Autism Spectrum Disorder
Conditions
Keywords
Autism, Parent-mediated intervention, Naturalistic developmental behavioral intervention, Low resource households
Brief summary
The ASD Screening and Parent ENgagement (ASPEN) program is a culturally adapted, parent-mediated intervention program. The ASPEN program is tailored to address social communication and behavioral difficulties that young children with developmental delays may experience in early childhood. The ASPEN Program includes 12 sessions where parents are provided with psychoeducation about self-care, child development, and evidence-based strategies. Coaching is also provided to train parents on using evidence-based strategies within the home setting. The ASPEN program is delivered by a student clinician and a peer leader. We hypothesize that coaching strategies delivered by the clinician will lead to primary family caregivers learning evidence-based strategies and this will result in improved child outcomes. We hypothesize that education and family support delivered by peer leaders will help primary family caregivers learn social support strategies and this will lead to improved parent outcomes.
Interventions
BEHAVIORALASD Screening Parent ENgagement Intervention Program (ASPEN)
The ASPEN intervention is based on naturalistic developmental behavioral intervention strategies to support the development of social communication and play skills and reduce challenging behavior.
Sponsors
University of Texas at Austin
National Institute on Disability, Independent Living, and Rehabilitation Research
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Months to 6 Years
Healthy volunteers
No
Inclusion criteria
* Child is between 18 months through 6 years of age * Child has a medical diagnosis or educational classification of Autism or Autism Spectrum Disorder (ASD) or child is at-risk for Autism/ASD as determined by the Modified-Checklist for Autism in Toddlers - Revised/Follow-up Interview (M-CHAT-R/F) and/or Social Communication Questionnaire (SCQ) * Child resides in a low-resource household as determined by at least one of the following criteria: * -Child or family has Medicaid as an insurance provider * -Child's primary caregiver has achieved a high school or lower education * -Child resides in a household with an annual income of 200% of the Federal Poverty Level
Exclusion criteria
* Primary caregiver does not speak/understand English or Spanish * Child is younger 18 months or older than 6 years of age * Child does not have a medical diagnosis or educational classification of Autism/ASD or does not meet at-risk criteria on the M-CHAT-R/F and/or SCQ * Child does not reside in low-resource household
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adaptive Behavior | Baseline to Post-Intervention (12-14 weeks post baseline) Change | Vineland Adaptive Behavior Scales - 3: Adaptive Behavior Composite Standard Score Minimum value = 20; Maximum value = 140; Higher scores indicate a better outcome |
| Parenting Stress | Baseline to Post-Intervention (12-14 weeks post baseline) Change | Parenting Stress Index - Short Form Total Stress T Score Minimum value = 32; Maximum value = 92; Higher scores indicate a worse outcome |
| Parent Empowerment | Baseline to Post-Intervention (12-14 weeks post baseline) Change | Family Outcomes Scales - Revised Minimum value = 1; Maximum value = 5; Higher scores indicate a better outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child Challenging Behavior | Baseline to Post-Intervention (12-14 weeks post baseline) Change | Scales of Independent Behavior-Revised: Problem Behavior Subscale Minimum value = +10; Maximum value = -74; Higher scores indicate a better outcome |
| Family Quality of Life | Baseline to Post-Intervention (12-14 weeks post baseline) Change | PedsQL Family Impact Module: Family Functioning Minimum value = 0; Maximum value = 100; Higher scores indicate a better outcome |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORSandra B Vanegas, PhD
University of Texas at Austin
Outcome results
None listed