Autism Spectrum Disorder Clinical Trial
— PEGASEOfficial title:
Generalized Training Program for Caregivers on the ESDM
The main objective of the study is to evaluate the effectiveness of a parent's training
program (name PEGASE) of young children (aged 2 to 4 years) with Autism Spectrum Disorders.
This study is follow up by the Autism Resource Center PACA (CRA PACA), which is located in
Marseille's university Department of Child Psychiatry.
This center is a regional expert center in diagnostic and research missions in the field of
Autism. The center is promoting new advances in the field of Autism Spectrum Disorders (ASD)
The center receives requests for diagnostic assessment from all the region. Autism is to date
a major public health problem, current prevalence rates are 1 child / 88 in the United
States. This prevalence continues to increase.
Autism is a severe neurodevelopment disorder with significant functional impact.
An essential axis in the field of health is to develop new treatment strategy including low
costs and family impact particularly in quality of life.
In France, consensus guidelines (HAS 2012) on the diagnosis assessment for Autism Spectrum
Disorders (ASD) people and interventions were edited.
Support for grade recommendations have been issued. In this research, the investigators focus
on a global, early and coordinated management method: the Early Start Denver Model. This
intervention obtained a grade B to the recommendations of the HAS in 2012. Early Start Denver
Model (ESDM) is scientifically proven by a lots of studies.
Two management modalities are discuss in the ESDM model: the classical ESDM and the ESDM P
(parents ESDM). Even if in both ways of care, the parent is put in a central position around
the care of the child. In P ESDM, the parent is trained in the techniques of ESDM itself.
This parental coaching program at ESDM (P-ESDM) was developed by Rogers et al at Sacramento
Davis University.
P ESDM is not yet developed in France and has not been the subject of any French-language
publication to date.
This program is dedicated to young parents of children with autism spectrum disorders aged
between 2 and 4 years old.
This is a 7-month program (with a duration of inclusion of 3 year). The program is based on
ESDM techniques, it meets both the need to include parents in care and the idea of reducing
the cost of these care (need fewer hours of care by professionals).
This program is offered to all parents of autism spectrum disorders children between the ages
of 2 and 4 who go to CRA PACA for an expert diagnostic evaluation.
The aim of this study is to objectify the effectiveness of this parental intervention in a
French population.
Status | Recruiting |
Enrollment | 30 |
Est. completion date | November 7, 2021 |
Est. primary completion date | November 7, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 2 Years to 4 Years |
Eligibility |
Inclusion Criteria: - Children aged 2 to 4 years - Child diagnosed with the clinical criteria of The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and International Classification of Diseases 10th Revision (ICD 10). Initial diagnosis of Autism spectrum disorder (ASD) should be validated by recommended diagnostic scales: ADI R, ADOS 2. - A child whose parents or legal representatives have accepted their child's participation in this study, and have signed informed consent. Exclusion Criteria: - No presentation to initial and final evaluations - Withdrawal of informed consent (which can intervene at any time of the study and without proof) |
Country | Name | City | State |
---|---|---|---|
France | Service de pédopsychiatrie Sainte-Marguerite | Marseille | Marseille Cedex 09 |
Lead Sponsor | Collaborator |
---|---|
Assistance Publique Hopitaux De Marseille |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | effectiveness of a parent's training program (name PEGASE) of young children (aged 2 to 4 years) with Autism Spectrum Disorders. | Autism Diagnostic Observation Schedule 2 (ADOS 2) : Assessment of social affect and restricted and repetitive behaviours, autism severity level/Selected module The scale is between 0 and 3 : Note 0 is assigned when the behavior does not show abnormalities specific to the disorders invasive development; Note 1 is assigned when the behaviour is slightly abnormal or slightly unusual; Note 2 corresponds to a clearly abnormal behaviour; Note 3 is attributed to a frankly abnormal behavior, to the point that it interferes with the interaction. This note may also correspond to such a limited behaviour as the assessment of its quality social security is impossible. |
7 month |
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