ASD, Autism, Autistic Disorders Spectrum
Conditions
Keywords
Autistic traits, ASD
Brief summary
To evaluate the efficacy of Neuralli® MP in improving participant-defined outcomes in adults with autistic traits.
Detailed description
Autism spectrum disorder (ASD) is a common neurodevelopmental disorder characterized by pervasive difficulties since early childhood across reciprocal social communication and restricted, repetitive interests and behaviors. Although early ASD research focused primarily on children, there is increasing recognition that ASD is a lifelong neurodevelopmental disorder. However, although health and education services for children with ASD are relatively well established, service provision for adults with ASD is in its infancy. There is a lack of health services research for adults with ASD, including identification of comorbid health difficulties, rigorous treatment trials (pharmacological and psychological), development of new pharmacotherapies, investigation of transition and aging across the lifespan, and consideration of sex differences and the views of people with ASD. The health services research for adults with ASD is urgently warranted. In particular, research is required to better understand the needs of adults with ASD, including health, aging, service development, transition, treatment options across the lifespan, sex, and the views of people with ASD. Lactiplantibacillus plantarum PS128 (PS128), showed ameliorative effects on depression- and anxiety-like behaviors in different mouse models. When administered to children with ASD, PS128 was shown to improve anxiety, rule-breaking behaviors, hyperactivity/impulsivity, social function, inflammation index, and autonomic function. PS128 supplementation has also been shown to improve depressive symptoms and sleep quality for adults with self-reported insomnia, as well as cortisol levels and anxiety. However, even for this well-studied probiotic, its specific effects on broader aspects of ASD, such as core symptoms, cognition, attention, and sleep have not been systematically investigated. Therefore, this study is designed not only to examine the effects of Neuralli® MP (PS128) but, more importantly, to explore the wider health and support needs of adults with autistic traits. By doing so, this study aims to assess how PS128 may contribute to improving their overall quality of life and address a range of symptoms. Self determined outcomes is an important part of this study. This approach is valued because autism experiences are highly varied, so a one-size-fits-all outcome measure can miss what actually matters to each person.
Interventions
DIETARY_SUPPLEMENTNeuralli® MP
Neuralli® MP containing 60 billion CFU (administered as two capsules per day)
Sponsors
Mackay Memorial Hospital
Bened Biomedical Co., Ltd.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Participants aged between 18 and 50 who exhibit autistic traits * Those who have the willingness and ability to work but have not yet been able to enter a sheltered workshop at the Kanner Foundation * The subjects, primary caregivers and institution staff are willing to participate in the study, and the primary caregivers and institution staff are willing to fill out the questionnaire and accept the interview
Exclusion criteria
* Those who have taken antibiotics or probiotic products in powder, capsule or tablet form within the past month are excluded. * Participants currently receiving antibiotic treatment are also excluded. * Individuals with a known allergy to dairy products. * Individuals with immunodeficiency or compromised immune function. * Individuals diagnosed with small intestinal bacterial overgrowth (SIBO) * Ineligibility determined by PI, e.g. the individual starts any new medication or therapy, especially related to their autism, during this time.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Goal Attainment Scaling (GAS) | weekly from baseline to week 8 | GAS is a method that can be used as a means of measuring outcome data from different contexts set out on a 5-point scale of -2 to +2. It enables the data to be placed on a quantitative measurement scale thus tackling the problem of how to adequately identify and measure qualitative goal impact and attainment. This is very useful as it enables a linking of measures from the frontline to upper levels of an organization's management. This assessment will be conducted weekly to determine how early the effects of the intervention can be observed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Autism Behavior Checklist-Taiwan (ABCT) | from baseline to week 4 and week 8 | The Checklist scale contains 47 items: 8 items pertaining to sensory (sensation and perception), 11 items to relating (social connection), 12 items pertaining to body and object use (motor activity and rigid object use), 8 items pertaining to language (communication and interaction), and 8 items pertaining to social and self-Help (adaptability and self-care). The scoring method gives 1 point for each "Yes" answer. The higher the score, the more severe the autistic behaviors. This scale has favorable content consistency, with a Cronbach α value between 0.75 and 0.87, retest reliability at 0.89. The content validity and reliability of the scale are satisfactory. |
| Parent Target Symptom Rating Visual Analogue Scale (PTSVAS) | from baseline to week 4 and week 8 | A 100mm horizontal scale will be used to evaluate the descriptions and ratings, with each 10mm segment representing one unit. The scale ranges from "very good" or "completely resolved" (0) to "worst" or "catastrophic worsening" (10), with 5 representing no change. |
| Quality of Life in Autism Questionnaire (QoLA) | from baseline to week 4 and week 8 | The "Quality of Life in Autism Questionnaire" (QoLA) is a scale specifically designed for parents or caregivers of children with autism, aiming to assess their quality of life. The questionnaire consists of two parts: Part A: Evaluates the overall sense of quality of life experienced by the parent or caregiver. This section includes various items such as: "I feel happy and content" and "I am satisfied with my social life." Part B: Assesses the impact of the child's autism symptoms or characteristics on the parent or caregiver. The items in this section aim to understand how the child's autistic traits affect family life and the parent's daily experiences. The full questionnaire contains 48 items and is designed to comprehensively evaluate both the quality of life of the parent or caregiver and the impact of the child's autism symptoms on them. |
Countries
Taiwan
Outcome results
None listed