Autism Spectrum Disorder Clinical Trial
Official title:
Demonstration of the Effectiveness of Treatment by Therapeutic Body Wraps in Children and Adolescents Suffering From Autism Spectrum Disorder With Severe Injurious Behavior.
Severe injurious behaviors in children with autism spectrum disorder are challenging. First
line treatment approaches include behavioral techniques but pharmacotherapy is frequently
required despite frequent adverse effects in youths.
Therapeutic body wraps has been reported in small series or case reports, but has never been
assessed in the context of a randomized controlled trial.
The present study is an exploratory, multicenter, randomized, controlled, open label with
blinded outcome assessment (PROBE design) trial of the effect of wet versus dry therapeutic
body wraps in children presenting with autism spectrum disorder and severe injurious
behavior.
Packing therapy has never been assessed, namely in children with severe injurious behavior
and autism spectrum disorder.
The aim of the present study is to evaluate the beneficial effect of wet versus dry
therapeutic body wraps through an exploratory randomized controlled open label blinded
outcome assessment approach.
The primary objective is the comparison of change in ABC irritability scores from baseline
to 3 months between the two groups. According to the potential recruitment, we plan to
recruit 30 subjects in each group. This sample size could allow us to detect a minimum
effect size of 0.74 between the 2 groups (considered large in literature) with a power of
80% (two-sided test and type I error of 5%).
As described elsewhere, wet or dry session will be organized through twice-a-week sessions
for a 3-month duration.
Comparison in primary outcome (ABC irritability score) between the 2 groups will be
performed using Analysis of Covariance (ANCOVA) adjusted for the baseline value. The
standardized difference (effect size) will be computed taking into account the adjustment
for baseline and its 95% confidence interval will be estimated using a bootstrap resampling.
The validity of the ANCOVA model will be checked by examining the model residuals.
The same methodology will be used for the secondary outcomes.
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