Autism Adaptive Community-based Treatment to Improve Outcomes Using Navigators (ACTION) Network

Completed · Not applicable

Conditions studied: Autism Spectrum Disorder

In brief

The Autism Adaptive Community-based Treatment to Improve Outcomes Using Navigators (ACTION) Network-a new interdisciplinary network of 6 institutions-will blend clinical effectiveness and implementation research designs to study individual and combined effects of 2 evidence-based interventions in real world settings. The first is to engage families to access resources and support when they first learn their child has signs of ASD using an evidence-based intervention that integrates motivational interviewing and problem-solving education (MI+PSE). The second is to coach families to embed evidence-based intervention strategies for toddlers with ASD in everyday activities using the Early Social Interaction (ESI) model. In Phase 1, investigators will compare the effectiveness of adaptive interventions that use MI+PSE with and without ESI on parent and child outcomes in 3 sites in Florida and Massachusetts using a 2-stage Sequential Multiple Assignment Randomized Trial (SMART) design. In Phase 2, investigators will construct an adaptive intervention to optimize the effects and study the feasibility of implementation in new sites in California. This research network can build the capacity of community-based systems to provide earlier and widespread access to cost-efficient, community-viable treatment and be ready for immediate and rapid implementation across the US.

Key facts

Study ID

NCT03575429

Run by

Florida State University

People needed

81

Starts

2019-08-01

Expected to finish

2024-04-30

Last updated by the study team

2024-05-16

Who can join

Age: 1 and older, up to 2. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Positive screen for autism by community provider in a primary care setting
• Child is between 12 and 24 months old
• Parent completes the Smart Early Screening for Autism and Communication Disorders (ESAC)
• Parent participates in the home observation to complete the Systematic Observation of Red Flags (SORF) of ASD
• Positive autism screen on the SORF
• Lives in the designated study region in Florida and Massachusetts

You may not qualify if…

• Parent/caregiver declines to participate in the study
• Child is already receiving early intervention services
• Child does not screen positive for autism on the ESAC and/or SORF
• Child is over 24 months old

Where it is running

• University of Miami — Coral Gables, Florida, United States
• Florida State University Autism Institute — Tallahassee, Florida, United States
• Boston Medical Center Corporation — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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