NCT06111092

Brief Summary

The goal of this study is to compare the level of engagement in the Hispanic and Latino parents of autistic children and culturally adapt the protocol of Ayres Sensory Integration to improve participation and health outcomes. The main questions it aims to answer are: Does the Design Thinking process result in higher stakeholder engagement and satisfaction in the research process in comparison to Focus Groups? Secondary question: Do cultural adaption using DT data yield higher scores of acceptability and implementation feasibility in comparison to FG methods? Participants will:

  • Be randomized into two groups of engagement (focus groups and design thinking)
  • Be blinded (clinicians, selected caregivers, autistic persons, and cultural experts) and will rate the acceptability, feasibility, and cultural appropriateness of the protocol based on DT data higher than the protocol based on FG data.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
186

participants targeted

Target at P75+ for not_applicable

Timeline
6mo left

Started Feb 2024

Typical duration for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress80%
Feb 2024Nov 2026

First Submitted

Initial submission to the registry

October 26, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

November 1, 2023

Completed
3 months until next milestone

Study Start

First participant enrolled

February 1, 2024

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2026

Expected
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2026

Last Updated

November 2, 2023

Status Verified

October 1, 2023

Enrollment Period

2.5 years

First QC Date

October 26, 2023

Last Update Submit

October 31, 2023

Conditions

Keywords

AutismPatient engagement

Outcome Measures

Primary Outcomes (1)

  • Stakeholder-Centric Engagement Evaluation

    The instrument evaluates stakeholder engagement via the PCORI engagement principles. DT and FG participants use this instrument to rate engagement in throughout the research process using a Likert scale with 1= never and 5 = always.

    up to 14 weeks

Secondary Outcomes (1)

  • Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM) and the Feasibility of Intervention Measure (FIM) (Weiner et al., 2017)

    up to 14 weeks

Study Arms (2)

Design Thinking Group

OTHER

A group of randomized participants (autistic adults, parents/caregivers, OT practitioners, teachers, and cultural experts) will participate in the Design Thinking (DT) process.

Other: Design Thinking

Focus Group

OTHER

A group of randomized participants (autistic adults, parents/caregivers, OT practitioners, teachers, and cultural experts) will participate in the Focus Group (FG) process.

Other: Focus Groups

Interventions

Participants attend the DT session through all the stages that include emphasize, define, ideate, prototype and test.

Design Thinking Group

Participants attend the FG that includes the introduction. discussion, and reflection.

Focus Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Autistic person:
  • confirmed diagnosis of autism spectrum disorder
  • Hispanic/Latino
  • received therapeutic services as a child; and
  • willing and able (with i.e., language and cognitive skills) to participate in the design thinking or focus group session designed to learn about the facilitator and barriers to receipt of therapeutic services.
  • Parent/caregiver:
  • Hispanic/Latino caregiver of an autistic child who receives or received therapeutic services such as occupational, physical, speech and language therapy
  • willing to participate in the design thinking or focus group session designed to learn about the facilitator and barriers to receipt of therapeutic services.

You may not qualify if:

  • Do not meet age for autistic individual or diagnostic criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Autism Spectrum DisorderPatient ParticipationAutistic Disorder

Interventions

Focus Groups

Condition Hierarchy (Ancestors)

Child Development Disorders, PervasiveNeurodevelopmental DisordersMental DisordersPatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

Data CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Roseann C Schaaf

    Thomas Jefferson University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Roseann C Schaaf, PhD

CONTACT

Lady J Rios- Vega, OTD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
* data analysts are blind to the study arm so that their interpretation and analysis of the data is unbiased. * in Aim 2, the two adapted intervention protocols will be created, each based on data from either the design thinking or focus group sessions. These protocols will then be rated for acceptability, feasibility and cultural appropriateness using standardized measures and stakeholder input. This rating will be performed by individuals who are blinded to study arm that was used for adaptation of each protocol.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: The aim of this study is to improve the health and well-being of Hispanic/Latino autistic children by improving the utilization of the evidence-based autism intervention Ayres Sensory Integration and to improve stakeholder engagement in the research process for effective outcomes. Specific aims of this project are: 1. Compare DT and FG on measures of stakeholder engagement 2. Compare the acceptability and feasibility of the adapted intervention manuals (one based on FG and another on DT data). Design: A randomized mixed methods design is used to evaluate stakeholder engagement. Phase one will compare two stakeholder engagement methods (Design Thinking -DT, and Focus Group - FG) and evaluate stakeholder engagement. Phase two uses data from phase one to culturally adapt the intervention (two separate intervention protocols will be adapted, one from FG data and another from DT data) and obtain stakeholder input on acceptability and feasibility for the Hispanic/Latino population
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 26, 2023

First Posted

November 1, 2023

Study Start

February 1, 2024

Primary Completion (Estimated)

July 31, 2026

Study Completion (Estimated)

November 30, 2026

Last Updated

November 2, 2023

Record last verified: 2023-10

Data Sharing

IPD Sharing
Will share

Publication in high-impact autism Journal and presentation at national and international autism research meetings.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
Data will be available following completion of the study and publication of findings.
Access Criteria
Upon written request (reviewed by the principal investigator) information will be shared.