Interactive Guidance Therapy With Video Feed-back of Parent and Child With Autism Spectrum Disorder
NCT ID: NCT04607616
Last Updated: 2023-12-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
24 participants
INTERVENTIONAL
2021-03-26
2026-01-31
Brief Summary
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Detailed Description
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Early Interventions in Autism Spectrum Disorders (ASD) undergo a major development. The investigators identify three generations of early support: 1) Behavioral studies ; 2) Early Intensive Behavioral Interventions (EIBI), inspired by ABA, focused on targeted ASD disorders 3) Naturalistic Behavioral Developmental Behavioral Interventions (NDBI), more ecological, focused on the child's skills.
Among them, methods of video feedback target parental sensitivity (identification, interpretation, response, contingency and synchrony). The VIPP (Video Interactive Positive Parenting) in children less than one year of age, has shown moderate and long term effects on parent-child interaction. The PACT (Preschool Autism Communication Trial) showed immediate and in the long term effects on the synchronization of the parental response, the child initiation, less importantly on the joint attention, and on the autistic symptoms. The dyadic communication allows for changes in autistic symptoms.
Interactive guidance is a brief video-feedback therapy, based on the analysis of "the here and now" with the parent (s), of videotaped interactions with their child. The objective is to strengthen parental skills, their sensitivity, their ability to decipher and respond to the specific needs of their child.
The interest of IGT in the field of ASD, compared to VIPP and PACT, is to offer a standardized feedback intervention adapted to each dyad, according to the child's and parents skills and difficulties, structured on the "here and now" more than on a predetermined sequence of goals.
The investigators use the Single Case Experimental Design (SCED) with multiple baseline across subjects, multicentric, randomized, with multiple replications, blinded scored.
They expect
* to improve the interactive and communicative basic skills of the child, soon after the ASD diagnosis, by accompanying the parents in the identification and understanding of their child's disorders.
* to propose a method highlighting parental skills, in a collaborative and pleasant way
* To increase the parental alliance in the implementation of a tailored intervention for the child
* To facilitate access to healthcare and reduce the parental wandering in the implementation of intervention
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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3 baselines sessions Treatment As Usual (TAU)
Patients received 3 baseline sessions before interactive guidance therapy
Baseline sessions TAU
TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.
Interactive guidance therapy
The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.
Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.
Developmental and diagnostic assessments
MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR
Developmental assessment -Parental scales
Vineland II, IFDC, IDE
Qualitative analysis
Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).
4 baselines sessions TAU
Patients received 4 baseline sessions before interactive guidance therapy
Baseline sessions TAU
TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.
Interactive guidance therapy
The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.
Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.
Developmental and diagnostic assessments
MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR
Developmental assessment -Parental scales
Vineland II, IFDC, IDE
Qualitative analysis
Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).
5 baselines sessions TAU
Patients received 5 baseline sessions before interactive guidance therapy
Baseline sessions TAU
TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.
Interactive guidance therapy
The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.
Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.
Developmental and diagnostic assessments
MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR
Developmental assessment -Parental scales
Vineland II, IFDC, IDE
Qualitative analysis
Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).
6 baselines sessions TAU
Patients received 6 baseline sessions before interactive guidance therapy
Baseline sessions TAU
TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.
Interactive guidance therapy
The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.
Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.
Developmental and diagnostic assessments
MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR
Developmental assessment -Parental scales
Vineland II, IFDC, IDE
Qualitative analysis
Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).
7 baselines sessions TAU
Patients received 7 baseline sessions before interactive guidance therapy
Baseline sessions TAU
TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.
Interactive guidance therapy
The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.
Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.
Developmental and diagnostic assessments
MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR
Developmental assessment -Parental scales
Vineland II, IFDC, IDE
Qualitative analysis
Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).
8 baselines sessions TAU
Patients received 8 baseline sessions before interactive guidance therapy
Baseline sessions TAU
TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.
Interactive guidance therapy
The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.
Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.
Developmental and diagnostic assessments
MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR
Developmental assessment -Parental scales
Vineland II, IFDC, IDE
Qualitative analysis
Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).
Interventions
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Baseline sessions TAU
TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.
Interactive guidance therapy
The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.
Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.
Developmental and diagnostic assessments
MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR
Developmental assessment -Parental scales
Vineland II, IFDC, IDE
Qualitative analysis
Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).
Eligibility Criteria
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Inclusion Criteria
* Child with a diagnosis of Autism Spectrum Disorder (DSM 5) or pervasive Developmental Disorder (ICD 10)
* Child with ADI R and ADOS-2 fulfilling the criteria for TSA / PDD at diagnosis
* Developmental age \> 12 months in motility with the Brunet-Lézine test
* Child with availability of parent most present in daily life, only this parent participating directly in play sessions
* Signed Informed consent form by both parents
* Patient affiliated to the health insurance system
Exclusion Criteria
* Psychiatric parental pathology interfering with interactions with the child, qualitatively assessed by the referring psychiatrist
* Severe sensory illness of the child (blindness, deafness, degenerative disease)
18 Months
3 Years
ALL
No
Sponsors
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Ville Evrard Hospital
UNKNOWN
Assistance Publique - Hôpitaux de Paris
OTHER
Responsible Party
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Principal Investigators
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Benoit QUIROT, MD
Role: STUDY_DIRECTOR
EPS Ville Evrard
Locations
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Hôpital Saint Eloi
Montpellier, , France
Hôpital Ville Evrard
Montreuil, , France
Hôpital Pitié Salpétriere
Paris, , France
Hôpital Necker Enfants Malades
Paris, , France
Countries
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Central Contacts
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Facility Contacts
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Marie-joelle HERVE, MD
Role: primary
Benoit QUIROT, MD
Role: primary
Sylvie VIAUX, MD
Role: primary
lisa OUSS, MD
Role: primary
References
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1. McDonough S. Interaction guidance. Treat Parent-infant Relatsh Probl Strateg Interv. 2004;79-96.
2. McDonough SC. Promoting positive early parent-infant relationships through interaction guidance. Child Adolesc Psychiatr Clin N Am. 1995;4(3):661-72.
Rusconi-Serpa S, Sancho Rossignol A, McDonough SC. Video feedback in parent-infant treatments. Child Adolesc Psychiatr Clin N Am. 2009 Jul;18(3):735-51. doi: 10.1016/j.chc.2009.02.009.
Other Identifiers
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2019-A02707-50
Identifier Type: OTHER
Identifier Source: secondary_id
APHP180671
Identifier Type: -
Identifier Source: org_study_id