Evidence map›Paper›PMID 33827837›Full record

ArticleBMJ open2021

Efficacy of parent-mediated communication-focused treatment in toddlers with autism (PACT) delivered via videoconferencing: a randomised controlled trial study protocol.

Lucie Jurek, Pauline Occelli, Angelique Denis, Anouck Amestoy, Thierry Maffre, Tom Dauchez, Marie-Joelle Oreve, Amaria Baghdadli, Carmen Schroder, Agathe Jay and 9 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04244721 (Effectiveness of PACT Intervention, Delivered by Parents, Guided by Videoconference, on the Autism of Their Children With ASD), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT04244721 narecruitingnot on this map

Effectiveness of PACT Intervention, Delivered by Parents, Guided by Videoconference, on the Autism of Their Children With ASD

TypeinterventionalSponsorHôpital le VinatierRan2020 to 2026Enrolled212ConditionsAutism Spectrum DisorderArmsPreschool Autism Communication Therapy (PACT), Treatment As Usual (TAU)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Remote PEERSFrontiers in psychiatry · 2022
    Article
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

19 authors.

Lucie JurekAcademic department of Child and adolescent neurodevelopmental psychiatry, Hospital Centre Vinatier, Bron, France.
Pauline OccelliResearch on Healthcare Performance (RESHAPE), INSERM U1290, Universite Claude Bernard Lyon 1, Lyon, France.
Angelique DenisPôle de santé publique, Hospices Civils de Lyon, Lyon, France.
Anouck AmestoyChild and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France.
Thierry MaffreService Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Centre de Ressources Autisme Midi-Pyrénées, University Hospital Centre Toulouse, Toulouse, France.
Tom DauchezChild and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France.
Marie-Joelle OreveService Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Centre Hospitalier de Versailles, Le Chesnay, France.
Amaria BaghdadliCenter of ressources in Autism and Center of Excellence in Autism and Neurodevelopment disorders, University Hospital Centre Montpellier, Montpellier, France.
Carmen SchroderDepartment of Child and Adolescent Psychiatry, Hopitaux universitaires de Strasbourg, Strasbourg, France.
Agathe JayAcademic department of Child and adolescent neurodevelopmental psychiatry, Hospital Centre Vinatier, Bron, France.
Amélie ZelmarResearch on Healthcare Performance (RESHAPE), INSERM U1290, Universite Claude Bernard Lyon 1, Lyon, France.
Anne Revah-LevyCentre de Soins Psychotherapeutiques de Transition pour Adolescents, Argenteuil Health and Social Services Centre, Lachute, Quebec, Canada.
Natacha GallifetAcademic department of Child and adolescent neurodevelopmental psychiatry, Hospital Centre Vinatier, Bron, France.
Catherine AldredThe University of Manchester, Manchester, UK.
Shruti GargDivision of Neuroscience and Experimental Psychology, Faculty of Biological Medical & Health Sciences, The University of Manchester, Manchester, UK.
Jonathan GreenDivision of Neuroscience and Experimental Psychology, Faculty of Biological Medical & Health Sciences, The University of Manchester, Manchester, UK.
Sandrine TouzetResearch on Healthcare Performance (RESHAPE), INSERM U1290, Universite Claude Bernard Lyon 1, Lyon, France.
Marie-Maude GeoffrayAcademic department of Child and adolescent neurodevelopmental psychiatry, Hospital Centre Vinatier, Bron, France Marie-Maude.GEOFFRAY@ch-le-vinatier.fr.ORCID 0000-0002-5528-3613
IFPAD study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntervention in the preschool period is currently recommended for autism spectrum disorder. Therapies delivered by parents are particularly suitable for young children. Preschool Autism Communication Trial (PACT) is a parent-mediated therapy that has shown a significant and sustained impact on autism symptom reduction. However, access to such evidence-based therapies for families is limited due to autism centres located in large urban areas. Using videoconferencing to deliver PACT training to parents may improve accessibility for families living in underserved areas. METHODS AND ANALYSIS: This single-blind randomised controlled trial, involving six sites in France, will investigate the efficacy of a telehealth, videoconferencing-based, parent-mediated PACT therapy on autism symptoms, over a 12-month period. It will compare PACT plus treatment as usual (TAU) against TAU only in a cohort of 238 toddlers (119 per group) aged 18-36 months at inclusion and living with their families more than 40 min away from the specialist centres for autism. Primary outcome will include change of overall autism score on the Autism Diagnostic Observation Scale (ADOS) at 12 months. Secondary outcomes will measure change in child skills, child functioning, impact on parents (stress, health, priorities) and implementation characteristics. Repeated measures analyses will be used to test the effect of PACT intervention on the overall ADOS module 1 score over the 12-month study period. Linear mixed models will be used with time, treatment allocation and the interaction between treatment and time as fixed effects and individual variation as random effect. ETHICS AND DISSEMINATION: This protocol (V.5, date: 25 October 2019) is approved by the French National Review Board (reference no 2018-A02516-49). The results will be disseminated via peer-reviewed journals TRIAL REGISTRATION NUMBER: NCT04244721.

Indexed as

Autism Spectrum DisorderAutistic DisorderChild, PreschoolCommunicationFranceHumansInfantParentsRandomized Controlled Trials as TopicSingle-Blind MethodVideoconferencingchild & adolescent psychiatrydevelopmental neurology & neurodisabilityhuman resource managementmedical education & trainingorganisation of health servicestelemedicine

Identifiers

PMID33827837
PMCPMC8031029

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.