Choice Switching and Autism

Autism Spectrum Disorder (ASD) Clinical Trial

Official title:

Choice Switching and Autism

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04631432
• Other study ID #: 109171
• Secondary ID: Technion institu
• Status: Completed
• Start date: January 1, 2021
• Est. completion date: September 13, 2021

Study information

• Verified date: April 2022
• Source: Technion, Israel Institute of Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The study aims to replicate and clarify a recently observed phenomenon whereby individuals with Autism Spectrum Disorder (ASD) switch between options in a repeated task to a greater extent than healthy controls do. In a meta-analysis a large effect size was found (.37) yet because the effect was noisy in different studies it was not statistically significant. The investigators seek to first examine a very large population through an Internet mediated platform. The sample size will be about the size of all of the previous studies that examined this issue together. Secondly, the investigators wish to understand the discrepancy between this choice switching phenomenon and the recorded tendency of ASD individuals to avoid changing choices. First, the investigators will administer the task in which the effect was found (the Iowa Gambling task) for a longer duration than previously and evaluate whether ASD individuals show increased choice switching in the first blocks of trials but reduced switching following more experience. Secondly, the investigators will administer an additional block of trials without feedback in which participants will not be able to go through a learning process. The investigators predict that this will reduce (and possible flip) the tendency of individuals with ASD to switch choices more often.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 114
• Est. completion date: September 13, 2021
• Est. primary completion date: August 13, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• ASD group - Diagnosed with ASD
• Control - No ASD diagnosis: within age and education range of the ASD group.

Exclusion Criteria:

• Demographics: Under 18 years of age.
• Mental health: self reported brain injury and neurological disorder (besides autism).

Related Conditions & MeSH terms

• Autism Spectrum Disorder
• Autism Spectrum Disorder (ASD)
• Autistic Disorder

Intervention

Diagnostic Test:
• Pre-screening
Document upload of Autism diagnosis certificate. Participants can request to show their certificate via a Zoom meeting with the researcher instead of uploading it.

Behavioral:
• Task session
The Iowa Gambling task- four decks of cards on the computer screen. Each card yields a reward, but might also yield a loss. In each trial, the participant selects a card. Consequently, the card is exposed, displaying the gain and the loss for that trial. Through contingent feedback, participants are expected to learn that some deck are better than others.The task will include 120 trials. Block of trials without feedback- four decks of cards on the computer screen. Each card yields a reward, but might also yield a loss. In each trial, the participant selects a card. Consequently, the card is exposed, but the gain and the loss for that trial are not displayed. The task will include 30 trials. Social Responsiveness Scale, 2nd Edition (SRS-2; adult-self report):(Constantino & Gruber, 2012) The brief autism quotient scale:(AQ10; Baron-Cohen et al., 2001) Brief intelligence test (Similarities-MAB + Raven Set 1)

Locations

Country	Name	City	State
Israel	Technion, Israel Institute of Technology	Haifa

Sponsors (1)

Lead Sponsor	Collaborator
Technion, Israel Institute of Technology

Country where clinical trial is conducted

Israel, 

References & Publications (4)

Bechara A, Damasio AR, Damasio H, Anderson SW. Insensitivity to future consequences following damage to human prefrontal cortex. Cognition. 1994 Apr-Jun;50(1-3):7-15. — View Citation

Gaeth GJ, Levin IP, Jain G, Data EV. Toward understanding everyday decision making by adults across the autism spectrum. Judgment and Decision Making. 2016 Nov 1;11(6):537.

Ozonoff S. Reliability and validity of the Wisconsin card sorting test in studies of autism. Neuropsychology. 1995;9(4):491.

Zeif D, Yechiam E. Autism is not associated with poor or enhanced performance on the Iowa Gambling Task: A Meta-Analysis. Neurosci Biobehav Rev. 2020 Jun;113:440-447. doi: 10.1016/j.neubiorev.2020.04.016. Epub 2020 Apr 18. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mean run size	Number of consecutive selections from the same deck (across trials and in different blocks).	Through study completion, an average of 1 year
Primary	Advantageous selections	Percentage of advantageous selections(across trials and in different blocks).	Through study completion, an average of 1 year