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CompletedNCT03020927ParentRITUpdated Apr 24, 2026

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

An interventional study of Reciprocal Imitation Training (Therapist-Delivered) and Reciprocal Imitation Training (Therapist + Parent Delivered) in Autism Spectrum Disorder, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 24 Months to 60 Months. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by Ohio State University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
24 Months to 60 Months
Sex
All
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Study summary

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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Conditions studied

  • Autism Spectrum Disorder
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In context

Autism Spectrum Disorder

1,727 studies on the registry are indexed under Autism Spectrum Disorder; 504 are open to participants now.

This study's enrollment of 18 is below the median of 52 across 1,371 interventional studies indexed under Autism Spectrum Disorder.

Browse Autism Spectrum Disorder studies →

Lead sponsor

Ohio State University is the lead sponsor of 640 studies on the registry; 144 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 45 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
24 Months to 60 Months
Sexes eligible
All
Accepts healthy volunteers
No

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

Exclusion Criteria:

  • Participants must not be the sibling of another study participant
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Enrollment
18 participants (actual)

Study arms

  • Active comparator
    Therapist Delivered

    Children in the therapist-delivered condition will receive two, 60-minute long sessions of Reciprocal Imitation Training each week for ten consecutive weeks. These sessions will be delivered by trained graduate, undergraduate, and post-graduate research staff. Parents will be permitted to observe sessions via live video, but will not be directly involved in intervention.

    Behavioral: Reciprocal Imitation Training (Therapist-Delivered)

  • Experimental
    Parent + Therapist Delivered

    Children in the parent + therapist-delivered condition will receive one, 60-minute long session of Reciprocal Imitation Training each week for ten consecutive weeks. These sessions will be delivered by trained graduate, undergraduate, and post-graduate research staff. During the same period of time, parents/guardians of children will receive one, 60-minute long parent education session per week with graduate and post-graduate research staff, aimed at teaching parents to implement Reciprocal Imitation Training at home with the child.

    Behavioral: Reciprocal Imitation Training (Therapist + Parent Delivered)

Interventions

  • BehavioralReciprocal Imitation Training (Therapist-Delivered)

    Naturalistic Developmental Behavioral Intervention aimed at improving social imitation skills.

    Also known as: RIT

  • BehavioralReciprocal Imitation Training (Therapist + Parent Delivered)

    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.

    Also known as: RIT

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What researchers measure

Primary outcomes

  1. Unstructured Imitation Assessment (UIA)

    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).

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

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

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

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

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

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

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

Other outcomes

  1. Modified Behavior Intervention Rating Scale

    Time frame: 10 weeks (immediately post-intervention)

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Study locations

1 site
  • The Ohio State University
    Columbus, Ohio 43210, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03020927
Lead sponsor
Ohio State University
Responsible party
Katherine Walton (Assistant Professor of Psychology and Psychiatry, Ohio State University) — Principal investigator
First posted
Jan 13, 2017
Start date
Apr 2016
Primary completion
Aug 2022
Completion
Aug 2022
Last update
Apr 24, 2026

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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