Early Detection and Referral for Autism and Neurodevelopmental Disorders at the Maternal and Child Protection Services
Randomized Pragmatic, Cluster, Stepped-wedge Trial of Early Detection and Referral for Autism and Neurodevelopmental Disorders at the Maternal and Child Protection Services for Care Before 1 Year of Follow-up
1 other identifier
observational
10,400
1 country
1
Brief Summary
This study aims to compare two screening strategies for identifying infants with a potential risk of Autism Spectrum and Neurodevelopmental Disorders to provide early access to care and increase the likelihood of a favorable outcome
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2025
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 9, 2023
CompletedFirst Posted
Study publicly available on registry
April 18, 2023
CompletedStudy Start
First participant enrolled
April 14, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 14, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 14, 2032
June 13, 2025
June 1, 2025
5 years
March 9, 2023
June 11, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of children at 24 months with an Autism Spectrum Disorder or Neurodevelopmental Disorder diagnosis who received care before the age of one
At 2 years of age
Secondary Outcomes (12)
Effectiveness of two screening strategies on the occurrence severity of Autism Spectrum Disorders (ASD) and Neurodevelopmental Disorders (NDD)
At 2 and 3 years of age
Predictive performance of the PREAUT grid (at four months and nine months) compared to the usual diagnosis
At 2 and 3 years of age
Association between ASD-NDD diagnosis and neonatal or familial risk factors
At 2 and 3 years of age of child's referral to the Medical psychological center
Quality of life assessed by the QUALIN score
At inclusion in Maternal and Child Protection Services or at Medical-psychological center and at 2 and 3 years of age
Measurement of the parents' psychological state at the time of the child's referral to the Medical psychological center
At a Medical-psychological center and at 2 and 3 years of age
- +7 more secondary outcomes
Study Arms (2)
Routine practice (control)
In this group, a health professional will assess the infant's neurodevelopmental characteristics through routine practice evaluations, such as motor skills, vocalizations, babbling, and social interactions
Use of PREAUT Grid (intervention)
In this group, a health professional will assess the infant's neurodevelopmental characteristics using the PREAUT grid
Interventions
Patient with abnormal results in this evaluation would be referred to a specialized center early for advice and treatment if necessary
Eligibility Criteria
Infants aged at least 4 months at study inclusion and followed in Maternal and Child Protection Services
You may qualify if:
- Infants between 4 and 9 months of age followed up in the participating Maternal and Child Protection Services for the fourth and ninth-month mandatory vaccinations
- Availability of a personnel telephone for at least one parent
- Information to the parents for data collection and the active follow-up of the child until 36 months and express consent to participate in the research
- Affiliation to a social security system or benefiting from the Medical assistance of the state
- Mastery of a minimum of French according to the principal investigator or the presence of a French-speaking relative
You may not qualify if:
- Infant with a severe neurological pathology such as encephalopathy
- Refusal to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
PMI Stalingrad
Champigny-sur-Marne, 94500, France
Related Publications (1)
Delmas C, Wang XX, Pelloux AS, Caeymaex L, Bouaziz N, Aegerter P, Jung C. Effectiveness of early detection and coordinated referral of infants before 1 year at risk for autism spectrum and neurodevelopmental disorders in maternal and child protection centre: a French randomised pragmatic trial in a stepped-wedge trial (PRECO-TSA protocol). BMJ Open. 2025 Aug 4;15(8):e094729. doi: 10.1136/bmjopen-2024-094729.
PMID: 40759525DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 9, 2023
First Posted
April 18, 2023
Study Start
April 14, 2025
Primary Completion (Estimated)
April 14, 2030
Study Completion (Estimated)
April 14, 2032
Last Updated
June 13, 2025
Record last verified: 2025-06