Parenting Your Young Child With Autism: A Web-Based Tutorial

Sponsor
Center for Psychological Consultation (Other)
Overall Status
Completed
CT.gov ID
NCT02184390
Collaborator
National Institute of Mental Health (NIMH) (NIH)
104
1
2
28
3.7

Study Details

Study Description

Brief Summary

This study will evaluate the efficacy and user satisfaction with a web-based interactive tutorial for caregivers of young children with autism designed to a) teach parents how to promote their child's development in the core deficit areas, b) help parents understand and improve challenging behaviors their child may demonstrate, and c) reduce caregiver stress through more effective interactions. It emphasizes everyday situations as opportunities for learning, including common home routines and contains videotaped illustrations of parents using the techniques taught in the home environment.

Condition or Disease Intervention/Treatment Phase
  • Other: On LIne Parent Training Tutorial
N/A

Detailed Description

Autism is a neurodevelopmental disorder characterized by core deficits in social reciprocity, verbal and nonverbal communication, and behavior. Early detection and intervention has been shown to improve these core deficits, resulting in better long-term outcomes in language functioning, cognitive/developmental skills, and social and adaptive behavior. Despite the demonstrated benefits of effective intervention, few children receive these specialized services, due in part to critical resource barriers, such as the shortage of specialists trained to deliver them. The broad, long-term objective of this project is to improve outcomes for children with autism and their families by empowering caregivers with the knowledge and skills needed to effectively intervene directly with their children as part of their daily interactions and routines. By targeting those with the most invested in the child's success and the longest lasting influence on a child's long-term growth and development, we can help parents in several ways: a) teach parents how to promote their child's development in the core deficit areas seen in young children with autism spectrum disorders: social interaction, communication, play, and imitation; b) help parents understand and improve challenging behaviors their child may demonstrate, and c) reduce caregiver stress through more effective interactions.

To make this training widely accessible to parents of children with autism, we will deliver this training through a web-based, multi-media, interactive tutorial. The tutorial will use principles of instructional design to more effectively deliver the material and utilize high levels of interactivity afforded by the web-based platform to maximize learning. The tutorial teaches skills to improve their child's behavior and communication within the framework of everyday routines and activities, utilizing interactive exercises and a comprehensive set of videos of real parents implementing these strategies with their children within the context of everyday situations.

The specific aims of the proposed Phase II study are:

Aim 1. To evaluate parents' satisfaction and acceptance of the tutorial program Aim 2. To demonstrate the tutorial increases parental knowledge of the principles and techniques for improving effective parenting of children with Autism Spectrum Disorder.

Aim 3. To demonstrate behavioral improvements in actual parenting skills during the daily interactions with their child based on the knowledge gained.

Aim 4. To demonstrate that the improved parenting skills result in social, communication, and behavioral improvements in the children of parents who complete the tutorial.

Aim 5. To demonstrate that improving parenting skills through the use of this web-based tutorial program reduces caregiver stress and depression.

Study Design

Study Type:
Interventional
Actual Enrollment :
104 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
Parenting Your Young Child With Autism: A Web-Based Tutorial
Study Start Date :
May 1, 2013
Actual Primary Completion Date :
May 1, 2015
Actual Study Completion Date :
Sep 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: tutorial

Parents who receive access to the tutorial immediately

Other: On LIne Parent Training Tutorial
Interactive on line tutorial for parenting skills for autism

No Intervention: wait list control

Parents who are assessed at the same time points as the intervention arm, but do no receive access to the tutorial

Outcome Measures

Primary Outcome Measures

  1. System Usability Scale [8 weeks]

    User satisfaction with the technical aspects of the Enhancing Interactions tutorial will be assessed using the ratings on the System Usability Scale (SUS). The SUS is a reliable, well-validated 10-item scale 1,49 designed to evaluate the usability and user satisfaction with web-based applications and other technologies. It yields quantitative feedback on a 0-100 scale regarding the effectiveness, efficiency, and satisfaction of users while interacting with engineered systems.

Secondary Outcome Measures

  1. Autism Knowledge Test [8 weeks]

    Gains in parents' knowledge regarding of the principles and techniques for more effective parenting of children will be demonstrated using a pre and post test of 24-items developed by the content experts (Drs. Stone and Warren, and Lisa Wallace) that covers the core concepts of the tutorials. The test items were piloted in parents who (a) had received face-to-face training during Enhancing Interactions seminars and (b) other parents prior to being trained. Items were selected based on their psychometric properties and sensitivity to discriminate between parents who had and had not been exposed to the Enhancing Interactions training.

Other Outcome Measures

  1. The Parent Interview for Autism-Clinical Version [8 weeks]

  2. Parenting Efficacy Scale [8 weeks]

  3. Parenting Stress Index [8 weeks]

  4. Child and Parent Behavior Form [8 weeks]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Months to 6 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • parents or caregivers of children with ASD between the ages of 18 months and 6 years with an autism spectrum disorder
Exclusion Criteria:
  • Ability to read and understand English

Contacts and Locations

Locations

Site City State Country Postal Code
1 Center for Psychological Consulation Madison Wisconsin United States 53717

Sponsors and Collaborators

  • Center for Psychological Consultation
  • National Institute of Mental Health (NIMH)

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
Kenneth A. Kobak, Ph.D., Principal Investigator, Center for Psychological Consultation
ClinicalTrials.gov Identifier:
NCT02184390
Other Study ID Numbers:
  • 5R44MH086936
  • 5R44MH086936
First Posted:
Jul 9, 2014
Last Update Posted:
Feb 3, 2016
Last Verified:
Feb 1, 2016
Keywords provided by Kenneth A. Kobak, Ph.D., Principal Investigator, Center for Psychological Consultation
Additional relevant MeSH terms:

Study Results

No Results Posted as of Feb 3, 2016