Naturalistic Developmental Behavioral Intervention for Autism
Trial Summary
What is the purpose of this trial?
Naturalistic developmental behavioral interventions (NDBIs) are a newer class of evidence-based interventions for young autistic children to promote their positive developmental or behavioral outcomes. These are often delivered by family members or other natural change agents given the emphasis on naturalistic transactions between an adult and a child. Despite the emerging evidence, there are practical difficulties that hinder wider dissemination and implementation of NDBIs, including low level of access to some of these branded, packaged NDBIs. To mitigate these difficulties related to access, we have created a series of video modules that demonstrate nine commonly used core components in NDBI strategies. In this study, caregivers will receive training and coaching using these modules and both synchronous and asynchronous coaching from a clinician. In this type 1 hybrid implementation trial, there are two groups of participants: (1) caregivers of young autistic children or children with other developmental disabilities/delays, (2) children, and (3) clinicians. Caregivers will meet with clinicians virtually weekly to (a) watch the newly developed NDBI videos that demonstrate the strategy use, (b) discuss how this might be applied to their own child, (c) receive individualized homework planning, (d) record and upload videos of their practice of strategy use with their own child, and (e) review the videos with clinicians to receive individualized feedback on their strategy use. This will occur for 10 weeks. Each session will be video recorded to assess the clinicians' intervention fidelity. After 10 weeks, pre-post tests will be conducted to assess parents' confidence on implementing these strategies, their child's social communication, and satisfaction of providers and caregivers. Qualitative data will also be collected via interviews with some selected participants to gain a deeper understanding of their perceptions.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment NDBIs for autism?
Is Naturalistic Developmental Behavioral Intervention (NDBI) safe for humans?
How does the treatment Naturalistic Developmental Behavioral Intervention (NDBI) for autism differ from other treatments?
Naturalistic Developmental Behavioral Interventions (NDBIs) are unique because they are implemented in natural settings and involve shared control between the child and therapist, using natural consequences to teach skills. This approach combines strategies from both behavioral and developmental sciences, making it distinct from other autism treatments that may not integrate these elements or focus on naturalistic settings.12346
Eligibility Criteria
This trial is for primary caregivers of young children aged 0-5 who are diagnosed with autism, developmental delay, or disability. Caregivers must be at least 18 years old and of Korean descent. Clinicians in the trial need BCBA certification and experience with behavioral intervention for this age group.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Caregivers receive training and coaching on NDBI strategies through weekly sessions
Data Collection and Outcome Measures
Assessments conducted to measure caregiver skill acquisition, child developmental progress, and intervention effectiveness
Follow-up
Participants are monitored for feedback and qualitative data collection through interviews or focus groups
Treatment Details
Interventions
- NDBIs
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Texas at Austin
Lead Sponsor