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Completed

NCT Number: NCT03205475

JASPER Implementation in NFLD

This study will focus on examining the supports required to enable community Senior JASPER Trainers to support the training and development of junior interventionists throughout the province of Newfoundland and Labrador, Canada. The study will examine the training and supports delivered by Senior Trainers to help junior interventionists provide a targeted social communication intervention (JASPER: Joint Attention, Symbolic Play, Engagement, and Regulation) with children with autism spectrum disorder (ASD). Children's engagement, play, and social communication outcomes will be examined as well as the influence of junior interventionists' intervention implementation on children's outcomes. Further, the study will examine the supports required to help junior interventionists who demonstrate slower gains in implementation fidelity after the first three months of standard support. Interventionists who are slow to gain implementation fidelity will be randomized to either (a) enhanced feedback plus peer support or (b) enhanced feedback plus intensive refresher course.

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Key information

Conditions

Autism Spectrum Disorder Behavior Child Development Disorders, Pervasive Communication Mental Disorders Neurodevelopmental Disorders

Age range

24 month–97 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Department of Health and Community Services, Government of Newfoundland and Labrador

St. John's, Newfoundland and Labrador, A1B 3X9, Canada

About this study

The proposed study is an adaptive intervention trial that will focus on tailoring supports for new JASPER interventionists. Coaching and training supports will be provided by Local Senior JASPER Trainers will support the development of new interventionists. Based on the interventionist's individual response to the coaching/training supports, a change in support may be provided at a priori time points including end of month 1 (training case) if at least 70% fidelity is not reached, and at end of month 4 (midpoint of first child cohort), at least 90% fidelity is not reached.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Children: Must be 2.0-8.11 years of age; must meet the scoring benchmark for "autism" or "autism spectrum disorder" on the ADOS-2; has not previously received JASPER intervention in the province
  • Interventionists: Work as an interventionist for the Government of Newfoundland and Labrador; minimum educational requirement is a Bachelor's Degree or Master's Degree in Psychology or a related field
  • Senior JASPER Trainers: - Have been trained previously in JASPER; Work as a Senior Trainer for the Government of Newfoundland and Labrador; Minimum educational requirement is a Master's degree in a related field (e.g., Speech and Language Pathology, Occupational Therapy, Developmental Psychology).

Exclusion criteria

  • Children: Child is below 2.0 years of age or above 8.11 years of age; Child does not meet the benchmark for autism or autism spectrum disorder on the ADOS-2; Child has received JASPER intervention prior to this study
  • Interventionists: Not employees of the Government of Newfoundland and Labrador; does not hold a Bachelor's degree in a related field
  • Senior Trainers: No prior JASPER training; Not employees of the Government of Newfoundland and Labrador; does not hold a Master's Degree in a related field

Treatment and study plan

Alternate Coaching and Video Feedback Phase 1

Behavioral

Alternates each week between live/tele-health coaching (coaching) or Video review and call (feedback)

Weekly Coaching in Phase 1

Behavioral

Weekly coaching (live or telehealth)

Weekly Coaching plus Intensive Refresher Course Phase 2

Behavioral

Continue weekly coaching with senior trainer and add one week intensive refresher course

Weekly Coaching plus Peer Coaching Phase 2

Behavioral

Continue weekly coaching with senior trainer and add weekly peer coaching from another interventionist in the region who is at high fidelity

Video Feedback Only Phase 2

Behavioral

Receive video feedback and calls only

Primary outcomes

  1. Change in JASPER Strategy Implementation Fidelity

    Time frame: Entry, 1 month, 4 months, and 7 month exit

    Quantitative ratings of the interventionists' quality and accurate use of JASPER intervention strategies.

Secondary outcomes

  1. Change in Children's Joint Engagement

    Time frame: Entry for cohort two (month 2), half way (month 4), and exit (month 7)

    Time the child spends jointly engaged in interactions with the interventionist

  2. Change in Children's Play Skills and Social Communication Skills

    Time frame: Entry for cohort two (month 2), half way (month 4), and exit (month 7)

    Rated during the child's interactions with the interventionist and during independent assessment, this includes the child's spontaneous play types by play level and child's spontaneous spoken and nonverbal communication skills to request and to share

Sponsors and collaborators

Lead sponsor

Government of Newfoundland and Labrador

Other Gov

Registry information

Official study title

JASPER Implementation Cascade: Newfoundland and Labrador

Important dates

Study start
2018
Primary completion
2018
Study completion
2023
First posted
Jul 2, 2017
Registry last updated
Sep 25, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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