Autism Spectrum Disorder (ASD), Developmental Disability
Conditions
Keywords
Autism Spectrum Disorder (ASD), Parent Training Program, Navajo/Diné
Brief summary
The goal of this clinical trial is to learn if a family support program helps Navajo parents and guardians of children with autism spectrum disorder (ASD) or other developmental concerns. The main questions it aims to answer are: * Is the program something families find useful and easy to take part in? * Does the program raise parents' knowledge and confidence in using strategies that support their child's development? * Does the program help children improve in areas such as social communication? Researchers will compare two groups: * One group of parents will join the program right away. * The other group will join the program after waiting. Participants will: * Be randomly placed into the immediate or waitlist control group using simple randomization. * Take part in sessions led by trained Navajo Family Advisors, who are parents of children with ASD. * Learn and practice strategies they can use at home to support their child * Answer surveys about their experience, knowledge, and their child's progress
Interventions
BEHAVIORALDiné Parents Taking Action Program
A culturally adapted parent training program delivered by trained Navajo Family Advisors, focused on teaching parents/guardians evidence-based strategies to support their child's development and family well-being.
Sponsors
Mercy Care
Northern Arizona University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants were randomly assigned to one of two groups: immediate intervention or a waitlist control group (intervention later).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Parent/legal guardian of a child between 2 and 12 years of age. * Child received a diagnosis of autism spectrum disorder (ASD) OR a developmental disability. * Parent/guardian identifies as Navajo/Diné.
Exclusion criteria
* Parent/guardian is 17 years or younger. * Child is 13 years or older. * Child did not receive an ASD diagnosis or a developmental disability diagnosis. * Parent/guardian does not identify as Navajo/Diné.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parent Knowledge of Evidence-Based Strategies | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Mean score on a parent-report survey assessing comprehension and confidence using strategies taught in the program. |
| Child Social Communication | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Mean score on the Social Communication Questionnaire (Rutter, Bailey, & Lord, 2003), a parent-report survey assessing their child's social communication skills. |
| Frequency Using Intervention Strategies | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Mean score on a parent-report survey assessing the frequency of use of the learned intervention strategies. |
| Family Outcomes | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Mean score on the Family Outcomes Survey-Revised, a parent-reported measure of their child's strengths, needs, and abilities (Waschl et al., 2021). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child problem behavior | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Mean score on the Nisonger Child Behavior Rating Form, an assessment of problematic behavior in children (Aman et al., 1996). |
| Parent Depression | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Parent-reported depressive symptoms using the Center for Epidemiological Studies Depression Scale (CES-D). |
| Service Use | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Number and type of services the child has received. |
| Autism Parenting Stress | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Mean score on the Autism Parenting Stress Index (Silva & Schalock, 2012). |
| Parent Health Literacy | Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment. | Mean score on the BRIEF Health Literacy Measure (Sand-Jecklin, & Coyle, 2014). |
Countries
United States
Outcome results
None listed