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Social Skills Group Training ("KONTAKT") for Children and Adolescent With High-functioning Autism Spectrum Disorders (KONTAKT-RCT)

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ClinicalTrials.gov Identifier: NCT01854346
Recruitment Status : Completed
First Posted : May 15, 2013
Last Update Posted : August 22, 2017
Sponsor:
Collaborators:
Child and Adolescent Psychiatry, Stockholm
Region Stockholm
Stiftelsen Sunnerdahls Handikappfond
The Swedish Research Council
The Pediatric Research Foundation at Astrid Lindgren Children's Hospital
Majblomman
Information provided by (Responsible Party):
Sven Bölte, Karolinska Institutet

Study Description
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Brief Summary:
This trial investigates the behavioral effects of manualized social skills training (KONTAKT) in children´s and adolescents with high-functioning autism spectrum disorder with psychiatric comorbidity in a RCT, multicenter study. N = 288 are recruited from 10 child and adolescent psychiatric clinics in Stockholm County. The examination of genetic variants as predictors for outcome and a qualitative study of KONTAKT complete the trial.

Condition or disease Intervention/treatment Phase
Autism Spectrum Disorder (ASD) Attention Deficit Hyperactivity Disorder (ADHD) Anxiety Depression Behavioral: Social skills group training, KONTAKT Not Applicable

Detailed Description:
There are few randomized controlled trials of social skills group training for the Children's and adolescents with high functioning autism spectrum disorders (HFA)(1). The Objective of this trial is to investigate the behavioral effects of the manualized social skills group training KONTAKT (2,3) and the role of genetic variants for training effects.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 296 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Genotype and Behavioral Effects of Social Skills Training in Children and Adolescents With High-functioning Autism Spectrum Disorders, a Randomized Controlled Trial (RCT) and Multicenter Study.
Study Start Date : August 2012
Actual Primary Completion Date : March 2016
Actual Study Completion Date : March 2016

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Social skills group training KONTAKT
N= 144 participants are offered group training KONTAKT. The intervention includes 12 (brief intervention) and 24 (long intervention) sessions.
 Behavioral: Social skills group training, KONTAKT
KONTAKT is a manual-based social skills group training for children with high functioning autism spectrum disorder (ASD). The program is based on cognitive behavioral therapy (CBT) principles and knowledge of social cognition. The group treatment includes exercises in social skills as well as discussions of social cognition, social interaction, self-reflection and description of themselves and others. The children are training to make contact, to understand and follow social rules, to become aware of themselves and others, to perceive verbal and nonverbal signals in a communication, to develop problem solving skills and coping strategies to manage conflict and to enhance their self-confidence. Intervention includes 12 (brief intervention) and 24 (long intervention) sessions. Each group consists of 4-8 children/adolescents ant two group leaders. The treatment are conducted in cooperation with both parents and teachers.
Other Names:
  • Social skills training
  • Social skills group training
  • KONTAKT
No Intervention: Control group (TAU), the usual intervention / treatment
N = 144 participants are received treatment as usual (pharmacological therapy, family therapy, Cognitive behavioral therapy etc).


Outcome Measures
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Primary Outcome Measures :
  1. Social Responsiveness Scale (SRS) [ Time Frame: Baseline, 3 months after training and 3 months follow-up ]
    Parent and teachers report.


Secondary Outcome Measures :
  1. Adaptive Behavior Assessment System II (ABAS II) [ Time Frame: Baseline, 3 months after training and 3 months follow-up ]
    Parent and teachers report.

  2. Developmental Disabilities Modification of the Children's Global Assessment Scale (DD-CGAS) [ Time Frame: Baseline, 3 months after training and 3 months follow-up ]
    Experts report.

  3. Clinical Global Impression-Improvement/Severity (CGI) [ Time Frame: Baseline, 3 months after training and 3 months follow-up ]
    Experts report.

  4. Samples With DNA [ Time Frame: 2 weeks after the beginning of the treatment ]
    Genetic material via saliva-kit will be collected.


Other Outcome Measures:
  1. Perceived stress Scale (PSS) [ Time Frame: Baseline, 3 months after training and 3 months follow-up ]
    Parent report.

  2. Barn Under Stress (BUS) [ Time Frame: Baseline, 3 months after training and 3 months follow-up ]
    Self report.


Eligibility Criteria
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Ages Eligible for Study:   8 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Children and adolescent with High-functioning autism (F84.5, F 84.9 according to International Classification of Diseases (ICD-10). Participants have been investigated with the Autism Diagnostic Observation Schedule (ADOS).
  • Normal psychometric range of intelligence, intelligence quotient (IQ)> 70 according to Wechsler Intelligence Scale for Children- Fourth Edition (WISC-IV).
  • Comorbid diagnosis: ADHD (F90.0 and F98.8), Anxiety Syndrome (F41.1) and depression (F32.9) according to a best estimate clinical assessment.

Exclusion criteria:

Any behavioral disorder not currently allowing meaningful participation in group-based training for ASD, e.g. presence of clinically diagnosed self-injury, conduct disorder (F91), hyperkinetic conduct disorder (F90.1), antisocial personality disorder (F60.2), borderline personality disorder (F60.3) or any form of schizophrenia or related psychotic disorder (F20-F29).

Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01854346


Locations
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Sweden
Child & Adolescent Psychiatry Research Center, KIND
Stockholm, Sweden, 11330
Sponsors and Collaborators
Karolinska Institutet
Child and Adolescent Psychiatry, Stockholm
Region Stockholm
Stiftelsen Sunnerdahls Handikappfond
The Swedish Research Council
The Pediatric Research Foundation at Astrid Lindgren Children's Hospital
Majblomman
Investigators
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Principal Investigator: Sven Bölte, PhD, Professor Karolinska Institutet, Center of Neurodevelopmental Disorders (KIND)
More Information
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Additional Information:

Publications:
1. Reichow B, Steiner A. M., Volkmar FR. Social skills groups for people aged 6 to 21 with autism spectrum disorders (ASD) (Review). Cochrane Developmental, Psychosocial and Learning Problems Group, 2012. DOI: 10.1002/14651858.
2. Bölte S., Choque-Olsson N., Swedish version, KONTAKT, Social färdighetsträning i grupp med fokus på kommunikation och social interaktion vid autismspektrumtillstånd enligt Frankfurtmodellen. Hogrefe, 2011.

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Sven Bölte, Professor, PhD, head of pediatric neuropsychiatry unit, Karolinska Institutet
ClinicalTrials.gov Identifier: NCT01854346    
Other Study ID Numbers: KONTAKT
First Posted: May 15, 2013    Key Record Dates
Last Update Posted: August 22, 2017
Last Verified: August 2017
Keywords provided by Sven Bölte, Karolinska Institutet:
Autism spectrum disorder
Social skills training
Group training
 Comorbidity
Intervention
Evidence-based
Additional relevant MeSH terms:
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Disease
Autistic Disorder
Attention Deficit Disorder with Hyperactivity
Autism Spectrum Disorder
Child Development Disorders, Pervasive
 Pathologic Processes
Neurodevelopmental Disorders
Mental Disorders
Attention Deficit and Disruptive Behavior Disorders