Effectiveness of Modified Interaction Guidance as an Intervention Tool for Caregivers and Their Child With Autism
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|ClinicalTrials.gov Identifier: NCT03972254|
Recruitment Status : Not yet recruiting
First Posted : June 3, 2019
Last Update Posted : August 8, 2019
|Condition or disease||Intervention/treatment||Phase|
|Autism Spectrum Disorder||Behavioral: Modified Interaction Guidance||Not Applicable|
This study aims to answer the following research questions and hypotheses:
- Does the use of MIG with a child with autism, result in changes in attachment such as alterations in sensitivity and attunement, in a child-caregiver relationship? H1: A change in the rating on the GAS will demonstrate effectiveness of goal setting as a means of detecting changes in dyad relationship goals, as well as result in increased attunement and parental sensitivity as evidence by maintained or improved score in the AMBIANCE, PICCOLO and SAIAS following a 2-month period.
- Do caregivers feel more competent in their caregiving skills through the use of MIG? H2: Caregivers will demonstrate increased feelings of competency through the use of MIG as evidenced by scores on the Parenting Sense of Competency Scale.
- Do caregivers feel less stress in their role as a caregiver through the use of MIG? H3: Caregivers will demonstrate less feelings of stress through the use of the MIG as evidenced by scores on the Parent Stress Index.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||12 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||This study is an explanatory sequential mixed methods study in which the quantitative complement (concurrent multiple baseline single case study) will be completed first, followed by qualitative interviews that build on and further explain the quantitative data.|
|Masking:||None (Open Label)|
|Official Title:||Effectiveness of Modified Interaction Guidance as an Intervention Tool for Caregivers and Their Child With Autism|
|Estimated Study Start Date :||September 1, 2019|
|Estimated Primary Completion Date :||December 31, 2019|
|Estimated Study Completion Date :||March 1, 2020|
Caregivers and their child will interact for 10 minutes while being observed and videotaped. Psychoeducation will be provided and goal setting will occur to ensure dyad specific relationship gains are made.
Behavioral: Modified Interaction Guidance
The main steps in the procedure are to have the family identify the primary concern they are facing, highlight the strengths that the family already has in place and expand on those strengths, convey/impart caregiving and societal norms, and offer other perspectives (McDonough, 2004). The goal of this therapy is to engage the family to take an active role in the construction of their overall treatment. The individualized treatment approach focuses and builds on existing strengths.
- Parenting Interactions with Children Checklist of Observations Linked to Outcomes (PICCOLO) [ Time Frame: 11 weeks ]Serves as an observational tool to determine parental abilities in four specific domains; Affection, Responsiveness, Encouragement and Teaching.
- Atypical Maternal Behaviour Instrument for Assessment and Classification (AMBIANCE) [ Time Frame: Week 1, week 7 and week 11. ]It is an observational tool used to measure and ultimately assess the quality of parental interaction with their infant/child. It looks at atypical parental behaviours that are dysfunctional.
- Sensoriaffective Interactional Attunement Scale (SAIAS) [ Time Frame: Week 1, week 7 and week 11. ]Assesses caregiver-child interactions and to target interventions to support . These items include, use of facial expressions, use of gesture, use of touch, use of position, use of movement, use of sound, use of language, use of pacing, and following a child's actions/intent. The items are scored on a 1-4 range. 1= rarely/very mild and a 4= always/severe on both underuse and overuse subsections.improvements in child, caregiver, and dyadic social-emotional functioning.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03972254
|Contact: Megan Land McCarthy, Bsc OTfirstname.lastname@example.org|
|Contact: Leanne Leclair, PhD OT||204-977-5631||Leanne.Leclair@umanitoba.ca|
|Principal Investigator:||Megan Land McCarthy, Bsc OT||University of Manitoba|