Evaluating a Web Delivered Behavioral Parent Training Intervention for Rural Parents of Children With Autism Spectrum Disorder

NCT05554198 | Completed

• 2 other identifiers: 2021B0434GR128585
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

For parents of children with autism spectrum disorder (ASD), the severity of the child's behavior negatively correlates with parental well-being. Parental education and support buffers stress and negative effects that some parents experience. Parents living in rural areas face several barriers to obtaining support, psychoeducation, and ASD interventions due to a lack of local resources. This pilot study will test the acceptability, feasibility and preliminary effects of Attend Behavior, a Web-based behavioral parent training (PT) program, for parents of children with ASD in rural areas. The program goals are to decrease child problem behaviors and improve parental mental health. Methods: Parents (N = 40) of young children (2-11 years old) diagnosed with ASD will be recruited. A single group pre/post-intervention design using mixed methods will be used to determine the acceptability, feasibility, and preliminary efficacy. The effects of Attend Behavior on parent mental health will be measured. The effects of Attend Behavior on child problem behaviors will be measured. Individual interviews with the parents will take place post-intervention to ascertain perspectives on Attend Behavior. Acceptability and feasibility will also be measured using the Acceptability of Intervention, Intervention Appropriateness Measure, and the Feasibility of Intervention Measure. Effect sizes will be calculated to examine the efficacy of the intervention.

Conditions

Autism Spectrum Disorder; Parenting; Parenting Intervention

Outcome Measures

Primary Outcomes (3)

• Intervention acceptability Interview

  1:1 semi-structured interview

  Post intervention (12 weeks post-baseline)

• Intervention feasibility

  Rates of completion of intervention and recruitment/retention rates

  Post intervention (12 weeks post-baseline)

• Acceptability of Intervention (AIM),Intervention Appropriateness Measure (IAM), Feasibility of Intervention (FIM)

  Total of 12-items answered on a Likert scale of 1 = completely disagree to 5 = completely agree, the AIM, IAM, and FIM is a brief measurement to examine implementation success

  Post intervention (12 weeks post-baseline)

Secondary Outcomes (4)

• Aberrant Behavior Checklist (ABC)

  Baseline and Post intervention (12 weeks post-baseline)

• Home Situations Questionnaire-Autism Spectrum Disorder (HSQ-ASD)

  Baseline and Post intervention (12 weeks post-baseline)

• Patient-Reported Outcome Measurement Information System (PROMIS) Depression - Short Form 6a

  Baseline and Post intervention (12 weeks post-baseline)

• Parenting Stress Index-Short Form (PSI-SF)

  Baseline and Post intervention (12 weeks post-baseline)

Study Arms (1)

Pilot Intervention

EXPERIMENTAL

pre/post-test, mixed method study design with quantitative data collection at baseline and post-intervention and qualitative data collection once at post-intervention. Participants will have access to the Attend Behavior program for a full year, but intervention usage monitoring and study outcomes will be assessed until post-intervention (12-weeks post-baseline).

Behavioral: Attend Behavior Parent Training

Interventions

Attend Behavior Parent Training BEHAVIORAL

Attend Behavior is a Parent Training intervention available in application form for smartphones or online. Attend Behavior consists of 12 instructional modules and it is recommended that parents complete one module a week in addition to practicing the techniques taught in that course. Each learning module typically around 30 minutes to complete and includes an introductory video to give parents an overview of the different features of the application. At the start of the intervention, parents will take an assessment that will provide information for the program to create individualized goals, plans, reinforcement agents, and even daily schedules. A HIPPA compliant clinician portal within the application allows the clinician to have real time access to monitor the parent learning progress, tracked behaviors, parental notes, and message with the parent.

Pilot Intervention

Eligibility Criteria

• Age: 2 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• legal guardian of one or more children ages 2-11 years old with a formal diagnosis of ASD by parent report;
• child with ASD resides at home with the parent;
• parent age is 18 years or older;
• reside in a rural (micropolitan or noncore) county;
• access to either a smartphone with the Apple App store or Google Play store or a computer with Internet access;
• ability to read English

You may not qualify if:

• \- currently participating in another behavior Parent Training program or in the past 6-months have been enrolled in another behavior Parent Training program

Sponsors & Collaborators

• Ohio State University: lead

Study Sites (1)

Ohio State University College of Nursing

Columbus, Ohio, 43210, United States

Location

MeSH Terms

Conditions

Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Child Development Disorders, Pervasive; Neurodevelopmental Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The proposed study uses a single group, pre/post-test, mixed method study design with quantitative data collection at baseline and post-intervention and qualitative data collection once at post-intervention. Participants will have access to the Attend Behavior program for a full year, but intervention usage monitoring and study outcomes will be assessed until post-intervention (12-weeks post-baseline).

Study Record Dates

• First Submitted: September 21, 2022
• First Posted: September 26, 2022
• Study Start: January 9, 2023
• Primary Completion: June 25, 2024
• Study Completion: June 25, 2024
• Last Updated: December 19, 2024

Record last verified: 2024-12

Locations

US (1)