8 Participants Needed

Milieu Teaching-AV for Autism

(MT-AV Pilot Trial)

JI
Overseen ByJacob I Feldman, PhD, CCC-SLP
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: Vanderbilt University Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

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

The trial information does not specify whether you need to stop taking your current medications.

How is the Milieu Teaching-AV treatment for autism different from other treatments?

Milieu Teaching-AV is unique because it combines video modeling with visual activity schedules to help individuals with autism transition between tasks independently, which is not commonly seen in other treatments. This approach leverages technology, such as iPads, to embed video models into visual schedules, enhancing the ability to generalize skills across different activities.12345

What is the purpose of this trial?

This project will look at whether a novel approach to language intervention that encourages looking to audiovisual speech cues for infants with autistic older siblings (Baby Sibs), who are highly likely be diagnosed with autism or developmental language disorder (DLD). This study will specifically look at (a) whether caregivers find this approach to be easy to implement in their homes, (b) whether they find this approach to be acceptable, and (c) whether caregivers use the taught strategies in interactions with their infants.

Eligibility Criteria

This trial is for infants with older siblings diagnosed with autism, as they have a higher chance of being diagnosed with autism or developmental language disorder (DLD). The study focuses on the caregivers' ability to implement a new language intervention at home and their acceptance of this method.

Inclusion Criteria

My older sibling has been diagnosed with autism.
My household speaks only English.

Exclusion Criteria

I have a history of neurological problems.
I have a diagnosed genetic condition.
Pre-term birth (gestation < 37 weeks)
See 1 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline

Business as usual baseline sessions conducted before intervention

Up to 20 weeks
Multiple sessions

Treatment

Participants receive Milieu Teaching-AV intervention

Up to 20 weeks
Staggered entry into experimental condition

Follow-up

Participants are monitored for caregiver strategy use and infant engagement

4 weeks

Treatment Details

Interventions

  • Milieu Teaching-AV
Trial Overview The Milieu Teaching-AV approach is being tested. It's an innovative language intervention that encourages infants to pay attention to audiovisual speech cues. The study will assess how well caregivers can use this strategy during interactions with their infants.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Milieu Teaching-AVExperimental Treatment1 Intervention
Following baseline sessions, there will be staggered entry into the experimental condition.
Group II: Business as usual baselineActive Control1 Intervention
The first several sessions will be conducted in a business-as-usual baseline condition; these sessions will then be compared to the Milieu Teaching-AV condition. Entry into the Milieu Teaching-AV condition will be staggered across participants to ensure that observed changes are not due to other factors (e.g., history, maturation).

Find a Clinic Near You

Who Is Running the Clinical Trial?

Vanderbilt University Medical Center

Lead Sponsor

Trials
922
Recruited
939,000+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Recruited
190,000+

Findings from Research

The study investigated the effectiveness of combining visual activity schedules with embedded video models on an iPad to help high school students with autism transition between tasks, showing positive results.
Students were able to independently transition between activities and demonstrated high rates of generalization to new tasks even after the video models were removed, indicating the efficacy of this combined approach.
Talking Picture Schedules: Embedding Video Models into Visual Activity Schedules to Increase Independence for Students with ASD.Spriggs, AD., Knight, V., Sherrow, L.[2018]
University students trained with a revised self-instructional manual for discrete-trials teaching (DTT) significantly improved their teaching performance from 52% to 88% accuracy after training, demonstrating the manual's effectiveness.
The use of a motivational incentive ($10 for achieving 90% accuracy) likely contributed to the students' engagement and success, as they maintained an average performance of 77% when applying DTT with actual children with autism.
Evaluation of a self-instructional manual for conducting discrete-trials teaching with children with autism.Thiessen, C., Fazzio, D., Arnal, L., et al.[2019]
The study demonstrated that an iPad-based video modeling package effectively taught a 5-year-old boy with autism spectrum disorder basic numeracy skills, including identifying and writing Arabic numerals 1-7.
The treatment showed clear improvements in the child's understanding of numerals and their quantities, with evidence of generalization and maintenance of skills over time, suggesting the method's robustness.
Using an iPad-based video modelling package to teach numeracy skills to a child with an autism spectrum disorder.Jowett, EL., Moore, DW., Anderson, A.[2019]

References

Talking Picture Schedules: Embedding Video Models into Visual Activity Schedules to Increase Independence for Students with ASD. [2018]
Evaluation of a self-instructional manual for conducting discrete-trials teaching with children with autism. [2019]
Using an iPad-based video modelling package to teach numeracy skills to a child with an autism spectrum disorder. [2019]
Using blended and guided technologies in a university course for scientist-practitioners: teaching applied behaviour analysis to autism professionals. [2009]
Behavioral language interventions for children with autism: comparing applied verbal behavior and naturalistic teaching approaches. [2021]
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