Naturalistic Teaching Strategies in Children With Autism

NCT ID: NCT05359757

Last Updated: 2022-05-04

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-25

Study Completion Date

2022-04-10

Brief Summary

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The study will show the effect of naturalistic teaching strategies and picture exchange communication systems in children with an autism spectrum disorder. There will be two groups in this study. One control group and the other experimental group.

One group will be provided with the naturalistic teaching strategies and pecs therapy both and the other group will be provided with the PECS therapy. The research will be conducted within the duration of six months after the approval from BASR.

The two groups will be first assessed using the portage early education program and pecs manual. After 20 sessions of respective therapeutic techniques, both of the groups will be reassessed. The results of both of the groups will be then compared and conclusions will be drawn.

Detailed Description

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The Naturalistic Teaching approach is both adaptive and reactive to the needs of the kids with autism. Its methods are designed to be incorporated into the routines of children with an autism spectrum disorder. The naturalistic methods are intended to mimic the natural instructions a child receives in a variety of contexts.

PictureExchange Communication System (PECS) is a unique communication training program that was developed as a means of evading some shortcomings associated with these strategies. Many individuals with autism are candidates for augmentative and alternative communication (AAC) systems, either to supplement (i.e., augment) their existing speech or to act as their primary (i.e., alternative) method of expressive communication. Presently, aided, picture-based AAC systems are used more frequently and successfully with individuals with ASD. PECS consists of six phases and begins by teaching an individual to give a single picture of a desired item or action to a "communicative partner" who immediately honors the exchange as a request.

Conditions

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Autism Spectrum Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Naturalistic therapeutic techniques and PECS therapy.

Group Type EXPERIMENTAL

Effect of Naturalistic Teaching Strategies in Children with autism spectrum disorder

Intervention Type OTHER

In this group, the patients will be provided with both the naturalistic therapeutic techniques the PECS Therapy.

A baseline of the kids in this group will be made using the portage guide and PECS

* Incidental teaching trial, natural language paradigm, and time delay concepts will be incorporated in the therapy sessions and communication using picture cards will be made.
* 40 minutes session will be conducted in which 20 minutes session will be for naturalistic teaching techniques and 20 minutes will be for PECS.
* This will be followed for 30 sessions

PECS Therapy only

Intervention Type OTHER

A baseline will be developed using the portage guide and PECS.

* Communication strategies using the PECS picture cards will be made
* 30 minutes session will be conducted
* This will be followed for 30 sessions

PECS therapy Only.

Group Type ACTIVE_COMPARATOR

PECS Therapy only

Intervention Type OTHER

A baseline will be developed using the portage guide and PECS.

* Communication strategies using the PECS picture cards will be made
* 30 minutes session will be conducted
* This will be followed for 30 sessions

Interventions

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Effect of Naturalistic Teaching Strategies in Children with autism spectrum disorder

In this group, the patients will be provided with both the naturalistic therapeutic techniques the PECS Therapy.

A baseline of the kids in this group will be made using the portage guide and PECS

* Incidental teaching trial, natural language paradigm, and time delay concepts will be incorporated in the therapy sessions and communication using picture cards will be made.
* 40 minutes session will be conducted in which 20 minutes session will be for naturalistic teaching techniques and 20 minutes will be for PECS.
* This will be followed for 30 sessions

Intervention Type OTHER

PECS Therapy only

A baseline will be developed using the portage guide and PECS.

* Communication strategies using the PECS picture cards will be made
* 30 minutes session will be conducted
* This will be followed for 30 sessions

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Children who will be diagnosed with autism spectrum disorder and with speech and language impairments and will fall in the chronological age of language development (3-8) years
* Both genders
* Children who will have a vocabulary of 0-10 meaningful words
* Children with mild and moderate autism

Exclusion Criteria

Children already taking speech therapy sessions

* Children with severe to a profound level.
* Children with any other disorder along with autism
Minimum Eligible Age

3 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nameeka Shahid, PhD*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Riphah International University

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Thiemann-Bourque K, Brady N, McGuff S, Stump K, Naylor A. Picture Exchange Communication System and Pals: A Peer-Mediated Augmentative and Alternative Communication Intervention for Minimally Verbal Preschoolers With Autism. J Speech Lang Hear Res. 2016 Oct 1;59(5):1133-1145. doi: 10.1044/2016_JSLHR-L-15-0313.

Reference Type BACKGROUND
PMID: 27679841 (View on PubMed)

Lord C, Brugha TS, Charman T, Cusack J, Dumas G, Frazier T, Jones EJH, Jones RM, Pickles A, State MW, Taylor JL, Veenstra-VanderWeele J. Autism spectrum disorder. Nat Rev Dis Primers. 2020 Jan 16;6(1):5. doi: 10.1038/s41572-019-0138-4.

Reference Type BACKGROUND
PMID: 31949163 (View on PubMed)

Ganz JB, Simpson RL. Effects on communicative requesting and speech development of the Picture Exchange Communication System in children with characteristics of autism. J Autism Dev Disord. 2004 Aug;34(4):395-409. doi: 10.1023/b:jadd.0000037416.59095.d7.

Reference Type BACKGROUND
PMID: 15449515 (View on PubMed)

Mukherjee SB. Autism Spectrum Disorders - Diagnosis and Management. Indian J Pediatr. 2017 Apr;84(4):307-314. doi: 10.1007/s12098-016-2272-2. Epub 2017 Jan 19.

Reference Type BACKGROUND
PMID: 28101829 (View on PubMed)

Other Identifiers

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REC/Lhr/21/0627 Maha Nasir

Identifier Type: -

Identifier Source: org_study_id

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