Autism Spectrum Disorder Clinical Trial
Official title:
Development and Validation of a System for the Anticipation of Challenging Behaviors of People With Autism Spectrum Disorder Based on a Smart Shirt: a Mixed-method Design
Verified date | December 2022 |
Source | Ariel University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Most people with autism spectrum disorder (ASD) present at least one form of challenging behavior (CB). Self-injurious, aggressive, and disruptive CBs linked with social interaction, community-based service exclusion, and a life quality reduction for people with ASD, their caregivers, and health professionals. The current study has three objectives: 1) to assess the differences in the physiological reaction of high-functioning adults with ASD and typically developed peers, using bio-signal measurements such as heart rate derived from wearable Smart Shirt (SS), 2) to learn which physiological parameters can best predict the imminent onset of a CB, and 3) to develop a system able to predict the incoming occurrence of a CB in real-time and inform the caregiver through an alert notification sent on a smartphone application. Methods and analysis: comparison between physiological parameters will carry out with two groups of 20 participants with and without ASD. Each participant will be asked to watch two five-minute videos while wearing the SS: one showing relaxing images and the other impressive human body deformities. To identify the matching between the physiological parameters variation collected by the SS and the CBs, ten participants with ASD and aggressive or disruptive CBs will be recruited. Each of these participants will wear the SS for seven consecutive days during waking hours, performing their usual daily activities. During the same seven days, the caregivers who care for the participant will fill a behavioral diary with the participant's status, reporting the times of the day in which he is quiet, agitated and the occurrence of CBs. A learning algorithm capable of predicting immediate CBs occurrence based on physiological parameter variations will be developed together with an ad hoc smartphone application. If the algorithm detects the possibility of an incoming CB, a notification will be sent to the caregiver's smartphone to inform of the possible advent of a CB, therefore enabling the implementation of the selected intervention strategy. After developing the algorithm and related smartphone application, a system efficiency proof of concept (POC) will be carried out with one participant with ASD and CB for seven days in a special school setting with healthcare professionals and teachers. A focus group including health professionals will be conducted after the POC to identify the strengths and weaknesses of the developed system.
Status | Completed |
Enrollment | 51 |
Est. completion date | September 30, 2022 |
Est. primary completion date | September 30, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 20 Years to 40 Years |
Eligibility | Inclusion Criteria for Observation Group One: - diagnosis of High Functioning Autism Spectrum Disorder; - age between 20 and 40 years. Exclusion Criteria for Observation Group One: - the presence of heart disease; - comorbidity with other neurodevelopmental disorders. Inclusion Criteria for Observation Group Two: - diagnosis of Autism Spectrum Disorder; - frequent emission of aggressive and disruptive challenging behaviors (at least three times per week); - age between 20 and 40 years. Exclusion Criteria for Observation Group Two: - the presence of heart disease; - comorbidity with other neurodevelopmental disorders. Inclusion Criteria for Proof of Concept: - diagnosis of Autism Spectrum Disorder; - frequent emission of aggressive and disruptive challenging behaviors (at least three times per week); - attending a special school for at least eight hours a day; - age between 20 and 40 years. Exclusion Criteria for Proof of Concept: - the presence of heart disease; - comorbidity with other neurodevelopmental disorders. |
Country | Name | City | State |
---|---|---|---|
Israel | Ariel University | Ariel |
Lead Sponsor | Collaborator |
---|---|
Ariel University |
Israel,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Heart rate - Phase one (1) | Electrocardiogram (ECG) will be collected through a 1-lead electrocardiograph (256 Hz - 12 bits - Resolution LSB: 0.0064 mV). Heart rate (HR) will be calculated from the obtained ECG between two consecutive QRS complexes. Considering the time interval between two QRS complexes as "t", the corresponding temporal HR will be 60/t. ECG will be collected within the study Phase one while the participants watch a five-minute relaxing video. | Five-minute during the study Phase one. | |
Primary | Heart rate - Phase one (2) | Electrocardiogram (ECG) will be collected through a 1-lead electrocardiograph (256 Hz - 12 bits - Resolution LSB: 0.0064 mV). Heart rate (HR) will be calculated from the obtained ECG between two consecutive QRS complexes. Considering the time interval between two QRS complexes as "t", the corresponding temporal HR will be 60/t. ECG will be collected within the study Phase one while the participants watch a five-minute disturbing video. | Five-minute during the study Phase one. | |
Primary | Heart rate - Phase two | Electrocardiogram (ECG) will be collected through a 1-lead electrocardiograph (256 Hz - 12 bits - Resolution LSB: 0.0064 mV). Heart rate (HR) will be calculated from the obtained ECG between two consecutive QRS complexes. Considering the time interval between two QRS complexes as "t", the corresponding temporal HR will be 60/t. ECG will be collected within the study Phase two during the participants' waking hours. | Seven consecutive days during study Phase two. | |
Primary | Heart rate - Phase three | Electrocardiogram (ECG) will be collected through a 1-lead electrocardiograph (256 Hz - 12 bits - Resolution LSB: 0.0064 mV). Heart rate (HR) will be calculated from the obtained ECG between two consecutive QRS complexes. Considering the time interval between two QRS complexes as "t", the corresponding temporal HR will be 60/t. ECG will be collected within the study Phase three during the participant's attendance at special school. | Seven consecutive days during study Phase three. | |
Primary | Behavioral Diary | Participant's arousal level reported by participant's caregivers. Three arousal level will be reported: "Quiet", "Agitated", and "Challenging Behavior". The participants' behavioral diary will be collected within the study Phase two. | Seven consecutive days during study Phase two. | |
Primary | Quebec User Evaluation of Satisfaction with Assistive Technology second edition (QUEST 2.0) | It is a 12-item questionnaire designed to assess users' satisfaction with a wide range of assistive technology. It will be administered to healthcare professionals and teachers who interacted with the system at the participant's special school. | Phase three, at the end of the seven-day proof of concept trial - one administration. | |
Primary | Focus Group | It is a technique to produce a controlled discussion on specific issues within a group of people that share different relations with the focused topics. It will be conducted with the researcher and the healthcare professionals and teachers who interacted with the system at the participant's special school to answer the following research questions: a) Did wearing the SWS upset the participants? b) Was the system able to detect all relevant CB? c) Did having been informed of the occurrence of CB allow the in-time application of appropriate prevention strategies? d) Has the use of the system reduced the amount of CB? e) What improvements can be applied to the system to increase its effectiveness? | Phase three, at the end of the seven-day proof of concept trial - one three-hour session. |
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