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Adapting BA for Minimally Verbal Autistic Adults

Primary Purpose

Autism, Depression, Autism Spectrum Disorder With Impaired Functional Language

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
BeatIt-MV
Sponsored by
Rutgers, The State University of New Jersey
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism focused on measuring behavioral activation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Minimally verbal Aged 18 years or older Diagnosis of Autism Spectrum Disorder and clinically significant depression based on clinical best estimate diagnosis using DSM-5 or Diagnostic Manual - Intellectual Disability criteria Have a support person willing to participate Live in New Jersey or New York, or be within travel distance to Rutgers University Exclusion Criteria: Not able to engage in treatment in English current engagement in other treatment for depression conditions that may preclude engagement in treatment sessions (e.g., active psychosis, unmanaged seizures) high suicide risk (i.e., with a clear plan, expressed intent or recent documented attempts)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    BeatIt-MV Treatment Group

    Arm Description

    Participants, along with support persons, will complete 12 weekly sessions of the BeatIt-MV intervention. The support person will complete an initial session before commencement of the 12 weekly sessions.

    Outcomes

    Primary Outcome Measures

    Glasgow Depression Scale for Intellectual Disability (GDS)
    The GDS is a 20-item self- and caregiver-reported questionnaire of psychological function over the past week with all items on a "0" (Never/No) to 2 (Always/A lot) scale. Higher scores equal more distress. Scores range from 0-32. The expected change is a decrease in the score.
    Anxiety Depression and Mood Scale (ADAMS)
    The ADAMS is a 20-item caregiver-reported questionnaire of psychological function over the past week with all items on a "0" (Never/No) to 2 (Always/A lot) scale. Higher scores equal more distress. Total scores range from 0-84. The expected change is a decrease in the score.
    Mood, Interest, & Pleasure Questionnaire (MIPQ)
    The MIPQ is a 25-item caregiver-reported questionnaire of behaviors over the past week with all items on a "0" (Never) to 4 (All the time) scale. Higher scores equal more distress. Total scores range from 0-100. The expected change is a decrease in the score.

    Secondary Outcome Measures

    Vineland Adaptive Behavior Scale, 3rd edition (VABS-3)
    The VABS-3 is a 381-item caregiver-reported measure of adaptive behavior. All items in the measure ask the frequency at which the participants performs a behavior, from 0 (never) to 2 (usually). Scores are age-referenced standard scores. Domain scores range from 20-140. Lower scores indicate more lower adaptive behavior. The expected change is an increase in the score.
    Shalock Quality of Life Questionnaire
    The Shalock Quality of Life Questionnaire is a 40-item self- and caregiver-reported measure of quality of life. Each question prompts the informant to choose one of three options (differing by item) based on which seems most appropriate to them. Higher scores indicate lower quality of life. Domain scores range from 10-30. The expected change is a decrease in score.

    Full Information

    First Posted
    September 25, 2023
    Last Updated
    October 5, 2023
    Sponsor
    Rutgers, The State University of New Jersey
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06064422
    Brief Title
    Adapting BA for Minimally Verbal Autistic Adults
    Official Title
    Adaptation of a Behavioral Activation Treatment to Treat Depression in Autistic Adults
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 1, 2023 (Anticipated)
    Primary Completion Date
    April 1, 2025 (Anticipated)
    Study Completion Date
    June 30, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Rutgers, The State University of New Jersey

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The present study aims to adapt and evaluate the feasibility of the BeatIt-2 behavioral activation intervention for people with intellectual disabilities and low mood to be implemented with minimally verbal autistic individuals.
    Detailed Description
    Aim 1. The first phase of the project will focus on adapting the BeatIt-2 manual to consider specific needs of MV autistic adults. This procedure includes an intervention development group (IDG), for which MV autistic adults and their supporters (i.e., someone identified as a source of support they can work with) will be recruited. Aim 2. During the following phase of the project, a feasibility trial will be conducted. Using the treatment manual and study procedures adapted and refined in phase 1, the trial will examine the feasibility and acceptability of BeatIt-MV.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Autism, Depression, Autism Spectrum Disorder With Impaired Functional Language, Autism Spectrum Disorder
    Keywords
    behavioral activation

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    BeatIt-MV Treatment Group
    Arm Type
    Experimental
    Arm Description
    Participants, along with support persons, will complete 12 weekly sessions of the BeatIt-MV intervention. The support person will complete an initial session before commencement of the 12 weekly sessions.
    Intervention Type
    Behavioral
    Intervention Name(s)
    BeatIt-MV
    Intervention Description
    BeatIt-MV, designed to be implemented with minimally verbal autistic individuals, is an adaptation of BeatIt-2. The intervention aims to improve mood and decrease depressive symptoms through an increase in meaningful engagement in recreational, domestic, and social/leisure activities.
    Primary Outcome Measure Information:
    Title
    Glasgow Depression Scale for Intellectual Disability (GDS)
    Description
    The GDS is a 20-item self- and caregiver-reported questionnaire of psychological function over the past week with all items on a "0" (Never/No) to 2 (Always/A lot) scale. Higher scores equal more distress. Scores range from 0-32. The expected change is a decrease in the score.
    Time Frame
    Week 1 (initial assessment) to week 16 (outcome) to week 22 (follow-up)
    Title
    Anxiety Depression and Mood Scale (ADAMS)
    Description
    The ADAMS is a 20-item caregiver-reported questionnaire of psychological function over the past week with all items on a "0" (Never/No) to 2 (Always/A lot) scale. Higher scores equal more distress. Total scores range from 0-84. The expected change is a decrease in the score.
    Time Frame
    Week 1 (initial assessment) to week 16 (outcome) to week 22 (follow-up)
    Title
    Mood, Interest, & Pleasure Questionnaire (MIPQ)
    Description
    The MIPQ is a 25-item caregiver-reported questionnaire of behaviors over the past week with all items on a "0" (Never) to 4 (All the time) scale. Higher scores equal more distress. Total scores range from 0-100. The expected change is a decrease in the score.
    Time Frame
    Week 1 (initial assessment) to week 16 (outcome) to week 22 (follow-up)
    Secondary Outcome Measure Information:
    Title
    Vineland Adaptive Behavior Scale, 3rd edition (VABS-3)
    Description
    The VABS-3 is a 381-item caregiver-reported measure of adaptive behavior. All items in the measure ask the frequency at which the participants performs a behavior, from 0 (never) to 2 (usually). Scores are age-referenced standard scores. Domain scores range from 20-140. Lower scores indicate more lower adaptive behavior. The expected change is an increase in the score.
    Time Frame
    Week 1 (initial assessment) to week 22 (follow-up)
    Title
    Shalock Quality of Life Questionnaire
    Description
    The Shalock Quality of Life Questionnaire is a 40-item self- and caregiver-reported measure of quality of life. Each question prompts the informant to choose one of three options (differing by item) based on which seems most appropriate to them. Higher scores indicate lower quality of life. Domain scores range from 10-30. The expected change is a decrease in score.
    Time Frame
    Week 1 (initial assessment) to week 16 (outcome) to week 22 (follow-up)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Minimally verbal Aged 18 years or older Diagnosis of Autism Spectrum Disorder and clinically significant depression based on clinical best estimate diagnosis using DSM-5 or Diagnostic Manual - Intellectual Disability criteria Have a support person willing to participate Live in New Jersey or New York, or be within travel distance to Rutgers University Exclusion Criteria: Not able to engage in treatment in English current engagement in other treatment for depression conditions that may preclude engagement in treatment sessions (e.g., active psychosis, unmanaged seizures) high suicide risk (i.e., with a clear plan, expressed intent or recent documented attempts)
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Vanessa Bal, PhD
    Phone
    848-445-9384
    Email
    lifespanlab@gsapp.rutgers.edu
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Vanessa Bal, PhD
    Organizational Affiliation
    Rutgers University - New Brunswick
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Adapting BA for Minimally Verbal Autistic Adults

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