Status:

COMPLETED

Evaluation of a Novel Intervention for Infants At Risk for Neurodevelopmental Disorders

Lead Sponsor:

University of North Carolina, Chapel Hill

Collaborating Sponsors:

University of Southern California

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Conditions:

Autism Spectrum Disorder

Neurodevelopmental Disorders

Eligibility:

All Genders

11-16 years

Phase:

NA

Brief Summary

This study entails a "proof of concept" evaluation of a novel intervention, Parents and Infants Engaged (PIE), for prodromal infants at-risk for neurodevelopmental disorders (NDs). The objectives of t...

Detailed Description

Rationale: Providing intervention during infancy, before the full emergence of the symptoms that would lead to a diagnosis of ND based on a behavioral phenotype (e.g., autism spectrum disorder (ASD),...

Eligibility Criteria

Inclusion

  • For the intervention trial: infant must meet risk criteria on the First Years Inventory (Calculated based on data collected in another study where risk status on the FYI was confirmed with follow up at 3 years. We empirically determined combinations of the two FYI domain scores that would sort respondents into "at-risk" and "not-at-risk." The resulting cut-points enabled us to sort children such that we capture about 1/3 of those who would go on to be confirmed as having a autism spectrum diagnosis while misclassifying less than 5% of the typically developing (TD) sample as at-risk). Infants also must score at least one s.d. below the mean on either the Receptive or Expressive subscale t scores AND meet the following SPA inclusion criteria on hyporeactivity (HYPO) or hyperreactivity (HYPER):
  • "HYPO": Cut-point (equal or greater than) of 1.69 for Mean of the raw orienting score across 7 items, each with the range of 1 to 4 possible points)
  • "HYPER": Cut-point (equal or greater than) of .333 for Mean of the raw approach/avoid novel toys score across 9 items, each with the range of 0 to 2 possible points) OR Any clear "defensive" response on orienting items or "Yes" to covering ears to sound (in stereotypies checklist)

Exclusion

  • families who speak English \< 50% of the time at home
  • infants with previously identified genetic disorders (e.g., Down syndrome)
  • infants with identified vision/hearing/physical impairments.

Key Trial Info

Start Date :

March 8 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 30 2021

Estimated Enrollment :

72 Patients enrolled

Trial Details

Trial ID

NCT03388294

Start Date

March 8 2018

End Date

May 30 2021

Last Update

October 29 2021

Active Locations (1)

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University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27607