Evidence map›Paper›PMID 37253492›Full record

ArticleBMJ open2023

Telehealth-delivered naturalistic developmental behavioural intervention with and without caregiver acceptance and commitment therapy for autistic children and their caregivers: protocol for a multi-arm parallel group randomised clinical trial.

Laurie McLay, Lisa Marie Emerson, Hannah Waddington, Jenna van Deurs, Jolene Hunter, Neville Blampied, Aaron Hapuku, Sonja Macfarlane, Nicholas Bowden, Lauren van Noorden and 1 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

11 authors at 5 institutions in 2 countries.

Laurie McLayFaculty of Health, University of Canterbury, Christchurch, New Zealand laurie.mclay@canterbury.ac.nz.
Lisa Marie EmersonFaculty of Health, University of Canterbury, Christchurch, New Zealand.
Hannah WaddingtonFaculty of Education, Victoria University of Wellington, Wellington, New Zealand.
Jenna van DeursFaculty of Health, University of Canterbury, Christchurch, New Zealand.ORCID 0000-0002-6862-2223
Jolene HunterFaculty of Health, University of Canterbury, Christchurch, New Zealand.
Neville BlampiedSchool of Psychology, Speech, and Hearing, University of Canterbury, Christchurch, New Zealand.
Aaron HapukuFaculty of Health, University of Canterbury, Christchurch, New Zealand.
Sonja MacfarlaneInstitute of Education, Massey University, Palmerston North, New Zealand.
Nicholas BowdenDepartment of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
Lauren van NoordenFaculty of Health, University of Canterbury, Christchurch, New Zealand.
Mandy RispoliSchool of Education and Human Development, University of Virginia, Charlottesville, Virginia, USA.
University of Canterbury · NZMassey University · NZUniversity of Otago · NZUniversity of Virginia · USVictoria University of Wellington · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTimely access to early support that optimises autistic children's development and their caregiver's mental health is critical. Naturalistic developmental behavioural interventions (NDBIs) and acceptance and commitment therapy (ACT) are evidence-based supports that can enhance child learning and behaviour, and adult well-being, respectively. The traditional face-to-face delivery of these approaches is resource intensive. Further, little is known about the benefit of parallel child-focused and caregiver-focused supports. The aims of this trial are to evaluate the effectiveness and social validity of telehealth-delivered, caregiver-implemented, child-focused NDBI and caregiver-focused ACT when delivered alone and in parallel, on autistic children's social communication and caregiver well-being. METHODS AND ANALYSIS: The study will use a randomised, single-blind clinical trial with three parallel arms: NDBI; ACT and ACT+NDBI. We will recruit a minimum of 78, 2-5-year-old autistic children and their families throughout Aotearoa New Zealand. Support will be delivered over 13 weeks using a combination of culturally enhanced web-based modules and online group coaching. Primary outcome variables include children's social communication/engagement with their caregiver as well as caregiver stress and will be evaluated using a repeated measures multivariate analysis of variance. Outcome variables are assessed at baseline (before randomisation), immediately postparticipation and at 3-month follow-up. ETHICS AND DISSEMINATION: The trial is approved by the Health and Disability Ethics Committee (2022 FULL 12058). The findings of this trial will be disseminated through peer-reviewed journals and national and international conference proceedings regardless of the magnitude/direction of effect. Additionally, data will be shared with stakeholder groups, service providers and health professionals. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12622001134718).

Indexed as

Acceptance and Commitment TherapyAutistic DisorderTelemedicineAdultAustraliaCaregiversChild, PreschoolHumansRandomized Controlled Trials as TopicSingle-Blind MethodClinical trialsCommunity child healthDevelopmental neurology & neurodisabilityMENTAL HEALTH

Identifiers

PMID37253492
PMCPMC10254711
OpenAlexW4378783007

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.