Aggression Clinical Trial
Official title:
Stimulus Control Refinements of Functional Communication Training
Although treatments for problem behavior, like functional communication training (FCT), can be highly effective in the clinic, changes in the way the FCT is implemented (e.g., when transferring treatment to the home, when teachers implement treatment with poor fidelity) can result in treatment relapse. The goal of this study is to evaluate whether using treatment signals and gradually introducing materials from natural contexts can help mitigate treatment relapse during context changes and poor treatment-integrity scenarios.
Status | Recruiting |
Enrollment | 24 |
Est. completion date | December 31, 2025 |
Est. primary completion date | December 31, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 3 Years to 17 Years |
Eligibility | Inclusion Criteria: - Boys and girls from ages 3 to 17 - Destructive behavior that occurs at least 10 times a day despite previous treatment - Destructive behavior reinforced by social consequences like attention (FCT is not appropriate for automatically reinforced destructive behavior) - On a stable psychoactive drug regimen for at least 10 half-lives per drug or drug free - Stable educational plan and placement with no anticipated changes during the child's treatment Exclusion Criteria: - Patients who do not meet the inclusion criteria - Patients currently receiving 15 or more hours per week of treatment for their destructive behavior - DSM-5 diagnosis of Rett syndrome or other degenerative conditions (e.g., inborn error of metabolism) - A comorbid health condition or major mental disorder that would interfere with study participation - Occurrence of SIB during study assessments that presents a risk of serious or permanent harm (e.g., detached retinas) based on our routine clinical-risk assessment - Patients requiring drug-treatment changes, but the experimenters will invite these patients to participate if they meet inclusion criteria after drug regimen is stable. |
Country | Name | City | State |
---|---|---|---|
United States | Children's Specialized Hospital - Rutgers University Center for Autism Research, Education, and Services | Somerset | New Jersey |
Lead Sponsor | Collaborator |
---|---|
Rutgers, The State University of New Jersey |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rate of Destructive Behavior in Renewal Test | The investigators will measure the rate of destructive behavior following successful treatment when the FCT is implemented in a context not associated with treatment (e.g., the baseline, home-like context). | Through study completion, an average of 3 weeks. | |
Primary | Rate of Destructive Behavior in Super-Resurgence Test | The investigators will measure the rate of destructive behavior when FCT is implemented in a context not associated with treatment (e.g., a classroom context) by an implementer who fails to reinforce the communication response. This would be similar to a busy teacher in a classroom who is unable to attend to the child due to assisting another student. | Through study completion, an average of 3 weeks. | |
Primary | Rate of Destructive Behavior in Reinstatement Test | The investigators will measure the rate of destructive behavior when FCT is not implemented as prescribed (i.e., reinforcement is delivered on a time-based schedule, rather than following communication responses). This would be similar to a teacher who delivers breaks from work based on the school schedule (e.g., switching from math to reading) rather than the child's request for a break during the math period). | Through study completion, an average of 3 weeks. |
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