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N/A N=41 Randomized Single-blind Health Services Research

Examining the Active Ingredients of Consultation of a Parent-mediated Intervention for Autism

Autism Spectrum Disorder

Enrolled (actual)
41
Serious AEs
0.0%
Results posted
Apr 2025
Primary outcome: Primary: Treatment Adherence — 62.51 score on a scale — p=<.05

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Consultee-centered administrative consultation (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Michigan State University
Primary completion
Oct 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Treatment Adherence
62.51 <.05 sig
PRIMARY
Parent-mediated Intervention Competence
2.87 <.05 sig
PRIMARY
Case Penetration
24.37 <.05 sig
PRIMARY
Ratings of the Usability of Each Consultation Component
76.78; 60.71; 72.01 <.05 sig
PRIMARY
Ratings of Perceptions of Project ImPACT
3.38 <.05 sig
PRIMARY
Child Social Communication Skills
40.09 <.05 sig

Summary

Parent-mediated interventions are considered best practice for treating children with autism spectrum disorder, but these interventions are underutilized in community settings. Implementation strategies like consultation can improve the implementation of these interventions, but little is known about the active ingredients of consultation. This study uses an experimental design (ABCD single-case design with multiple baselines) to identify the active ingredients of a consultation model designed to support the implementation of a parent-mediated intervention for autism spectrum disorder in a low-resourced community mental health system.

Eligibility Criteria

Groups of 3-5 providers will be recruited from four applied behavior analysis (ABA) agencies (~20 providers in total) that contract with regional community mental health agencies to provide ABA services to Medicaid-enrolled children with autism spectrum disorder (ASD). Families on the providers' caseloads will be enrolled.

Inclusion Criteria for Providers:

  • Have at least one caregiver on their caseload who would be appropriate for Project ImPACT and who agrees to enroll in the study and have their sessions recorded.

Exclusion Criteria for Providers:

  • Not qualified to bill for ABA services through the Medicaid Autism Benefit.
  • Under age 18

Inclusion Criteria for Caregivers:

  • Parent or guardian of a child who has a community diagnosis of ASD established using the Autism Diagnostic Observation Schedule (a gold standard ASD assessment), receives services through the Medicaid Autism Benefit (requires a household income at or below 133% of the federal poverty line), is between the ages of 18 months and 6 years, which is the age range targeted for Project ImPACT, and has at least 1 session per week with the provider.
  • Child's provider is enrolled in the study.

Exclusion Criteria for Caregivers:

  • Under age 18
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04654117). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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