Autism Spectrum Disorder (ASD) Autisme Spectrum Stoornis (ASS) Autism Autisme
Conditions
Interventions
The BEAR (Blended E-health for children at eArly Risk) parent training. is a blended e-health intervention offered to children (12-30 months) who are considered to be at risk for ASD based on screen p
Sponsors
Karakter Child and Adolescent Psychiatry University Centre
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: - A screen positive result (¡Ý3) on the Communication and Social development Signals (CoSoS), or children with a screen negative result (<3) but about whom serious concerns exist regarding the social-communicative development and/or play possibly associated with ASD, according to parents and/or professionals at the WBC¡¯s. - Age between 12-30 months. - At least one of the parents is able to understand and speak the Dutch or English language.
Exclusion criteria
Exclusion criteria: - Family problems that limit the possibility to engage in an at home based intervention. - Significant chronic illness of the child. - Severe parental psychopathology, such as depression, psychosis, substance use disorder. - Severe intellectual disability (IQ <20); the significant delay in all areas of the child¡¯s development makes it not possible for the child and it¡¯s parents to participate in the BEAR parent training. - Severe vision and hearing impairments. - Severe motor impairments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main primary outcome of the study is joint-engagement in the parent-child interaction. A 12 minute videotaped interaction between parent and child will be collected for each parent-child dyad prior to the start of intervention, at the end of intervention (8 weeks later) and at 24 weeks follow-up. A standardized set of toys will be presented. Parents will be asked to engage in free play with their child as they normally would do. The videotapes will be coded by observers blind to the group status (BEAR condition or CAU condition) and time point scored (at baseline, end of treatment and follow-up) for the total of time in engagement states between parents and their young children with symptoms of ASD (Joint Engagement Rating Inventory; Adamson et al., 2004; Adamson et al., 2016). Recordings will be subsequently coded for the duration of six mutually exclusive engagement states (unengaged, on-looking, person engagement, object engagement, supported joint engagement and coordinated joint engagement; Adamson & Bakeman, 1984). The total time in supported joint engagement and coordinated joint engagement will be combined into one variable (joint-engagement), as is consistent with other studies (e.g. Gulsrud, Helleman, Shire & Kasari, 2015; Kasari, Freeman & Paperall, 2006; Patterson, 2013; Kaale et al., 2018). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters are social communicative development, adaptive functioning, parental well-being and parental intervention skills, parental satisfaction about care, time between first concerns and start of intervention for young children at risk for ASD and cost efficiency. | — |
Contacts
Public ContactMichelle Snijder
Karakter Child and Adolescent Psychiatry University Centre
Outcome results
None listed