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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04769674
Other study ID # 5722E
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date May 14, 2021
Est. completion date February 7, 2022

Study information

Verified date February 2022
Source Boston University Charles River Campus
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The multiple baseline single subject design study with replication across three participants in a public-school setting. The 15-week independent variable will be a direct service occupational therapy intervention, combined with teacher consultations, based on the STAR (Sensory Therapies and Research) Frame of Reference. Frequently measured dependent variables, as the main determinants of change resulting from the intervention, will be student's video-recorded performance in the areas of functional regulation and active participation in the classroom, as rated by a trained observer. Findings of the single subject study will be corroborated via semi-structured interviews with the student participants and their teachers, administration of systematic assessments and Goal Attainment Scaling.


Recruitment information / eligibility

Status Completed
Enrollment 3
Est. completion date February 7, 2022
Est. primary completion date February 7, 2022
Accepts healthy volunteers No
Gender All
Age group 3 Years to 8 Years
Eligibility Inclusion Criteria: 1. Student has a) suspected sensory processing challenges and b) difficulty with functional regulation and active participation in the classroom. 2. not remediated by Tier 2 intervention 3. Evaluation finds: 1. total score, or 3 or more scales, for the main classroom on the Sensory Processing Measure are more than one standard deviation, namely is in the some problems or definite difference range, 2. clinical determination that the student demonstrates disrupted sensory processing issues that are impacting his or her ability to participate in the school setting, and 3. student requires specialized intervention in the form of direct pull-out service delivery in order to access his or her education. Exclusion Criteria: 1. The student has an autism diagnosis or a primary genetic, orthopedic, or neurological disorder. 2. The student is participating in occupational therapy outside of school.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Sensory Integration Intervention through the STAR Frame of Reference
The individualized therapy program will be based on the results of the comprehensive evaluation. Intervention aligns with the STAR Frame of Reference fidelity measure and Ayres Fidelity Measure.

Locations

Country Name City State
United States H. Olive Day School Norfolk Massachusetts

Sponsors (1)

Lead Sponsor Collaborator
Boston University Charles River Campus

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Repeated Dependent Variable Measurement Repeated dependent variable measurement will be based on weekly video recorded samples of functional regulation and active participation behaviors in the classroom rated by a trained observer. Each student participant will be videotaped while in the general education classroom for 10 minutes once per week. 5-7 weeks of Baseline and 15 weeks of intervention for a total of up to 22 weeks
Secondary Behavior Assessment System for Children-3 (BASC-3) The Behavior Assessment System for Children -3, as a teacher rating scale, is a tool that measures the student's adaptive and problem behaviors in the school setting. Scores will not be compared but general clinical categories that can be rated as normal, at risk or clinically significant. During first week of baseline and again within a week of completion of 15 weeks of intervention
Secondary Short Child Occupational Profile (SCOPE) The Short Child Occupational Profile is a 25-item word-based occupation-focused assessment that measures components based on the Model of Human Occupation (MOHO) and was designed to provide a broad overview of a child's occupational participation. Total scores will be between 0 and 57. A higher score will be better, indicating better function. During first week of baseline and again within a week of completion of 15 weeks of intervention
Secondary Goal Attainment Scaling (GAS) A therapist who is using the Goal Attainment Scaling method with a student needs to both accurately predict the level of performance at the end of an identified period of time and decide upon what performance will look like in scaled intervals above and below the expected level of goal attainment. The teacher and occupational therapist then will develop the goal attainment follow-up guide in which expected level of achievement for each goal is scaled as zero, and achievement above and below is scaled from -2 to +2, to measure progress following intervention. 0 is expected performance and +2 is much more than expected. During first week of baseline and again within a week of completion of 15 weeks of intervention
Secondary Semi-structured interview with teacher Each participant's main classroom teachers will be interviewed in a semi-structured format to determine gains in perceived competency for supporting the students with sensory processing challenges following the last session of intervention. Within a week of completing 15 weeks of intervention
Secondary Semi-structured interview with student Each student participant will have the opportunity to comment on his or her lived experience in a semi-structured interview following the last session of the intervention. Within a week of completing 15 weeks of intervention
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