Early Intervention Program for Children With Autism (BCRI Model)
Recruitment status was: Enrolling by invitation
|Autism Autism Spectrum Disorder||Behavioral: BCRI intervention program Behavioral: Standard community care|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Early Intervention Program for Children With Autism (BCRI Model)|
- Psychoeducational Profile-3rd Edition(PEP-3) [ Time Frame: Measured before and after treatment and at 2-year follow-up ]
- SRS(social response scale) scores and/or C-WYCSI scores at 2-year follow-up. SRS(social response scale) scores and/or C-WYSC scores at 5-year follow-up. [ Time Frame: Measured at 2-year and 5-year follow-up ]
|Study Start Date:||August 2009|
|Estimated Study Completion Date:||August 2016|
|Estimated Primary Completion Date:||August 2013 (Final data collection date for primary outcome measure)|
Participants with autism will receive BCRI intervention program.
Behavioral: BCRI intervention program
Phase 1: The parents will receive a two-day lecture about autism to get the basic knowledge about autism intervention.
Phase 2: BCRI model intervention.Parents and children will take part in a 24-halfday workshop to learn practical teaching skills in BCRI model. Then Home-based intervention using BCRI model for 11 months. At least 28 hours of BCRI intervention per week is acquired. Doctors or therapists will meet the parents and children once per month, each for 30 minutes, totally 10 times, to monitor and give advice on the interventions.
Active Comparator: 2
Participants with autism will receive standard care available in the community.
Behavioral: Standard community care
Phase 1: the parents will receive a two-day lecture about autism to get the basic knowledge about autism intervention.
Phase 2:Any treatment and interventions available chosen by families for children with autism and ASD, for at least one and a half years.
Phase 3:One and a half years after enrollment, parents and children will be free to take part in the BCRI model intervention which is the same as Phase 2 for experimental group lasting for one year.
In recent years, autism has been found that the outcomes can be much better after early training interventions. The training programs are often categorized as behavior analytic, cognitive or structured teaching, developmental or relationship-focused and so on. Although the approaches focus on different aspect of rehabilitation, they also overlap, playing complementation roles for one another. From our clinical experiences, we find that different children, in their different stages, with different problems, will need different approaches. For example, at early stage behavior modulation method is useful to regulate the child's behaviors. When the child is able to cooperate with adults, structure teaching helps him/her improve cognitive ability. Relationship-focused methods may help the child on social interaction. BCRI model, a comprehensive model, is based on the three kinds of approaches above.
All the autistic children will receive examinations before assignment, including history and symptoms collection, diagnostic interview, evaluation(using PEP-3 for autistic children to evaluate intelligence level). DQ is calculated through PEP-3 assessment. (DQ, development quotient, equals to development age in month over chronological age in month). Children will be randomly assigned to one of two interventions arms: BCRI intervention program or standard community care.
BCRI intervention program aims to teach the parents to master how to apply correct approaches and strategies and hold the training both at home and/or in training institutes. During the program, doctors deliver the knowledge and skills to the parents, set a complete schedule for the intervention, assess the progress and development for the children and communicate with the parents about any problems and frustration. Parents play an important and direct role in the training and educating procedure. The contrast group receives standard community intervention.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00819364
|Principal Investigator:||Zou Xiaobing, M.D.||Third Affiliated Hospital, Sun Yat-Sen University|