Examining an Adaptive Telehealth Intervention
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology, Psychiatric, Autism |
| Therapuetic Areas: | Neurology, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | Any - 5 |
| Updated: | 2/17/2019 |
| Start Date: | January 1, 2018 |
| End Date: | February 1, 2020 |
| Contact: | Allison Wainer, PhD |
| Email: | Allison_Wainer@rush.edu |
| Phone: | 312-563-3520 |
Examining an Adaptive Telehealth Intervention for Young Children With Autism Spectrum Disorder
The purpose of this study is to explore the acceptability and effects of internet-based
approaches for helping parents learn early intervention strategies (e.g., methods or tips for
improving a child's behavior and development). As part of this study, families will be
randomly(selected by chance like the flip of a coin) assigned to one of two different formats
of an interactive telehealth program called Mirror Me. One format families complete on their
own, the other involves the option to meet with a parent coach over the internet for
feedback. The goal of the study is to understand how parents/caregivers and children benefit
from using online programs, and to identify barriers (blocks) and facilitators (helpers) to
this kind of service delivery model.
approaches for helping parents learn early intervention strategies (e.g., methods or tips for
improving a child's behavior and development). As part of this study, families will be
randomly(selected by chance like the flip of a coin) assigned to one of two different formats
of an interactive telehealth program called Mirror Me. One format families complete on their
own, the other involves the option to meet with a parent coach over the internet for
feedback. The goal of the study is to understand how parents/caregivers and children benefit
from using online programs, and to identify barriers (blocks) and facilitators (helpers) to
this kind of service delivery model.
Mirror Me is a telehealth parent training intervention that teaches parents to promote their
child's social imitation during play and daily routines. It uses content from Reciprocal
Imitation Training (RIT), an evidence-based NDBI that teaches social imitation within
affect-laden playful interactions. RIT techniques include imitating the child (contingent
imitation), modeling language, behavioral prompting, and natural reinforcement during
child-direct activities. There is strong empirical support for the effect of individual
techniques on imitation, joint attention, and language and RIT has been cited as one of only
seven early intervention packages with "strong" evidence of efficacy with children < 3 with
ASD or at risk for ASD. Because RIT focuses on a skill that emerges early in development and
does not require language competency, it can be used with children at very young
chronological, language, and developmental levels, making it an ideal early intervention.
Given that RIT is meant to be used in a child's natural environment and only involves a
handful of intervention techniques, it is well suited for delivery in a parent training
format, with initial data supporting the effectiveness of parent training in RIT. Mirror Me
presents intervention content in four interactive modules. Program development was guided by
the technology acceptance model, media richness theory, and principles of instructional
design. To ensure usability and acceptability, the investigators used an iterative
development process with input from pilot participants. The investigators have subsequently
upgraded the website to ensure mobile compatibility, user-friendly material, and enhanced
assessment and monitoring capabilities. Mirror Me can be used as a standalone website or in
combination with remote parent "coaching." Initial data indicate roughly one third to one
half of parents learn RIT techniques from the website alone, while the rest require coaching.
These data support the investigation of a stepped-care telehealth intervention, where parents
use the Mirror Me website and then receive remote parent coaching, if the anticipated
response to the program is not observed.
child's social imitation during play and daily routines. It uses content from Reciprocal
Imitation Training (RIT), an evidence-based NDBI that teaches social imitation within
affect-laden playful interactions. RIT techniques include imitating the child (contingent
imitation), modeling language, behavioral prompting, and natural reinforcement during
child-direct activities. There is strong empirical support for the effect of individual
techniques on imitation, joint attention, and language and RIT has been cited as one of only
seven early intervention packages with "strong" evidence of efficacy with children < 3 with
ASD or at risk for ASD. Because RIT focuses on a skill that emerges early in development and
does not require language competency, it can be used with children at very young
chronological, language, and developmental levels, making it an ideal early intervention.
Given that RIT is meant to be used in a child's natural environment and only involves a
handful of intervention techniques, it is well suited for delivery in a parent training
format, with initial data supporting the effectiveness of parent training in RIT. Mirror Me
presents intervention content in four interactive modules. Program development was guided by
the technology acceptance model, media richness theory, and principles of instructional
design. To ensure usability and acceptability, the investigators used an iterative
development process with input from pilot participants. The investigators have subsequently
upgraded the website to ensure mobile compatibility, user-friendly material, and enhanced
assessment and monitoring capabilities. Mirror Me can be used as a standalone website or in
combination with remote parent "coaching." Initial data indicate roughly one third to one
half of parents learn RIT techniques from the website alone, while the rest require coaching.
These data support the investigation of a stepped-care telehealth intervention, where parents
use the Mirror Me website and then receive remote parent coaching, if the anticipated
response to the program is not observed.
Inclusion Criteria:
- a pre-existing diagnosis of ASD
- behaviorally-based caregiver concerns about ASD
- behaviorally-based physician concerns about ASD
- a positive screen on a validated ASD screening tool.
- a score of 40% or less on the Unstructured Imitation Assessment (UIA) at
screening/baseline
We found this trial at
1
site
1653 W. Congress Parkway
Chicago, Illinois 60612
Chicago, Illinois 60612
(312) 942-5000
Phone: 312-942-6331
Rush University Medical Center Rush University Medical Center encompasses a 664-bed hospital serving adults and...
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