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Study of Early Communication Home-Learning Offer (ECHO), a targeted communication program for parents/caregivers of children under 2 years old with significant language difficulties and social communication difficulties

Early Communication Home-Learning Offer (ECHO): Targeted communication intervention for parents/caregivers of children aged under 24 months identified as having significant language difficulties associated with social communication difficulties: Protocol for a single-centre, single group effectiveness study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14728370
Enrollment
40
Registered
2024-08-08
Start date
2024-07-01
Completion date
Unknown
Last updated
2026-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prevention of long-term language difficulties in children with social communication difficulties Mental and Behavioural Disorders

Interventions

ECHO program includes parent-child interaction strategies delivered to families in 5 face-to-face sessions targeting shared attention, copying, interpreting behaviour as communication, using visuals,

Sponsors

Manchester University NHS Foundation Trust
Lead Sponsor

Eligibility

Sex/Gender
All
Age
11 Months to 24 Months

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

MeasureTime 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

MeasureTime 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

Contacts

Public ContactSarah Cameron
Sarah.Cameron@mft.nhs.uk+44 7976157683

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jul 23, 2026