Feasibility of Using Telepractice to Provide Modified Interaction Guidance.

University of Manitoba8 enrolled

Overview

The purpose of this study is to determine the feasibility of using telepractice to provide Modified Interaction Guidance (MIG) to caregivers and their child with autism. MIG as an intervention to improve attachment for children with autism and their primary caregiver.

The process objectives target focus on1) recruitment, 2) retention, 3) engagement with tools, 4) time demand on dyads, and 5) eligibility criteria. The resource assessment objectives include: 1) equipment and internet accessibility 2) communication methods, and 3) timelines. The management assessment objectives address: 1) ethical standards, 2) researcher qualifications and 3) data storage and collection. Finally, when looking at the scientific assessment, the objectives relate to: 1) Is use of a concurrent multiple baseline single-subject design feasible with this population? 2)capturing dyad needs, 3) burden levels, and 4) safety protocols. This study will evaluate the above listed dimensions of feasibility using a embedded mixed methods approach that incorporates both a single-subject design and qualitative data gathered throughout the research process and post intervention individual interviews.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Autism Spectrum Disorder

Interventions

Modified Interaction GuidanceBEHAVIORAL

The main steps in the procedure are to have the family identify the primary concern they are facing, highlight the strengths that the family already has in place and expand on those strengths, convey/impart caregiving and societal norms, and offer other perspectives (McDonough, 2004). The goal of this therapy is to engage the family to take an active role in the construction of their overall treatment. The individualized treatment approach focuses and builds on existing strengths.

Eligibility

Sex: ALLMin age: 10 MonthsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Diagnosis of autism spectrum disorder 2. Child between the ages of 24-60 months 3. First born child 4. No physical or medical conditions that affect the child's ability to participate in the activities that are part of the intervention process 5. Ability to follow simple verbal directions in English 6. No current plan to initiate any treatment alternatives during the study period 7. Willingness to participate in a -week intervention with a frequency of once a week 8. Adults are primary caregiver 9. Under age of 35 10. Speak English 11. Minimum grade 5 schooling 12. Access to a computer and broadband wired or wireless (3G or 4G/LTE) internet connection? Exclusion Criteria: * Participants (both child and adult) will be excluded from the present study if they were deemed low functioning * child is not the first-born child * child already receiving ABA treatment * parents have a history of mental illness

Locations (1)

College of Rehabilitation Sciences

Winnipeg, Manitoba, Canada

Outcomes

Primary Outcomes

Parenting Interactions with Children Checklist of Observations Linked to Outcomes (PICCOLO)

Serves as an observational tool to determine parental abilities in four specific domains; Affection, Responsiveness, Encouragement and Teaching.

Time frame: 4 weeks

Secondary Outcomes

Goal Attainment Scale (GAS)

Used to evaluate client specific goals. When goals are established by the client, the goals are then evaluated and measured by client specific criterion.

Time frame: Immediately right before and after the Intervention

Data from ClinicalTrials.gov

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