Remaking Recess for Autism

(RR Trial)

Not currently recruiting at 2 trial locations
CK
CG
Overseen ByConsuelo Garcia, BS
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: Health Resources and Services Administration (HRSA)
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to evaluate how different teaching strategies help children with autism or other neurodevelopmental disorders, such as ADHD, improve their social skills during recess. The trial compares three interventions, including "Remaking Recess," a play-based program for children aged 5-12. Researchers are also testing whether adding a team-based support strategy called UNITED enhances the effectiveness of these interventions. Children with autism or similar conditions who attend a general education classroom most of the day and come from families facing financial challenges might be suitable for this trial. As an unphased trial, participants can contribute to innovative educational strategies that may enhance social skills for children with neurodevelopmental disorders.

Do I need to stop my current medications for the trial?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that these interventions are safe for children and adolescents with autism?

Research shows that Remaking Recess (RR) is a program used in schools to help children with autism spectrum disorder (ASD) make friends and play more with other kids during recess. Studies have found that this program helps children with ASD interact better with their classmates. Importantly, these studies do not report any major safety concerns or negative effects for the children involved.

The program trains school staff to guide children in play activities during recess. The program's safety depends on how well the school staff are trained and supported. Since the program is essentially organized playtime, children generally handle it well.

For those considering joining a trial that uses Remaking Recess, current evidence suggests it is safe for children with ASD. The goal is to improve social skills without adding any risky elements.12345

Why are researchers excited about this trial?

Researchers are excited about the "Remaking Recess" approach for autism because it focuses on improving social interactions during a natural and critical part of a child's day—recess. Unlike traditional therapies that often occur in clinical settings, this method is implemented directly in schools, making it more practical and potentially more impactful. The "UNITED" method enhances this by introducing a team-based strategy, where schools collaborate with experts to tailor and sustain the implementation effectively. This collaborative approach not only personalizes the intervention but also ensures its longevity, addressing challenges that typical therapies may not tackle.

What evidence suggests that the interventions in this trial could be effective for autism?

Research shows that Remaking Recess (RR) helps children with autism spectrum disorder (ASD) become more socially active. One study found that children who participated in RR interacted more with their peers during school recess. This program uses play-based methods to help children with ASD connect better with others. In this trial, participants will join one of two groups: the "Implementation as Usual" group, where organizations implement RR with available support, or the "UNITED" group, which uses a team-based approach for implementation. Evidence indicates that well-trained school staff can effectively use RR to improve social skills in children with ASD. Early results suggest that RR makes the playground a more inclusive and engaging place for these children.24678

Are You a Good Fit for This Trial?

This trial is for children aged 5-12 with Autism Spectrum Disorder (ASD) or other neurodevelopmental disorders who spend most of their day in general education and come from under-resourced families. Eligible schools are those receiving Title I funding or located in rural areas, and the family income must be below 250% of federal poverty guidelines. School personnel involved with these children can also participate.

Inclusion Criteria

Spend majority of the day (51%) in a general education classroom
I work at an elementary school, possibly as a teacher, aide, or playground staff.
Expert medical diagnosis or educational classification of ASD
See 2 more

Exclusion Criteria

No official ASD/NDD diagnosis
My child is either under 5 years old or over 12.
Does not spend majority of the day (51%) in general education classroom
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training and Coaching

School personnel receive remote training and active coaching for implementing the Remaking Recess intervention

10-12 weeks
Weekly remote coaching sessions

Implementation

Implementation of the Remaking Recess intervention during school recess periods

School year
Ongoing during recess

Follow-up

Participants are monitored for effectiveness and social functioning after intervention

6 months
3 assessment points (baseline, midpoint, end of school year)

What Are the Treatments Tested in This Trial?

Interventions

  • Remaking Recess (RR)
Trial Overview The AIR-B4 study tests the 'Remaking Recess' intervention aimed at improving social engagement during recess for kids with ASD. It involves training school staff to implement play-based activities over approximately five hours throughout the school year, assessing effectiveness when combined with an implementation strategy called UNITED.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: UNITEDExperimental Treatment1 Intervention
Group II: Implementation as Usual (IAU)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Health Resources and Services Administration (HRSA)

Lead Sponsor

Trials
88
Recruited
152,000+

University of Rochester

Collaborator

Trials
883
Recruited
555,000+

Drexel University

Collaborator

Trials
160
Recruited
48,600+

University of California, Davis

Collaborator

Trials
958
Recruited
4,816,000+

University of Kansas

Collaborator

Trials
157
Recruited
332,000+

University of Washington

Collaborator

Trials
1,858
Recruited
2,023,000+

University of Pennsylvania

Collaborator

Trials
2,118
Recruited
45,270,000+

Published Research Related to This Trial

In a study involving 31 children with autism and 28 school personnel, providing implementation support alongside the Remaking Recess intervention led to significantly better social outcomes, such as increased social network inclusion and more friendship nominations, compared to training without support.
Both intervention groups showed improvements in social engagement, with reduced solitary play and increased joint engagement, indicating that while the intervention was beneficial, additional support may enhance its effectiveness in school settings.
The impact of implementation support on the use of a social engagement intervention for children with autism in public schools.Locke, J., Shih, W., Kang-Yi, CD., et al.[2020]
The pilot study tested the 'Remaking Recess' social engagement intervention with four children with autism spectrum disorder (ASD) and school personnel in two urban public schools, showing promising results in improving peer engagement and social inclusion.
The findings suggest that this intervention can be effectively implemented in under-resourced schools, indicating its potential to enhance social outcomes for children with ASD.
It's Messy but Real: A Pilot Study of the Implementation a Social Engagement Intervention for Children with Autism in Schools.Locke, J., Kang-Yi, C., Pellecchia, M., et al.[2020]
The JASPER intervention, which focuses on joint attention, play skills, and language development, showed significant improvements in these areas for children with autism spectrum disorder compared to those who did not receive the intervention, based on a review of 19 studies.
While parents and educators generally found the JASPER techniques effective, the studies reviewed did not meet all quality indicators, indicating a need for further research to explore the broader impacts of JASPER on children with autism.
The effects of JASPER intervention for children with autism spectrum disorder: A systematic review.Waddington, H., Reynolds, JE., Macaskill, E., et al.[2021]

Citations

It's Messy but Real: A Pilot Study of the Implementation a ...This pilot study examined the implementation and sustainment of a social engagement intervention, Remaking Recess, for four elementary-aged children with ASD.
NCT04972838 | AIR-B4: Remaking Recess (RR)The AIRB research team will compare the use and effectiveness of each intervention (Mind the Gap, Remaking Recess and Self Determination Learning Model of ...
Remaking Recess intervention for improving peer ...The current investigation evaluated the effectiveness of a social skills intervention for individuals with autism spectrum disorder (ASD). While evidence exists ...
4.remakingrecess.orgremakingrecess.org/rr-research
Our ResearchThis study aimed to test the effects of a psychosocial intervention, Remaking Recess, on peer engagement for children with autism spectrum disorder (ASD).
Remaking Recess Intervention for Improving Peer ...There is a prevailing need for social skills interventions that staff in public schools can deliver effectively to children with autism spectrum disorder (ASD).
6.remakingrecess.orgremakingrecess.org/research
ResearchThis study aimed to test the effects of a psychosocial intervention, Remaking Recess, on peer engagement for children with autism spectrum disorder (ASD). Using ...
Individual and Organizational Characteristics Predicting ...This study examined individual and organizational factors associated with the use of a research-informed social engagement intervention, Remaking Recess, for ...
Where Are the Children's Voices? A Scoping Review of ...In this scoping review, we synthesised research on recess involving autistic children, identifying study characteristics and methods of data collection.
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