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Description of the Impact of the Modelo Sentido's® on Adaptive Behaviors in Children With Autism

Description of the Impact of the Modelo Sentido's® on the Adaptive Behaviors of Children Between 3 and 7 Years Old, on the Autism Spectrum and Other Associated Neurodevelopmental Challenges

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06477666
Acronym
Sentido´s
Enrollment
24
Registered
2024-06-27
Start date
2023-10-30
Completion date
2025-08-07
Last updated
2026-04-08

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

Conditions

Adaptive Behaviors, Autism Spectrum Disorder, Neurodevelopmental Disorders

Keywords

Neurodevelopmental disorders, Autism, Adaptive behaviors

Brief summary

Knowing the impact of the Modelo Sentido´s® (MS) on the gain of adaptive behaviors in children on the autism spectrum (AS) and other associated neurodevelopmental challenges (ANDC), is essential to improve the quality of life of children, families and professionals who live with neurodevelopmental challenges; inform parents about the efficacy and effectiveness of the interventions offered; provide scientific knowledge required by government agencies, public and private policy makers to make informed decisions about which intervention they should support; contribute with a manualized intervention program contextually appropriate to the strengths and challenge within a low- and middle-income country, which can potentially be modified by reverse engineering to apply it to environments that require it in high-income countries. MS is a proposal for understanding and therapeutic intervention on the dimensional complexity involved in the challenges of neurodevelopment. MS provides a clinical practice framework that generates, drives, and sustains interaction and collaboration between disciplines converging in transdisciplinarity. MS promotes understanding, reasoning, and intervention on the Bio-Neuro-Sensory-Psycho-Social-Spiritual-Occupational-Nutritional-Ecological dimensions of childhoods in AS and other ANDC, their significant caregivers and intervening therapists. MS focuses its bases on three evidence-based frameworks: the applied behavior analysis (ABA), sensory integration (SI) and psychoimmunoneuroendocrinology (PINE) correlate of the neurobiology of stress. Which emerge from behavioral sciences, developmental sciences, neurosciences, and stress sciences. Evidence supports that interventions in children with AS beyond addressing core symptoms should focus on outcome measures, such as quality of life and adaptive functioning. MS focuses its programs on supporting and accompaniment to parents and significant caregivers as a fundamental aspect for gaining adaptive behaviors in childhood. MS provides tools that encourage and develop adaptive behaviors in childhood in EA and other ANDC; In turn, MS enhances the families' competencies, confidence, and caring skills towards their child.

Detailed description

Describing the impact of the Modelo Sentido's® on the adaptive behaviors of children from 3 to 7 years old, on the autism spectrum and other associated neurodevelopmental challenges, is extremely important for at least 5 (five) reasons. First, and most importantly, improve the quality of life of children, families and professionals who live with neurodevelopmental challenges. Secondly, parents need to be informed about the efficacy and effectiveness of the interventions offered. Third, this type of scientific knowledge is required by government agencies, public and private policy makers, as well as prepaid and social works so that they can make informed decisions about what type of intervention they should support. Fourth, contribute to the availability of a manualized intervention program contextually appropriate to the strengths and challenges within a low- and middle-income country, which could potentially be modified by reverse engineering to apply to environments that require it in high-income countries. Fifth, provide evidence-based data and know if the programs created through MS adjust to the population needs and cultural particularities of our region. This study will be carried out in three time phases, through scales administered by health professionals to the significant caregivers (parents, grandparents or legal guardians) of the participants: the 1st phase will be before starting the intervention at the time of therapeutic admission, the 2nd phase will be after 14 weeks of intervention, and, the 3rd phase will be after two weeks without intervention at week 17 of the study. Modelo Sentido´s is a proposal for understanding and therapeutic intervention on the dimensional complexity involved in neurodevelopmental challenges, which are a group of heterogeneous conditions that are characterized by an alteration in the acquisition of skills in a variety of developmental domains. including motor, social, language and cognition, are associated with difficulties in cognitive, behavioral, social, academic, and adaptive functioning; Within these, the autism spectrum is characterized by widespread deficits in social communication skills, restricted and repetitive interests and behaviors, and sensory difficulties that affect individual and family functioning. This new conception of the Autism Spectrum (AS) and other Associated Neurodevelopmental Challenges (ANDCH) has led to the search for more global, early, and intensive practices that adopt transdiagnostic intervention approaches. The availability of manualized and contextually appropriate intervention programs presents an additional challenge within low- and middle-income countries. Despite these limitations, different studies are conclusive based on information that allows us to trace a path from the theory of change towards innovations. Worldwide. spectrum of autism care in low- and middle-income countries, which could potentially be reverse engineered to apply to settings requiring it in high-income countries. Sense Model (MS) highlights in its processes the perspective of transcomplexity, which is immersed in various metadomains of knowledge were psychology, anthropology, spirituality, linguistics, ecology, economics, history, philosophy, among other. MS provides a clinical practice framework that generates, drives, and sustains interaction and collaboration between disciplines that converge in transdisciplinarity; promotes understanding, reasoning, and intervention on the Bio-Neuro-Sensory-Psycho-Social-Spiritual-Occupational-Nutritional-Ecological dimensions of childhoods in AS and other ANDCH, of their significant caregivers and intervening therapists. MS focuses its foundations on three evidence-based frameworks; applied behavioral analysis (ABA), sensory integration (SI) and psychoimmunoneuroendocrinology (PINE) as main stress medicine (correlated with stress neurobiology). Which arise from behavioral sciences, developmental sciences, neurosciences, and stress sciences. MS focuses his work on the acquisition of adaptive behaviors/skills, driven by various research that confirms that children with AD show adaptive skills in different lower domains compared to those of children with typical development. Evidence suggests that interventions in children with AD, beyond addressing core symptoms, should focus on outcome measures, such as quality of life and adaptive functioning. Studies of young children suggest that more responsive caregivers are more likely to develop relationships.

Interventions

BEHAVIORALSentido's® Model

The Sentido's® Model is an integrated intervention approach that combines Applied Behavior Analysis (ABA), Ayres Sensory Integration (ASI), and Psychoimmunoendocrinology (PINE) within a transcomplexity theoretical framework. The intervention addresses Bio-Neuro-Sensory-Psycho-Social-Spiritual-Occupational-Nutritional-Ecological dimensions of development through individualized treatment protocols. Sessions are delivered by trained therapists with active family participation in a specialized neurodevelopment center setting. The intervention duration is 14 weeks with protocol-specific scheduling based on individual participant needs.

Sponsors

Sentido's CAIP & CICI Organización Terapéutica
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Single-arm pre-post intervention study with follow-up. All participants receive the same Sentido's® Model intervention for 14 weeks, followed by a 3-week follow-up period without direct intervention to assess maintenance of treatment gains. No control group or randomization employed in this preliminary effectiveness study.

Eligibility

Sex/Gender
ALL
Age
3 Years to 7 Years
Healthy volunteers
No

Inclusion criteria

1. Informed consent signed by the parent or guardian. 2. Complete the executive admission requirements (see ANNEX). 3. Meet the diagnostic impression criteria for DSM-V neurodevelopmental disorders: * Intellectual disability (ID); global developmental delay (RDSM) or psychomotor delay (PMR); * Communication disorders: language disorders (TL), speech disorders, social communication disorder (SUD), childhood-onset disfluency; * Autism spectrum disorder (ASD) * Attention-deficit/hyperactivity disorder (ADHD) - Motor development disorders: developmental coordination disorder (DCD), stereotypic movement disorder, tic disorders, Tourette's disorder (TT), chronic tic disorder (CTT), transient tic disorder; * Specific learning disorders ( TAp ). 4. Answer the GAS, Vineland-3 and FOS scales, at therapeutic admission. 5. Willingness of significant caregivers to accompany the intervention process, for twelve sessions according to syllabus protocol.

Exclusion criteria

1. Childhoods that exceed the age of 7 years in the study period. 2. Children diagnosed with neurological or genetic diseases, brain injury, visual, auditory or motor sensory deficits. 3. Children who are under the guardianship of the Argentine State.

Design outcomes

Primary

MeasureTime frameDescription
Vineland-3 Adaptive Behavior Composite ScoreBaseline, 14 weeks (post-intervention), and 17 weeks (follow-up)The Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) Parent/Caregiver Comprehensive Interview Form assesses adaptive functioning across Communication, Daily Living Skills, Socialization, and Motor domains. The Adaptive Behavior Composite (ABC) is a summary standard score representing overall adaptive functioning. Standard scores have a mean of 100 and SD of 15, with higher scores indicating better adaptive functioning. The ABC was measured at baseline, 14 weeks (post-intervention), and 17 weeks (follow-up). Change was assessed using repeated measures ANOVA comparing scores across the three time points. The values reported in the Outcome Measure data table represent standardized scores (standard scores), not raw scores. Unabbreviated scale title: Vineland Adaptive Behavior Scales, Third Edition. Minimum value: 20 Maximum value: 160 Higher scores mean: Better outcome (better adaptive functioning)
Goal Attainment Scaling (GAS) ScoresBaseline (Week 0), Post-intervention (Week 14), Follow-up (Week 17)Goal Attainment Scaling (GAS) is a personalized outcome measure quantifying progress toward individually defined therapeutic goals. Each of the 24 participants had 3 goals established collaboratively with therapists at baseline. Progress was rated on a modified 5-point ordinal scale: -2 (baseline level/no progress), -1 (less than expected), 0 (expected), +1 (somewhat more than expected), +2 (much more than expected). Higher scores indicate greater goal attainment. The Outcome Measure data table reports the number of participants who achieved expected progress or better (scores ≥0) for each objective at each time point. Data are reported as frequency distributions across score categories. Goals were assessed at baseline, 14 weeks (post-intervention), and 17 weeks (follow-up). Full scale name: Goal Attainment Scaling Raw scale: 5-point ordinal from -2 to +2 Higher scores mean: Better outcome (greater goal attainment)
Family Outcome Survey (FOS) Total ScoreBaseline, 14 weeks (post-intervention), and 17 weeks (follow-up)The Family Outcome Survey (FOS) is a validated self-report questionnaire that assesses family quality of life and the impact of therapeutic services on family functioning. The FOS generates a total score ranging from 0 to 100, with higher scores indicating better family outcomes and satisfaction with services. The survey was administered to caregivers at baseline, 14 weeks (post-intervention), and 17 weeks (follow-up). Change was assessed using repeated measures ANOVA. Full scale name: Family Outcome Survey Score range: 0-100 Higher scores mean: Better outcome (improved family functioning and satisfaction with therapeutic services).

Secondary

MeasureTime frameDescription
Vineland-3 Communication Domain ScoreBaseline, 14 weeks (post-intervention), and 17 weeks (follow-up)The Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) Communication domain assesses receptive, expressive, and written communication skills. The domain yields a standard score (mean=100, SD=15), with higher scores indicating better communication functioning. Scores were measured at baseline, 14 weeks (post-intervention), and 17 weeks (follow-up). Change was assessed using repeated measures ANOVA. Unabbreviated scale title: Vineland Adaptive Behavior Scales, Third Edition - Communication Domain Score range: 20-160 Higher scores mean: Better outcome (better communication skills)
Vineland-3 Daily Living Skills Domain ScoreBaseline, 14 weeks (post-intervention), and 17 weeks (follow-up)The Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) Daily Living Skills domain assesses personal, domestic, and community living activities. The domain yields a standard score (mean=100, SD=15), with higher scores indicating better daily living skills. Scores were measured at baseline, 14 weeks (post-intervention), and 17 weeks (follow-up). Change was assessed using repeated measures ANOVA. Unabbreviated scale title: Vineland Adaptive Behavior Scales, Third Edition - Daily Living Skills Domain Score range: 20-160 Higher scores mean: Better outcome (better daily living skills).
Vineland-3 Socialization Domain ScoreBaseline, 14 weeks (post-intervention), and 17 weeks (follow-up)The Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) Socialization domain assesses interpersonal relationships, play and leisure time, and coping skills. The domain yields a standard score (mean=100, SD=15), with higher scores indicating better socialization. Scores were measured at baseline, 14 weeks (post-intervention), and 17 weeks (follow-up). Change was assessed using repeated measures ANOVA. Unabbreviated scale title: Vineland Adaptive Behavior Scales, Third Edition - Socialization Domain Score range: 20-160 Higher scores mean: Better outcome (better socialization skills).

Countries

Argentina

Contacts

PRINCIPAL_INVESTIGATORBárbara M Tomás, PhD(c)

Instituto Universitario en Ciencias de la Salud - Fundación H. A. Barceló

Baseline characteristics

Characteristic
Age, Customized
3 - 7 years
24 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Number of Participants with Autism Spectrum Disorder Diagnosis24 Participants
Sex: Female, Male
Female
3 Participants
Sex: Female, Male
Male
21 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 24
other
Total, other adverse events
0 / 24
serious
Total, serious adverse events
0 / 24

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 9, 2026