Feasibility of Using Telepractice to Provide Modified Interaction Guidance.

NCT ID: NCT03972254

Last Updated: 2022-01-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 8 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-11-01
• Study Completion Date: 2021-12-01

Brief Summary

The purpose of this study is to determine the feasibility of using telepractice to provide Modified Interaction Guidance (MIG) to caregivers and their child with autism. MIG as an intervention to improve attachment for children with autism and their primary caregiver.

Detailed Description

The process objectives target focus on1) recruitment, 2) retention, 3) engagement with tools, 4) time demand on dyads, and 5) eligibility criteria.

The resource assessment objectives include: 1) equipment and internet accessibility 2) communication methods, and 3) timelines.

The management assessment objectives address: 1) ethical standards, 2) researcher qualifications and 3) data storage and collection.

Finally, when looking at the scientific assessment, the objectives relate to: 1) Is use of a concurrent multiple baseline single-subject design feasible with this population? 2)capturing dyad needs, 3) burden levels, and 4) safety protocols.

This study will evaluate the above listed dimensions of feasibility using a embedded mixed methods approach that incorporates both a single-subject design and qualitative data gathered throughout the research process and post intervention individual interviews.

Conditions

Autism Spectrum Disorder

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Intervention

Caregivers and their child will interact for 10 minutes while being observed and videotaped. Psychoeducation will be provided and goal setting will occur to ensure dyad specific relationship gains are made.

Group Type: EXPERIMENTAL

Modified Interaction Guidance

Intervention Type: BEHAVIORAL

The main steps in the procedure are to have the family identify the primary concern they are facing, highlight the strengths that the family already has in place and expand on those strengths, convey/impart caregiving and societal norms, and offer other perspectives (McDonough, 2004). The goal of this therapy is to engage the family to take an active role in the construction of their overall treatment. The individualized treatment approach focuses and builds on existing strengths.

Interventions

Modified Interaction Guidance

The main steps in the procedure are to have the family identify the primary concern they are facing, highlight the strengths that the family already has in place and expand on those strengths, convey/impart caregiving and societal norms, and offer other perspectives (McDonough, 2004). The goal of this therapy is to engage the family to take an active role in the construction of their overall treatment. The individualized treatment approach focuses and builds on existing strengths.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Diagnosis of autism spectrum disorder

2. Child between the ages of 24-60 months

3. First born child

4. No physical or medical conditions that affect the child's ability to participate in the activities that are part of the intervention process

5. Ability to follow simple verbal directions in English

6. No current plan to initiate any treatment alternatives during the study period

7. Willingness to participate in a -week intervention with a frequency of once a week

8. Adults are primary caregiver

9. Under age of 35

10. Speak English

11. Minimum grade 5 schooling

12. Access to a computer and broadband wired or wireless (3G or 4G/LTE) internet connection?

Exclusion Criteria

• Participants (both child and adult) will be excluded from the present study if they were deemed low functioning
• child is not the first-born child
• child already receiving ABA treatment
• parents have a history of mental illness

• Minimum Eligible Age: 10 Months
• Maximum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Manitoba

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Megan Land McCarthy, Bsc OT

Role: PRINCIPAL_INVESTIGATOR

University of Manitoba

Locations

College of Rehabilitation Sciences

Winnipeg, Manitoba, Canada

Countries

Canada

Other Identifiers

H2019:105

Identifier Type: -

Identifier Source: org_study_id