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Completed

NCT Number: NCT03020927

Therapist and Parent Delivered Reciprocal Imitation Training for Young Children With Autism Spectrum Disorder

The purpose of this study is to examine whether adding a parent education component to an existing intervention (Reciprocal Imitation Training) results in improved outcomes for children with Autism Spectrum Disorder. Reciprocal Imitation Training (RIT) is a behavioral intervention designed to improve spontaneous imitation skills in young children with Autism Spectrum Disorder (ASD). Previous research suggests that it can be effective when used by trained therapists, teachers, siblings, and parents of children with ASD. However, it is unclear to what extent training parents to use RIT strategies in the home environment may enhance outcomes, compared to having therapists implement RIT individually with the child. The study will compare two different versions of RIT for young children with ASD: (1) two 60-minute weekly sessions of therapist-implemented RIT and (2) one weekly 60-minute session of therapist-implemented RIT and one weekly 60-minute session of parent education about using RIT in the home environment. The investigators will examine child and family outcomes between these two intervention types. Outcomes examined will include: (1) spontaneous and prompted imitation skills in the child with ASD, (2) social communication skills in the child with ASD, (3) parent stress, and (4) parent and child behaviors during parent-child play interactions.

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Key information

Age range

24 month–60 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Ohio State University

Columbus, Ohio, 43210, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • have a community diagnosis of Autism Spectrum Disorder (as reported by parent)
  • meet cutoff for "Autism" or "Autism Spectrum" on the Autism Diagnostic Observation Schedule, 2nd Edition
  • be between 24 and 60 months of age at the time of study enrollment
  • demonstrate difficulties with imitation skills on the Motor Imitation Scales and/or the Unstructured Imitation Assessment during pre-treatment assessments

Exclusion criteria

  • Participants must not be the sibling of another study participant

Treatment and study plan

Reciprocal Imitation Training (Therapist-Delivered)

Behavioral

Naturalistic Developmental Behavioral Intervention aimed at improving social imitation skills.

Other names: RIT

Reciprocal Imitation Training (Therapist + Parent Delivered)

Behavioral

Naturalistic Developmental Behavioral Intervention aimed at improving social imitation skills, using a combination of therapist-delivered intervention and parent training to deliver intervention in the home setting.

Other names: RIT

Primary outcomes

  1. Unstructured Imitation Assessment (UIA)

    Time frame: Change from baseline to 10 weeks (immediately post-intervention)

    The Unstructured Imitation Assessment (UIA) is a semi-structured, standardized test of imitation skills containing 10 object imitation and 10 gesture imitation tasks (Ingersoll & Meyer, 2011).

  2. Percentage of parent acts imitated during Parent-Child Play Interaction

    Time frame: Change from baseline to 10 weeks (immediately post-intervention)

    Percentage of parent play acts and meaningful gestures imitated by the child during a 10-minute unstructured play interaction with parent

Secondary outcomes

  1. Parenting Stress Index, 4th Edition

    Time frame: Change from baseline to 10 weeks (immediately post-intervention)

  2. Motor Imitation Scales

    Time frame: 10 weeks (immediately post-intervention), 3 months post-treatment, 6 months post-treatment

  3. Early Social Communication Scales

    Time frame: 10 weeks (immediately post-intervention), 3 months post-treatment, 6 months post-treatment

  4. Proportion of time spent jointly engaged during Parent-Child Play Interaction

    Time frame: Change from baseline to 10 weeks (immediately post-intervention)

    Proportion of time spent in joint engagement state (joint focus on same activity) during a 10-minute unstructured play interaction with parent

Other outcomes

  1. Modified Behavior Intervention Rating Scale

    Time frame: 10 weeks (immediately post-intervention)

Sponsors and collaborators

Lead sponsor

Ohio State University

Other

Registry information

Acronym: ParentRIT

Important dates

Study start
2016
Primary completion
2022
Study completion
2022
First posted
Jan 13, 2017
Registry last updated
Apr 24, 2026

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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