Autism Spectrum Disorder Clinical Trial
Official title:
Use of Electroconvulsive Therapy to Treat Self-Injurious Behavior in Adults With Autism Spectrum Disorders
Verified date | July 2020 |
Source | Eastern Virginia Medical School |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to use formal measures to monitor the outcome of using electroconvulsive therapy to treat self-injurious behavior in adults with Autism Spectrum Disorder for whom psychotropic medication has not worked. This study will be fundamentally different from the previously published literature on the subject in that this will be a prospective study which will aim to recruit multiple participants in an open label study.
Status | Terminated |
Enrollment | 1 |
Est. completion date | September 9, 2020 |
Est. primary completion date | September 9, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 89 Years |
Eligibility | Inclusion Criteria: Participants must have: - a documented Autism Spectrum Disorder diagnosis - a present history of self-injurious behavior for which they have tried and failed at least four other treatment methods - a legal guardian who is able to consent to medical treatments and attend all appointments with the participant. - Subjects will obtain an EKG, Chest X-Ray, Complete Metabolic Panel, Complete Blood Count, and a head CT to receive medical clearance prior to participating in the ECT. Exclusion Criteria: Participants will be excluded if they are: - under the age of 18 - older than age of 89 - do not have a present history of self-injury - have tried fewer than four other treatment methods for self-injurious behavior - if following their pre-treatment tests, they have medical conditions that would present them with undue risk for undergoing ECT. |
Country | Name | City | State |
---|---|---|---|
United States | Eastern Virginia Medical School | Norfolk | Virginia |
Lead Sponsor | Collaborator |
---|---|
Eastern Virginia Medical School | Sentara Norfolk General Hospital |
United States,
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* Note: There are 21 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in Self-Injury Trauma Scale (SIT) across time | Self-Injury Trauma Scale (SIT). This scale allows differentiation and quantification of self-injury completed by the physician based on a complete medical assessment, location of injury, type of injury, number of injuries, and an estimate of severity.
Scales include: Number Index (NI) - Scores range from 0 (no current injuries) to 5 (17 or more current injuries) Severity Index (SI) - Scores range from 0 (no current injuries) to 5 (maximum severity of current injuries) Estimate of Current Risk - Scores range from Low (no current injuries or a lower level of injuries) to Moderate (any abrasion/laceration near the eyes OR any contusion except on the head) to High (any moderate contusion on the head OR any severe abrasion/laceration or contusion) |
Baseline and weeks 7, 11, 6 months, and 12 months | |
Secondary | Changes in Daily Diary Card across time | A daily diary card used to record the number of self-injury episodes, the number of aggressive episodes, and the perceived severity of episodes per day. | Baseline and weeks 2, 3, 4, 5, 6, 7, 11, 6 months, and 12 months | |
Secondary | Changes in Repetitive Behavior Scale-Revised (RBS-R) across time | The 43-item revised scale is specifically intended to assess the variety of repetitive behaviors in individuals with ASD, grouped into 6 categories: 1) stereotyped behavior, 2) self-injurious behavior, 3) compulsive behavior, 4) ritualistic behavior, 5) sameness behavior, and 6) restricted injurious behavior.
All items are scored from 0 (behavior does not occur) to 1 (behavior occurs and is a mild problem) to 2 (behavior occurs and is a moderate problem) to 3 (behavior occurs and is a severe problem). Scale scores for the above 6 scales include: Number of Subscale Items Endorsed: The total number of items in each scale rated 1, 2, or 3 (per scale) Total Subscale Score: The sum of the ratings for all items in that scale (per scale) Overall Number of Items Endorsed: The sum of all "Number of Subscale Items Endorsed" (combined scales Total score) Overall Score: The sum of all "Total Subscale Scores" (combined scales Total score) |
Baseline and weeks 7, 11, 6 months, and 12 months | |
Secondary | Changes in Aberrant Behavior Checklist (ABC) across time | A 58-item measure useful for evaluation inappropriate and maladaptive behavior with five subscales: 1) Irritability, Agitation, Crying; 2) Lethargy, Social Withdrawal; 3) Stereotypic Behavior; 4) Hyperactivity, Noncompliance; and 5) Inappropriate Speech.
All items are scored from 0 (Not at all a problem) to 3 (the problem is severe in degree). Each of the 5 scales includes a sum of scores for items on that scale, ranging from [0] (no problem with this measure) to [12 to 48, depending on the scale] (severe problem with this measure). |
Baseline and weeks 7, 11, 6 months, and 12 months | |
Secondary | Changes in ASD Diagnostic Checklist (ADC) across time | A 30-item instrument designed after the ADOS (Autism Diagnostic Observation Schedule), ADI-R (Autism Diagnostic Interview-Revised), and DSM-V (Diagnostic and Statistical Manual of Mental Disorders-V) criteria for autism, used to assess: 1) qualitative impairment in social interaction, 2) difficulties in communication, and 3) restricted, repetitive and stereotyped patterns of behavior.
All items are scored "Yes" or "No". Scale scores are the sum of the number of "Yes" responses for each scale. Scores range from [0] (zero "Yes" responses equivalent to no ASD-related behaviors) to [6 to 14, depending on the scale] (all "Yes" responses equivalent to higher ASD-related behaviors). Total Score includes the sum of all items with a "Yes" response, ranging from 0 (no ASD-related behaviors) to 30 (higher ASD-related behaviors) |
Baseline and weeks 7, 11, 6 months, and 12 months |
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