NCT06647693

Brief Summary

The goal of this study is to determine if progressively more challenging playground games (motor synchrony games) improve executive function in preschool-aged children.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not 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 Start

First participant enrolled

August 23, 2024

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

October 16, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 18, 2024

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2025

Completed
Last Updated

October 21, 2024

Status Verified

October 1, 2024

Enrollment Period

4 months

First QC Date

October 16, 2024

Last Update Submit

October 17, 2024

Conditions

Keywords

Executive FunctionBehavioral Self-RegulationAutismPreschool child

Outcome Measures

Primary Outcomes (3)

  • Stop and Go Sequence

    Participants are asked to "stop" and then "go" in progressively more challenging ways. The purpose is to measure self-regulation (specifically the inhibition executive function ability)

    Twice weekly for approximately 12 weeks

  • NIH Toolbox

    Card Sort \& Picture Vocabulary. The purpose is to measure behavioral self-regulation / executive function (Card Sort) and also language (Picture Vocabulary)

    Implemented 5 times - initial evaluation, before beginning intervention (~6, 9, or 12 sessions), post-hurricane Helene, approximately 12 weeks after initial evaluation, approximately 2 month follow-up)

  • Head, Toes, Knees, Shoulders - Revised

    HTKS-R (Gonzales, 2021). The purpose is to measure behavioral self-regulation.

    Implemented 5 times - initial evaluation, before beginning intervention (~6, 9, or 12 sessions), post-hurricane Helene, approximately 12 weeks after initial evaluation, approximately 2 month follow-up)

Secondary Outcomes (4)

  • Imitation Score

    Twice weekly for approximately 12 weeks

  • Patient reported outcome measures

    Twice weekly for approximately 12 weeks

  • BRIEF-P

    Initial and about 12 weeks after (twice)

  • Stop latency

    The investigators had initially planned four times (initial, after baseline, about 12 weeks after, and the two 2 month follow up), but due to mat availability, the investigators are only going to complete this outcome measure twice

Study Arms (3)

First cohort

EXPERIMENTAL

These participants begin the intervention after 6 sessions

Behavioral: Motor Synchrony Games (MSG)

Second cohort

EXPERIMENTAL

These participants enter the intervention after 9 baseline sessions

Behavioral: Motor Synchrony Games (MSG)

Third cohort

EXPERIMENTAL

These participants enter the intervention after 12 baseline sessions (and 3 sessions post-hurricane Helene)

Behavioral: Motor Synchrony Games (MSG)

Interventions

The motor synchrony games (MSG) intervention uses fun but progressively more challenging gross motor and imitation games to promote behavioral self-regulation. Primary activities include: songs and fingerplays, stop and go games, and imitation games. These games get progressively more challenging over time by varying signal/modality. For example, going from a verbal and gestural paired "stop" and "go" signal to only a gestural stop signal. A fidelity checklist is used to ensure the intervention is appropriately used with the following criteria (uses \>10 imitation trials, \>10 Stop \& Go games, \>3 trials/min on average with \>5 trials/min preferred, use of progressive challenge, opportunities for Child Choice, environmental arrangement, and therapeutic strategies such as modeling).

First cohortSecond cohortThird cohort

Eligibility Criteria

Age2 Years - 5 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Enrolled in the preschool classroom
  • Express at least one word
  • Runs independently

You may not qualify if:

  • Known motor disorder
  • Parents report the child cannot hear spoken language
  • Parents report the child cannot see person gesturing 10 feet away

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Appalachian State University

Boone, North Carolina, 28607, United States

Location

MeSH Terms

Conditions

Autistic Disorder

Condition Hierarchy (Ancestors)

Autism Spectrum DisorderChild Development Disorders, PervasiveNeurodevelopmental DisordersMental Disorders

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Investigator and research assistant will not be blind. A second blinded research assistant will complete reliability.
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: Sequential is the best match for the intervention study model. The primary intervention model is a single case experimental design called a multiple baseline design. The investigators randomized participants into one of three start dates for the beginning of the intervention. Data is taken on a twice weekly basis during the baseline phase and intervention phase. The investigators also will add formal testing upon initial contact, right before intervention, upon completion of intervention procedures, and a follow-up without intervention.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

October 16, 2024

First Posted

October 18, 2024

Study Start

August 23, 2024

Primary Completion

January 1, 2025

Study Completion

January 1, 2025

Last Updated

October 21, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will share

De-identified data and outcome measures will be available on OSF ( https://osf.io/ ) following the completion of the study. The investigators plan to amend this record to add that link once present. Some data may be shared directly in a future manuscript.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
Data will be available within approximately a year after collection or pending publication.
Access Criteria
The data should be available on OSF and publicly available.

Locations