Prevention of long-term language difficulties in children with social communication difficulties Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Qualitative Study: 1. Parent/caregiver received at least one ECHO Intervention session within the last 12 months 2. Parent/caregiver residing within the Manchester Local Authority at the time of interview 3. Parent/caregiver having a sufficient level of oral language skills in any language to participate in an in-depth interview as assessed by the researcher’s judgement ECHO Intervention Study: 1. Parent/caregiver and child aged less than 24 months at the start of intervention 2. Parent/caregiver and child who scored Red on the WellComm Language Screen within 3 months of the start of intervention 3. Parent/caregiver and child who scored High Likelihood of autism on Social Attention and Communication Surveillance (SACS-R) tool 4. Residing within the Manchester Local Authority for the duration of intervention
Exclusion criteria
Exclusion criteria: Qualitative Study: 1. Current significant and ongoing safeguarding concerns. 2. Learning disabilities and/or communication difficulties or disorders that significantly impact parent/caregiver’s capacity to give informed consent and participate in interview even with interpreter support and use of supportive communication strategies. ECHO Intervention Study: 1. Family currently receiving intervention from another Speech and Language Therapy Service. 2. Parent/caregiver already taking part in the study with another child. 3. Child or parent/caregiver has a diagnosis of visual, motor, or hearing impairment. 4. Child has a diagnosis of a developmental disorder other than autism. 5. Current significant and ongoing safeguarding concerns.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Communication and Symbolic Behaviour Scales Developmental Profile™ (CSBS DP) (Wetherby, A.; Prizant, B., 2002) clinical assessment at baseline and 12-week follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Qualitative interviews completed via Zoom within 12 months of participation in ECHO 2. WellComm Language Screen Early Years Toolkit – paper version (GL Assessments, 2015) measured using clinical observation at baseline and 12-week follow up 3. The Pragmatics Profile of Everyday Communication Skills (Dewart et al., 1995) questionnaire completed by verbal interview at baseline and 12-week follow up 4. The Tool to Measure Parenting Self-Efficacy (TOPSE) (Bloomfield et al., 2010) questionnaire completed by parent/caregiver at baseline and 12-week follow up 5. Clinical outcome measure of parent-child interaction measured using clinical observation at baseline, each intervention session, and 12-week follow up | — |
Countries
England, United Kingdom