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Using the Prevent-Teach-Reinforce Model to Reduce Problem Behaviors in Children With Autism Spectrum Disorders

Primary Purpose

Child Development Disorders, Pervasive

Status

Completed

Phase

Not Applicable

Locations

Canada

Study Type

Interventional

Intervention

Prevent-Teach-Reinforce Model

Individual Parent Training Session

About this trial

This is an interventional treatment trial for Child Development Disorders, Pervasive focused on measuring Autism spectrum disorder, Problem behavior

Eligibility Criteria

undefined - 12 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Clinical diagnosis of autism spectrum disorder
Must exhibit problem behavior

Exclusion Criteria:

Already receiving services to reduce problem behaviors at home

Sites / Locations

West Montreal Readaptation Centre
Gold Centre
CRDITED de Montréal

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Behavioral approach

Educational approach

Arm Description

The Prevent-Teach-Reinforce Model will be implemented with families in their home settings.

Each child's parent will participate in one 2- to 3-hour individual parent training session on the assessment and treatment of problem behavior in children with autism spectrum disorders.

Outcomes

Primary Outcome Measures

Change from baseline in parental report of problem behavior at 8 weeks

Problem behavior scale of the Problem Behavior Inventory

Secondary Outcome Measures

Change from baseline in quality of life at 8 weeks

Beach Center Family Quality of Life Scale

Change from baseline in parental report of stress at 20 weeks

Parenting Stress Index Short Form

Change from baseline in parental report of stress at 8 weeks

Parenting Stress Index Short Form

Change from baseline in quality of life at 20 weeks

Beach Center Family Quality of Life Scale

Social validity of the intervention

Treatment Acceptability Rating Form - Revised

Change from baseline in parental report of problem behavior at 20 weeks

Problem behavior scale of the Problem Behavior Inventory

Change from baseline in parental report of positive social behavior at 20 weeks

Positive social behavior scale of the Nisonger Child Behavior Rating Form

Change from baseline in parental report of positive social behavior at 8 weeks

Positive social behavior scale of the Nisonger Child Behavior Rating Form

Full Information

NCT ID

NCT02153203

First Posted

May 29, 2014

Last Updated

October 24, 2016

Sponsor

Université de Montréal

1. Study Identification

Unique Protocol Identification Number

NCT02153203

Brief Title

Using the Prevent-Teach-Reinforce Model to Reduce Problem Behaviors in Children With Autism Spectrum Disorders

Official Title

Using the Prevent-Teach-Reinforce Model to Reduce Problem Behaviors in Children With Autism Spectrum Disorders

Study Type

Interventional

2. Study Status

Record Verification Date

October 2016

Overall Recruitment Status

Completed

Study Start Date

October 2014 (undefined)

Primary Completion Date

June 2016 (Actual)

Study Completion Date

September 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Université de Montréal

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

Children with autism spectrum disorders often engage in problem behaviors such as self-injury, destruction, aggression, and stereotypy. Prior research has clearly shown that these problem behaviors may interfere with learning, daily functioning, and social participation. As such, engaging in problem behaviors has a negative impact on the health and quality of life of children with autism spectrum disorders and their families. One promising solution to reduce problem behaviors in this population is the Prevent-Teach-Reinforce (PTR) model, which relies on the evidence-based practices of positive behavior support. Although the use of PTR has been gaining considerably support in schools, the model has never been evaluated as part of a rigorous large-scale study using parents as interventionists. Thus, the purpose of the project is to conduct an assessment of the effectiveness of a home-based version of the PTR model in reducing problem behaviors in children with autism spectrum disorders and in improving families' quality of life. Our hypotheses are that implementing the PTR will (a) produce larger reductions in problem behaviors than participating in an individual parent training session, (b) increase engagement in prosocial behaviors, (c) decrease parental stress, and (c) improve the quality of life of the family. The results of the study will allow an examination of whether PTR is an effective and acceptable model to reduce problem behaviors at home in this population. Given that problem behaviors incur high societal costs when they persist into adolescence and adulthood, the study may potentially lead to large cost reductions in the treatment of difficulties associated with autism spectrum disorders. By reducing engagement in problem behaviors, the implementation of the model may also promote and facilitate the social participation as well as improve the quality of life and health of children with autism spectrum disorders and their families.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Child Development Disorders, Pervasive

Keywords

Autism spectrum disorder, Problem behavior

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

42 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Behavioral approach

Arm Type

Experimental

Arm Description

The Prevent-Teach-Reinforce Model will be implemented with families in their home settings.

Arm Title

Educational approach

Arm Type

Active Comparator

Arm Description

Each child's parent will participate in one 2- to 3-hour individual parent training session on the assessment and treatment of problem behavior in children with autism spectrum disorders.

Intervention Type

Behavioral

Intervention Name(s)

Prevent-Teach-Reinforce Model

Intervention Description

Implementation of the model once to twice per week over a period of 8 weeks

Intervention Type

Other

Intervention Name(s)

Individual Parent Training Session

Intervention Description

One 2- to 3-hour individual parent training session on the assessment and treatment of problem behavior

Primary Outcome Measure Information:

Title

Change from baseline in parental report of problem behavior at 8 weeks

Description

Problem behavior scale of the Problem Behavior Inventory

Time Frame

Prior to the start of the intervention and 8 weeks later

Secondary Outcome Measure Information:

Title

Change from baseline in quality of life at 8 weeks

Description

Beach Center Family Quality of Life Scale

Time Frame

Prior to the start of the intervention and 8 weeks later

Title

Change from baseline in parental report of stress at 20 weeks

Description

Parenting Stress Index Short Form

Time Frame

Prior to the start of the intervention and 20 weeks later

Title

Change from baseline in parental report of stress at 8 weeks

Description

Parenting Stress Index Short Form

Time Frame

Prior to the start of the intervention and 8 weeks later

Title

Change from baseline in quality of life at 20 weeks

Description

Beach Center Family Quality of Life Scale

Time Frame

Prior to the start of the intervention and 20 weeks later

Title

Social validity of the intervention

Description

Treatment Acceptability Rating Form - Revised

Time Frame

After 8 weeks of intervention

Title

Change from baseline in parental report of problem behavior at 20 weeks

Description

Problem behavior scale of the Problem Behavior Inventory

Time Frame

Prior to the start of the intervention and 20 weeks later

Title

Change from baseline in parental report of positive social behavior at 20 weeks

Description

Positive social behavior scale of the Nisonger Child Behavior Rating Form

Time Frame

Prior to the start of the intervention and 20 weeks later

Title

Change from baseline in parental report of positive social behavior at 8 weeks

Description

Positive social behavior scale of the Nisonger Child Behavior Rating Form

Time Frame

Prior to the start of the intervention and 8 weeks later

10. Eligibility

Sex

All

Maximum Age & Unit of Time

12 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Clinical diagnosis of autism spectrum disorder Must exhibit problem behavior Exclusion Criteria: Already receiving services to reduce problem behaviors at home

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Marc Lanovaz

Organizational Affiliation

Université de Montréal

Official's Role

Principal Investigator

Facility Information:

Facility Name

West Montreal Readaptation Centre

City

Lachine

State/Province

Quebec

Country

Canada

Facility Name

Gold Centre

City

Montreal

State/Province

Quebec

Country

Canada

Facility Name

CRDITED de Montréal

City

Montréal

State/Province

Quebec

ZIP/Postal Code

H3L 3T1

Country

Canada

12. IPD Sharing Statement

Learn more about this trial

Using the Prevent-Teach-Reinforce Model to Reduce Problem Behaviors in Children With Autism Spectrum Disorders

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