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Randomized Study of Intensive One-on-one Behavioral Treatment for Preschool Aged Children With Autism

Primary Purpose

Autistic Disorder

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
intensive one-on-one behavioral treatment
Individualized in home parent training
Sponsored by
University of California, Los Angeles
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autistic Disorder focused on measuring autism, neurologic and psychiatric disorders, rare disease

Eligibility Criteria

2 Years - 3 Years (Child)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA: --Disease Characteristics-- Diagnosis of autism based on the Autism Diagnostic Interview using the ICD-10 research criteria Ratio IQ score greater than 35 determined from the Bayley Scales of Infant Development --Patient Characteristics-- Other: Must reside within 60 km (37.5 miles) of a treatment site EXCLUSION CRITERIA: Severe medically induced limitations defined as: Any condition requiring prosthetic devices (e.g., blindness, deafness, or cerebral palsy) Any illness that has prevented or would prevent a subject from participating in 30 hours a week of treatment for six consecutive weeks or more (e.g., metastasized cancer or end stage renal disease) Any known genetic disorder (e.g., Fragile X, PKU, or Down Syndrome) Any other disorder that rules out autism according to ICD-10 criteria (e.g., Rett's Syndrome)

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Wechsler Preschool and Primary Scales of Intelligence, 3rd ed.
    IQ
    Bayley Scales of Infant Development
    Alternate cognitive test administered to participants who did not achieve basal on WPPSI-III

    Secondary Outcome Measures

    Merrill-Palmer Scale of Mental Tests
    Nonverbal cognitive skills
    Reynell Developmental Language Scales
    Language comprehension and expressive language
    Vineland Adaptive Behavior Scales - Survey Edition
    Parent interview on child's adaptive functioning

    Full Information

    First Posted
    October 18, 1999
    Last Updated
    May 26, 2015
    Sponsor
    University of California, Los Angeles
    Collaborators
    National Institute of Mental Health (NIMH)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00004449
    Brief Title
    Randomized Study of Intensive One-on-one Behavioral Treatment for Preschool Aged Children With Autism
    Official Title
    Randomized Study of Intensive One-on-one Behavioral Treatment Versus Individualized Parent Training in Preschool Aged Children With Autism
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    May 1998 (undefined)
    Primary Completion Date
    September 2004 (Actual)
    Study Completion Date
    April 2006 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of California, Los Angeles
    Collaborators
    National Institute of Mental Health (NIMH)

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    OBJECTIVES: I. Determine the effectiveness of intensive one-on-one behavioral treatment in the home or neighborhood compared with at home, individualized, parent training in preschool aged children with autism. II. Identify intake measures that predict differences in outcome between subjects in the experimental group.
    Detailed Description
    PROTOCOL OUTLINE: This is a randomized study. Children are randomized to receive either 35 hours of intensive one-on-one behavioral treatment in the home and neighborhood for 2 years or individualized, in home parent training for 6 months. A common group of tests to evaluate autism are administered at intake, 12 and 24 months into treatment, and when patients reach age 6.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Autistic Disorder
    Keywords
    autism, neurologic and psychiatric disorders, rare disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    102 (Actual)

    8. Arms, Groups, and Interventions

    Intervention Type
    Behavioral
    Intervention Name(s)
    intensive one-on-one behavioral treatment
    Intervention Description
    Up to 40 hours per week of one-to-one intervention based on applied behavior analysis
    Intervention Type
    Behavioral
    Intervention Name(s)
    Individualized in home parent training
    Intervention Description
    Offered to subjects at some sites, involved 3+ months of individualized training for parents on applied behavior analysis intervention
    Primary Outcome Measure Information:
    Title
    Wechsler Preschool and Primary Scales of Intelligence, 3rd ed.
    Description
    IQ
    Time Frame
    yearly for up to 4 years
    Title
    Bayley Scales of Infant Development
    Description
    Alternate cognitive test administered to participants who did not achieve basal on WPPSI-III
    Time Frame
    yearly for up to 4 years
    Secondary Outcome Measure Information:
    Title
    Merrill-Palmer Scale of Mental Tests
    Description
    Nonverbal cognitive skills
    Time Frame
    yearly for up to 4 years
    Title
    Reynell Developmental Language Scales
    Description
    Language comprehension and expressive language
    Time Frame
    yearly for up to 4 years
    Title
    Vineland Adaptive Behavior Scales - Survey Edition
    Description
    Parent interview on child's adaptive functioning
    Time Frame
    yearly for up to 4 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    2 Years
    Maximum Age & Unit of Time
    3 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    INCLUSION CRITERIA: --Disease Characteristics-- Diagnosis of autism based on the Autism Diagnostic Interview using the ICD-10 research criteria Ratio IQ score greater than 35 determined from the Bayley Scales of Infant Development --Patient Characteristics-- Other: Must reside within 60 km (37.5 miles) of a treatment site EXCLUSION CRITERIA: Severe medically induced limitations defined as: Any condition requiring prosthetic devices (e.g., blindness, deafness, or cerebral palsy) Any illness that has prevented or would prevent a subject from participating in 30 hours a week of treatment for six consecutive weeks or more (e.g., metastasized cancer or end stage renal disease) Any known genetic disorder (e.g., Fragile X, PKU, or Down Syndrome) Any other disorder that rules out autism according to ICD-10 criteria (e.g., Rett's Syndrome)
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Tristram Smith, Ph.D.
    Organizational Affiliation
    University of Rochester
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    16685181
    Citation
    Cohen H, Amerine-Dickens M, Smith T. Early intensive behavioral treatment: replication of the UCLA model in a community setting. J Dev Behav Pediatr. 2006 Apr;27(2 Suppl):S145-55. doi: 10.1097/00004703-200604002-00013.
    Results Reference
    result
    PubMed Identifier
    16212446
    Citation
    Sallows GO, Graupner TD. Intensive behavioral treatment for children with autism: four-year outcome and predictors. Am J Ment Retard. 2005 Nov;110(6):417-38. doi: 10.1352/0895-8017(2005)110[417:IBTFCW]2.0.CO;2.
    Results Reference
    result
    PubMed Identifier
    19933766
    Citation
    Hayward D, Eikeseth S, Gale C, Morgan S. Assessing progress during treatment for young children with autism receiving intensive behavioural interventions. Autism. 2009 Nov;13(6):613-33. doi: 10.1177/1362361309340029.
    Results Reference
    result

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    Randomized Study of Intensive One-on-one Behavioral Treatment for Preschool Aged Children With Autism

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