Viewing Study NCT04313283



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Last Modification Date: 2024-10-26 @ 1:30 PM
Study NCT ID: NCT04313283
Status: COMPLETED
Last Update Posted: 2023-03-10
First Post: 2020-03-15

Brief Title: Translating Peer-to-Peer Support Into a Clinical Setting
Sponsor: University of Maryland Baltimore
Organization: University of Maryland Baltimore

Study Overview

Official Title: Addressing Racial Disparities in Autism Diagnosis and Treatment Translating Peer-to-Peer Support Into a Clinical Setting
Status: COMPLETED
Status Verified Date: 2023-03
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: There is not a lot of research focusing on Black and African American families raising young children with developmental delays While the investigators know that early intervention helps children and their families Black children with developmental delays are less likely to access such services The causes for these racial disparities are largely unknown Researchers have recommended caregiver support programming while on waitlists to improve caregiver-provider interactions and caregiver knowledge of the diagnostic process and developmental delays Once a child is referred to a clinic for developmental concerns long appointment waitlists contribute to further delays in timely diagnosis and treatment as well as parental distress Support programs for waitlisted families can begin to address these challenges In this study the investigators will examine a program called Parents Taking Action with families on a waitlist for a specialty developmental evaluation The investigators will study if the program is feasible in this setting if participants like the program and if child and parent outcomes improve after participants have completed the program
Detailed Description: Partners at the University of Maryland Baltimore UMB School of Medicine SOM School of Social Work SSW and community collaborators will pilot an intervention focused on Black and African-American children with Autism Spectrum Disorder hereafter autism and other developmental delays The research fills several gaps in the academic literature First there is a dearth of intervention research focusing on Black families raising young children with autism Early intervention significantly improves child and family outcomes across childhood and into adulthood Yet Black children with autism are less likely to access such services Even when controlling for socioeconomic status racial disparities in autism and developmental disability diagnoses and services persist The causes for these socioeconomic and racial disparities are largely unknown Researchers have recommended caregiver support programming while on waitlists to improve caregiver-provider interactions and caregiver knowledge of the diagnostic process yet such interventions have not been described in the literature

SSW researchers led a community-based trial to adapt a peer-led intervention Parents Taking Action for low-income Black families raising children with autism in Baltimore The psychoeducational and child behavior management intervention led by trained Parent Leaders is unique in that it considers families cultural and socioeconomic characteristics Our social work team worked closely with our community advisory board to make cultural adaptations to the manual for use in Baltimore with a majority Black population Our social work team has since further adapted the program to deliver content in two six-week modules 12 weeks total

Despite the social work teams efforts to understand and address racial autism disparities a wholly community-based model has limitations Once a child is referred to a clinic for developmental concerns long appointment waitlists contribute to further delays in timely diagnosis and treatment as well as parental distress Wait times also contribute to appointment absenteeism which further delays timely access to care A study suggested support programs for waitlisted families can begin to address these challenges In total these studies have suggested an integrated community-clinical model can provide critical supports to children and their families while on a waitlist and strengthen connections between families and clinical providers Thus this project will test the feasibility acceptability and short-term outcomes of a peer-led program Parents Taking Action with a clinical sample

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
1UL1TR003098 NIH None httpsreporternihgovquickSearch1UL1TR003098