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NCT07471594

Family-Centered Implementation of Parent Training for Autistic Toddlers in Early Intervention

Sponsor: University of South Carolina

View on ClinicalTrials.gov

Summary

Early Intervention (EI) systems are ill-equipped to serve the many children 12 to 36 months with early signs or a diagnosis of autism spectrum disorder (ASD). EI funded by Part C of the Individuals with Disabilities Education Act (IDEA) uses home-based service delivery, emphasizes family-centered care, and prioritizes family-defined concerns (i.e., patient-centered outcomes). The Part C system is ideally situated to provide family-based intervention to children aged birth to three. However, Part C EI providers receive little training in ASD or the challenges characterizing ASD in toddlerhood, most notably emotion regulation. This study introduces Parent Training for emotion regulation for autistic toddlers into the Part C EI system, determines its feasibility and preliminary efficacy in this setting, and assesses what family, provider, and system-level factors may facilitate the uptake of parent training in the Part C EI system.

Official title: Family-Centered Implementation of Parent Training for Emotion Regulation in Autistic Toddlers Within the Part C Early Intervention System

Key Details

Gender

All

Age Range

12 Months - 36 Months

Study Type

INTERVENTIONAL

Enrollment

Start Date

2026-04

Completion Date

2027-09

Last Updated

2026-03-13

Healthy Volunteers

Yes

Conditions

Autism

Interventions

BEHAVIORAL

Parent Training

Participants will receive a form of behavioral parent training as described in the "Manage Your Child's Challenging Behavior" module of Project ImPACT.

The following is a list of inclusion and exclusion criteria by participant group across all three research aims. Inclusion Criteria for All Participants: * Able to provide written and informed consent; * Both sexes and all racial and ethnic origins; * English fluency (necessary for informed consent and measure completion) Inclusion Criteria for Providers: * Is between 18 and 75 years of age * Holds a contract with or formally employed by BabyNet * Provides services within BabyNet at least one half-hour per week * Provides therapeutic services within BabyNet to at least one child 12-36 months who is 1) at high-likelihood for ASD based on caregiver or provider concern for social communication delays and a positive screen on the POSI, and 2) has elevated emotion dysregulation based on a raw score of at least 15 on the EDI-YC Reactivity Index. Exclusion Criteria for Providers: * Not contracted or employed by BabyNet * Provides services less than one half-hour per week * Does not provide services to a child 12-36 months of age at high-likelihood for ASD and with elevated emotion dysregulation (based on the POSI and the EDI-YC) Inclusion Criteria for Caregiver in Caregiver-Child Dyad: * Is between 18 and 75 years of age * Is the legal guardian of the participating child * Child is receiving services within BabyNet at least one half-hour per week - Caregiver participates or is present for BabyNet services Exclusion Criteria for Caregiver in Caregiver-Child Dyad: * Not between 18 and 75 years of age * Not the legal guardian of the child * Not able to be present for BabyNet services Inclusion Criteria for Children in Caregiver-Child Dyad: * Is between 12 and 36 months of age * Is enrolled in BabyNet services at least one half-hour per week * Is considered to be at high-likelihood for ASD based on caregiver or provider concern for social communication delays and a positive screen on the POSI * Has elevated emotion dysregulation based on a raw score of at least 15 on the EDI-YC Reactivity Index. Exclusion Criteria for Children in Caregiver-Child Dyad: * Is not between 12 and 36 months of age * Is not receiving services in BabyNet at least one half-hour per week * Is not considered to be at high-likelihood for ASD based on caregiver or provider concern for social communication delays and a positive screen on the POSI * Does not have elevated emotion dysregulation based on a raw score of at least 15 on the EDI-YC Reactivity Index.