OT Intervention Via Telehealth for Children With ASD and ADHD

Cincinnati Children's Hospital Medical Center

Status: Completed

Conditions: Attention Deficit Hyperactivity Disorder; Autism Spectrum Disorder

Treatments: Other: Standard of Care Occupational Therapy; Other: Occupational Therapy via Telehealth

Study type: Interventional

Funder types: Other

Identifiers

NCT03957993

2017-5623

Details and patient eligibility

About

This study aims to measure the impact of a telehealth-based model of occupational therapy (OT) treatment on clinical outcomes for children with autism spectrum disorder (ASD) and/or attention deficit hyperactivity disorder (ADHD). Half of the participants will receive clinic-based, in-person services and half of the participants will receive video-based, Telehealth services.

Full description

Children with autism spectrum disorder (ASD) and/or attention deficit hyperactivity disorder (ADHD) often receive occupational therapy (OT), which traditionally takes place in a clinical setting. This setting may present barriers and distractors that make it hard for children to achieve their OT goals. Telehealth-based sessions provide an alternative, allowing the therapist to be virtually present within the home.Once enrolled, children will randomly be assigned to be in one of two groups: (1) Standard, in which children will receive clinic-based services as per standard of care OR (2) Telehealth, in which children will receive in-home services on a video-based platform on a timeline identical to what they would receive if they were in the Standard group. Children in both groups will participate for the duration of the episode of care, estimated to last 10-12 weeks. Assessments will be completed at initial evaluation, discharge, and three months following discharge.

Enrollment: 44 patients

Sex: All

Ages: 4 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Has a Autism Spectrum Disorder and/or Attention Deficit Hyperactivity Disorder
• Has an active occupational therapy referral
• Has occupational therapy goals that are directly related to performance of activities of daily living that might reasonably be affected by the environment (as determined by an evaluating therapist)

Exclusion criteria

• Does not have Autism Spectrum Disorder or Attention Deficit Hyperactivity Disorder
• Does not have an active occupational therapy referral
• Does not have occupational therapy goals that are directly related to performance of activities of daily living that might reasonably be affected by the environment (as determined by an evaluating therapist)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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44 participants in 2 patient groups

Occupational Therapy via Telehealth

Experimental group

Description:

Participants in the telehealth-based model will undergo occupational therapy treatment via a telehealth-based video chat platform for the entire episode of care (generally 10-12 weeks in duration). The patient will use the video chat client to connect to his/her occupational therapist, and the therapist will conduct the session over this virtual connection.

Treatment:

Other: Occupational Therapy via Telehealth

Standard of Care Occupational Therapy

Active Comparator group

Description:

Participants in the standard of care model will undergo occupational therapy treatment via traditional in- person encounters in an outpatient clinic setting for the entire episode of care (generally 10-12 weeks). These children will receive routine occupational treatment via in-person sessions with an occupational therapist conducted in an outpatient clinic setting.

Treatment:

Other: Standard of Care Occupational Therapy