Autism Spectrum Disorder, Sensory Processing Disorder
Conditions
Keywords
Sensory Processing Disorder, Parent-mediated intervention, Autism Spectrum Disorder, Parent Coaching via Telehealth
Brief summary
This clinical trial aims to develop parent-child interaction strategy coaching and sensory processing strategy coaching via Telehealth and examine the feasibility and efficacy of the interventions in young children with autism spectrum disorder who have sensory processing disorder. In the first experiment, the investigators will apply a single-subject research design and one-group pre-post test design to explore the feasibility of the coaching interventions. In the second experiment, RCT design will be used to examine the effectiveness of parent coaching. Sixty-five children with ASD and their parents will be randomly assigned to the intervention or control group. The intervention group will receive weekly parent-child interaction and sensory processing strategy coaching for 12 weeks. The control group will be provided with weekly self-learning materials and group discussion session for 12 weeks. Additionally, the follow-up test will be administered three months after the intervention.
Interventions
BEHAVIORALparent coaching via telehealth
Participants receive 12 weeks of parent-child interaction strategy coaching and sensory processing strategy coaching intervention.
BEHAVIORALweekly self-learning materials and group discussion session
Participants receive 1-hour self-learning materials, including parent-child interaction and sensory processing strategies, and 1-hour remote group discussion session weekly.
Sponsors
National Science and Technology Council
National Taiwan University
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
In the first experiment, multiple baseline design will be used to examine the feasibility of the interventions. Each participant will first receive parent-child interaction strategy coaching every week via Telehealth, followed by sensory processing strategy coaching (C1) provided every week via Telehealth. In the second experiment, RCT design will be applied to explore the efficacy of the interventions. Participants will be randomly allocated to the treatment group or the control group. The intervention group will receive weekly, one-on-one parent-child interaction and sensory processing strategy coaching via Telehealth for 12 weeks. The control group will be provided with weekly self-learning materials and group discussion session for 12 weeks. Measures will be taken at pre-test, post-test, and 3-month follow-up.
Eligibility
Sex/Gender
ALL
Age
3 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
* The child is 3 to 5 years old * The child is diagnosed with ASD by a child psychiatrist or specialist in psychology based on the DSM-5's diagnostic criteria * The child's score falls within the category of dysfunction in one or more sensory processing functions in the Sensory Profile (3-10 years old version)
Exclusion criteria
* Children diagnosed with major neuromuscular dysfunction or other disease diagnoses, such as epilepsy or other genetic diseases * Children whose parents could not speak Hokkenese or Chinese and read in Chinese * Individuals who have participated in the first year of this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The parent's parent-child interaction strategy utilization | through study completion, an average of 4 months | Measured by the self-developed measurement - the Parental Parent-Child Interaction Strategy Rating Scale in the single subject experiment. The score could range from 20 to 80, with higher scores implied greater parent-child interaction strategy utilization. |
| The child's social communication ability | through study completion, an average of 4 months | Measured by the self-developed measurement - the Social Communication Rating Scale for young children in the single subject experiment. The score could range from 0 to 38, with higher scores implied greater social communication ability. |
| The performance and satisfaction with the child's daily participation | up to 25 weeks | Measured by the Canadian Occupational Performance Measure in the RCT experiment. The score could range from 1 to 10, with higher scores implied greater performance and higher satisfaction with the child's daily participation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The child's performance in social communication | up to 25 weeks | Measured by the Brief Observation of Social Communication Change in the RCT experiment. The score could range from 0 to 85, with higher scores implied greater social communication performance. |
| The parent's self-perceived parental competence | up to 25 weeks | Measured by the Parenting Sense of Competence Scale in the RCT experiment. The score could range from 17 to 102, with higher scores implied greater self-perceived parental competence. |
| The parent's self-perceived stress within the family system | up to 25 weeks | Measured by the Parenting Stress Index - Short Form in the RCT experiment. The score could range from 35 to 175, with higher scores implied greater self-perceived stress within the family system |
| The child's social communication ability | up to 25 weeks | Measured by the self-developed measurement - the Social Communication Rating Scale for young children in the RCT experiment. The score could range from 0 to 38, with higher scores implied greater social communication ability |
| The parent's parent-child interaction strategy utilization | up to 25 weeks | Measured by the self-developed measurement - the Parental Parent-Child Interaction Strategy Rating Scale in the RCT experiment. The score could range from 20 to 80, with higher scores implied greater parent-child interaction strategy utilization. |
| The performance and satisfaction with the child's daily participation | through study completion, an average of 4 months | Measured by the Canadian Occupational Performance Measure in the single subject experiment. The score could range from 1 to 10, with higher scores implied greater performance or higher satisfaction with the child's daily participation. |
| The parent's self-perceived life quality within the last two weeks | up to 25 weeks | Measured by the WHOQOL-BREF - Taiwan version in the RCT experiment. The score could range from 4 to 20 in each domain, with higher scores implied greater self-perceived life quality within the last two weeks |
| The social functioning and adaptive behavior of the child | up to 25 weeks | Measured by the Vineland Adaptive Behavior Scales - Third Edition in the RCT experiment. The score could range from 20 to 160, with higher scores implied greater social functioning and adaptive behavior. |
| The attainment of the selected goal related to issues with the child's sensory processing disorder | up to 25 weeks | Measured by the Goal Attainment Scale in the RCT experiment. The score could range from -2 to 2, with higher scores implied greater attainment of the selected goal related to issues with the child's sensory processing disorder. |
Other
| Measure | Time frame | Description |
|---|---|---|
| The parent's satisfaction with the online intervention | 1 week | Measured by self-developed questionnaire used to assess parental parent's satisfaction with the online intervention in the RCT experiment. The score could range from 17 to 68, with higher scores implied higher satisfaction with the online intervention. |
| The coach's satisfaction with the online intervention | 1 week | Measured by self-developed questionnaire used to assess the coach's satisfaction with the online intervention in the RCT experiment. The score could range from 11 to 44, with higher scores implied higher satisfaction with the online intervention. |
Contacts
Primary ContactMei-Hui Tseng, phD
Outcome results
None listed