Trial Outcomes & Findings for Single Case Research Design: Teacher Outcomes (NCT NCT06729177)

NCT ID: NCT06729177

Last Updated: 2025-12-19

Results Overview

The Strategic and Interactive Signing Instruction (SISI) Fidelity Tool is a 45-item observational checklist assessing adherence to the model-guided-independent cycle, scaffolding quality, and use of targeted ASL skills. Each item is rated from 0 to 1 (0 = not implemented, 0.5 = partially implemented, 1 = fully implemented). Scores are summed and converted to a percentage (0-100%). Higher scores indicate stronger fidelity of implementation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

4 participants

Primary outcome timeframe

Baseline began at the start of the school year for all participants. Because intervention start times were staggered in the multiple-baseline design, intervention duration ranged from approximately 12 to 40 weeks across participants.

Results posted on

2025-12-19

Participant Flow

Four teachers from a school for the deaf were recruited.

All four teachers provided business-as-usual language instruction to generate baseline data before receiving training in Strategic and Interactive Signing Instruction (SISI) to implement during the intervention phase.

Participant milestones

Participant milestones
Measure
Single Case Research Design
A noncurrent multiple-baseline design across teachers was used to assess the support required for teachers to achieve proficiency in SISI implementation. The independent variable was SISI training, and the dependent variable was teacher fidelity to SISI as measured by the SISI Fidelity Tool.
Overall Study
STARTED
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

All participants reported deaf.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Case Research Design
n=4 Participants
A noncurrent multiple baseline design across teacher participants will be utilized to assess the extent of support required by teachers to become proficient in SISI implementation. In this study, the independent variable is the SISI training, and the dependent variable is teacher fidelity to the SISI program as measured by the SISI fidelity checklist.
Region of Enrollment
United States
4 Participants
n=8 Participants
Deaf Status
4 Participants
n=8 Participants • All participants reported deaf.
Age, Continuous
38 Years
STANDARD_DEVIATION 7.4 • n=8 Participants
Sex: Female, Male
Female
3 Participants
n=8 Participants
Sex: Female, Male
Male
1 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
0 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=8 Participants
Race (NIH/OMB)
White
3 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Baseline began at the start of the school year for all participants. Because intervention start times were staggered in the multiple-baseline design, intervention duration ranged from approximately 12 to 40 weeks across participants.

The Strategic and Interactive Signing Instruction (SISI) Fidelity Tool is a 45-item observational checklist assessing adherence to the model-guided-independent cycle, scaffolding quality, and use of targeted ASL skills. Each item is rated from 0 to 1 (0 = not implemented, 0.5 = partially implemented, 1 = fully implemented). Scores are summed and converted to a percentage (0-100%). Higher scores indicate stronger fidelity of implementation.

Outcome measures

Outcome measures
Measure
Single Case Research Design
n=4 Participants
A noncurrent multiple baseline design across teacher participants will be utilized to assess the extent of support required by teachers to become proficient in SISI implementation. In this study, the independent variable is the SISI training, and the dependent variable is teacher fidelity to the SISI program as measured by the SISI fidelity checklist.
SISI Fidelity
80 Percentage of SISI practices implemented
Interval 55.0 to 94.0

Adverse Events

Single Case Research Design

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Leala Holcomb

University of Tennessee, Knoxville

Phone: 415-307-6410

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place