for 9 months (usually within work-day hours)
- Families agree to monthly evaluations and videotaping of intervention sessions and
weekly or monthly video check during the 18 months of treatment
Exclusion Criteria:
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