Evidence map›Paper›PMID 30153790›Full record

ArticleJournal of neurodevelopmental disorders2018

Improving social gaze behavior in fragile X syndrome using a behavioral skills training approach: a proof of concept study.

Caitlin E Gannon, Tobias C Britton, Ellen H Wilkinson, Scott S Hall

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of neurodevelopmental disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02616796 (Effects of Social Gaze Training on Brain and Behavior in Fragile X Syndrome), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 52% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02616796 phase1 / phase2completednot on this map

Effects of Social Gaze Training on Brain and Behavior in Fragile X Syndrome

TypeinterventionalSponsorStanford UniversityRan2015 to 2020Enrolled71ConditionsFragile X Syndrome, Intellectual DisabilityArmsSocial gaze training
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Eye Tracking as a Treatment Monitoring Tool for Autism: A Multilevel Meta-Analysis.Autism research : official journal of the International Society for Autism Research · 2025
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Caitlin E GannonPacific Graduate School of Psychology, Palo Alto University, Palo Alto, California, USA.
Tobias C BrittonDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.
Ellen H WilkinsonDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.
Scott S HallDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA. hallss@stanford.edu.ORCID 0000-0003-4797-1819
Stanford University · USPalo Alto University · USStanford Medicine · US

Funding

Effects of Social Gaze Training on Brain and Behavior in Fragile X SyndromeR01HD081336 · NICHD · STANFORD UNIVERSITY · PI HALL, SCOTT S · 2015 to 2019
$1.8M
NICHD NIH HHS R01 HD081336
6 · The paper itself

Abstract

backgroundIndividuals diagnosed with fragile X syndrome (FXS), the most common known inherited form of intellectual disability, commonly exhibit significant impairments in social gaze behavior during interactions with others. Although this behavior can restrict social development and limit educational opportunities, behavioral interventions designed to improve social gaze behavior have not been developed for this population. In this proof of concept (PoC) study, we examined whether administering a behavioral skills training package-discrete trial instruction (DTI) plus relaxation training-could increase social gaze duration in males with FXS.

methodsAs part of a larger clinical trial, 20 boys with FXS, aged 8 to 18 years, were randomized to receive DTI plus relaxation training administered at one of two prescribed doses over a 2-day period at our research center. Potential improvements in social gaze behavior were evaluated by direct observations conducted across trials during the training, and generalization effects were examined by administering a social challenge before and after the treatment. During the social challenge, social gaze behavior was recorded using an eye tracker and physiological arousal levels were simultaneously recorded by monitoring the child's heart rate.

resultsLevels of social gaze behavior increased significantly across blocks of training trials for six (60%) boys who received the high-dose behavioral treatment and for three (30%) boys who received the low-dose behavioral treatment. Boys who received the high-dose treatment also showed greater improvements in social gaze behavior during the social challenge compared to boys who received the low-dose treatment. There was no effect of the treatment on physiological arousal levels recorded on the heart rate monitor at either dose.

conclusionsThese results suggest that appropriate social gaze behavior can be successfully taught to boys with FXS using a standardized behavioral skills training approach. Future studies will need to evaluate whether younger children with FXS might benefit from this treatment, and/or whether more naturalistic forms of behavioral skills training might be beneficial, before social gaze avoidance becomes established in the child's repertoire.

trial registrationClinicalTrials.gov, NCT02616796 . Registered 30 November 2015.

Indexed as

Fixation, OcularSocial SkillsAdolescentBehavior TherapyChildFragile X SyndromeHumansMaleProof of Concept StudyRelaxation TherapyTreatment OutcomeBehavioral treatmentFragile X syndromeSocial gaze behavior

Identifiers

PMID30153790
PMCPMC6114729
OpenAlexW2888908497

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.