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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05901558
Other study ID # STAR-ASD 1.0
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date June 15, 2023
Est. completion date December 30, 2026

Study information

Verified date July 2023
Source Children's Hospital of Fudan University
Contact Qiong Xu, PhD
Phone 02164931275
Email xuqiong@fuda.edu.cn
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The project aims to develop and implement the Strategies for Toddler Autism spectrum disorder(ASD) with Remote-therapy (STAR) model for early toddlers with ASD in local community sites in Shanghai. It's a randomized control trial lasting 3 years. The children will be divided into 2 groups, one for STAR intervention group and the other for community intervention group. The STAR intervention group will be performed STAR other than community intervention.


Description:

Autism spectrum disorder (ASD) brings enormous economic and emotional burdens to families and society with its ever-increasing prevalence. Early intervention has been proved as the key treatment to ASD. Along with increasing number of ASD children identified and diagnosed at early stage, the needs for effective early intervention are dramatically increasing. Though therapist-delivered intensive programs for toddlers yield substantive developmental gains, they tend to be costly and with extremely limited resource. The lockdowns during the COVID-19 pandemic brings even more obstacles for the children and families to get access to the resource of intervention. As such, the traditional intervention models are not fit for wide implementation within the Chinese public health systems and pandemic situation. To solve this dilemma, this project aims to develop and implement the Strategies for Toddler ASD with Remote-therapy (STAR) model for early toddlers with ASD in local community sites in Shanghai. To maximize the intervention effect, the intervention strategies in STAR model are designed under the Naturalistic Developmental Behavioral Intervention (NDBI) framework which are implemented in natural settings targeting at improving social and communicational capabilities. The structure of the STAR model is with 2 modules and 16 sessions. Module I derives from our previous offline parent-tutoring courses with 8 intervention strategy topics combining academic instruction and real child demonstration but modified into on-line version. Module II is designed specifically for long-term consolidation of parents' intervention skills containing 8 biweekly sessions of distance coaching with parents practicing intervention with their children in real time at home.


Recruitment information / eligibility

Status Recruiting
Enrollment 110
Est. completion date December 30, 2026
Est. primary completion date December 30, 2026
Accepts healthy volunteers No
Gender All
Age group 16 Months to 30 Months
Eligibility Inclusion Criteria: - Children screened as positive for ASD. - Two-tiered screening process combing Level 1(The Modified Checklist for Autism in Toddlers-Revised/Follow-Up , M-CHAT-R/F) and Level 2 (The Screening Tool for Autism in Toddlers and Young Children, STAT) Exclusion Criteria: - Other neurologic or degenerative diseases; - Severe hearing or visual impairment; - Genetic anomaly which may affect impact on intervention; - Not available for regular intervention and follow-up.

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Strategies for Toddler ASD with Remote-therapy (STAR)
The intervention strategies in STAR model are designed under the Naturalistic Developmental Behavioral Intervention (NDBI) framework which are implemented in natural settings targeting at improving social and communicational capabilities
Community intervention
Regular community intervention

Locations

Country Name City State
China Children's Hospital of Fudan University Shanghai Shanghai

Sponsors (1)

Lead Sponsor Collaborator
Children's Hospital of Fudan University

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change of Communication and Symbolic Behavior Scales Developmental Profile(CSBS) The Checklist consists of 24 questions that range from 2 to 4 points within each of 7 Clusters, including language predictors: emotion and eye gaze, communication, gestures, sounds, words, understanding, and object use. Give credit of 0 points for items checked Not Yet, 1 point for items checked Sometimes, or 2 points for items checked Often. 7 Cluster scores will be summed to yield three Composite scores (including expressive speech, symbolic and communication) and a total score. The change of each score for T0, T1 and T2 will be measured. from enrollment (T0) to 1 year(T2)
Secondary Autism Diagnostic Observation Schedule-Second edition(ADOS-2) Autism Diagnostic Observation Schedule-Second edition(ADOS-2):
The results from the social affect(SA) and restricted and repetitive behavior (RRB, subdomains were added together to generate the total raw score. The total raw score was converted into the ADOS calibrated severity score , ranging from 1 to 10, with 10 being the most severe.
from enrollment (T0) to 1 year(T2)
Secondary Parenting Stress Index/Short Form (PSI/SF) 3 sub-scales, including parent distress (PD), parent-child dysfunctional interaction(PCDI), difficult child (DC). This scale assesses stress in parents. from enrollment (T0) 1 year(T2)
Secondary The Griffiths Mental Development Scales (GMDS) GMDS includes six subscales:
Locomotor (Lm), Personal and Social (P/S), Hearing and Speech (H/Sp), Eye and Hand (E/Hd), Performance (Pf) and Practical Reasoning (Pr). The raw scores were transformed into developmental quotients (DQ) using the standard method.
from enrollment (T0) 1 year(T2)
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