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CompletedNCT04926090Updated Aug 10, 2022

Developing Mental Health Supports for Autistic Students

An interventional study of Emotional Support Plan - Clinician Guided (ESP-C) and Emotional Support Plan - Self Guided (ESP-S) in Autism Spectrum Disorder and Depression, Anxiety, sponsored by Rutgers, The State University of New Jersey. Completed at 1 site in United States. Open to participants aged 17 Years and older. Per ClinicalTrials.gov, last updated 2022-08-10.

Sponsored by Rutgers, The State University of New Jersey · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
17 Years and older
Sex
All
01

Study summary

The present study aims to expand the availability of emotional supports in order to promote successful transitions and longer-term outcomes for autistic students in PSE.

Read the detailed description

This study has three specific aims:

Aim 1: Identify mental health needs of autistic students to inform supports. Focus groups engaging key stakeholders will be used to understand the mental health needs of autistic college students and inform adaptation of two individualized mental health supports: 1) the ESP intervention and 2) protocols for monitoring mood and psychological distress.

Aim 2: Develop resources to inform and guide mental health care of autistic students. Focus group information will inform 1) adaptation of clinician (ESP-C) and self-guided (ESP-S) emotional support plans and monitoring protocols and 2) develop a "College Student Mental Health Guide" to aide autistic college students, their families and mental health professionals in proactive planning for mental health supports during PSE.

Aim 3: Assess the feasibility, acceptability and initial efficacy of the ESP-C and ESP-S.

The study will yield preliminary data to apply for additional funding to conduct a large-scale trial to validate these methods to monitor and support mental health of autistic adults. Information gathered from the study will also be used to inform development of a mental health guide for autistic students.

02

Conditions studied

  • Autism Spectrum Disorder
  • Depression, Anxiety

Keywords

  • smartphone
  • ecological momentary intervention (EMI)
  • ecological momentary assessment (EMA)
03

In context

Autism Spectrum Disorder

1,755 studies on the registry are indexed under Autism Spectrum Disorder; 507 are open to participants now.

This study's enrollment of 19 is below the median of 52 across 1,391 interventional studies indexed under Autism Spectrum Disorder.

Browse Autism Spectrum Disorder studies →

Lead sponsor

Rutgers, The State University of New Jersey is the lead sponsor of 504 studies on the registry; 131 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 31 (79%) have results posted.

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

04

Who can participate

Ages eligible
17 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Previous ASD diagnosis,
  • Has smartphone (to access the ESP app)
  • At least 6th grade Reading Comprehension on the WRAT-5. The WRAT-5 may not be required if a student has other evidence of age-appropriate reading level.
  • Be currently enrolled in a Postsecondary Education (PSE) institution.

Exclusion criteria

Exclusion Criteria:

  • Not a students in a PSE Institution or do not have diagnosis of ASD
  • Score below a 6th grade Reading Comprehension on the WRAT-5
  • Unable to understand English
  • No access to a compatible iOS and Android smartphone
  • the PI's clinical judgment that it would not be in the adult's best interest to be enrolled
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Emotional Support Plan - Clinician Guided (ESP-C) + (Bi)Weekly Monitoring

    This will involve brief assessment visits throughout the fall semester, without prompting to use the ESP-C. Visits will be weekly for the first 6 weeks and then biweekly for the remaining 9 weeks of the term.

    Behavioral: Emotional Support Plan - Clinician Guided (ESP-C)

  • Experimental
    Emotional Support Plan - Clinician Guided (ESP-C) + 4x Daily Monitoring

    Participants in this arm will be prompted on their phones 4x/day, to report on activities, mood, suicidal ideation, distress level and ESP use since the last prompt. They will also participate in brief assessment visits conducted weekly for the first 6 weeks and then biweekly for the remaining 9 weeks of the term.

    Behavioral: Emotional Support Plan - Clinician Guided (ESP-C)

  • Experimental
    Emotional Support Plan - Self Guided (ESP-S) + 4x Daily Monitoring

    Participants in this arm will be prompted on their phones 4x/day, to report on activities, mood, suicidal ideation, distress level and ESP use since the last prompt. They will be asked to complete questionnaires weekly for the first 6 weeks and then biweekly for the remaining 9 weeks of the term.

    Behavioral: Emotional Support Plan - Self Guided (ESP-S)

Interventions

  • BehavioralEmotional Support Plan - Clinician Guided (ESP-C)

    The Emotional Support Plan (ESP) is designed to help prepare students to cope with stress experienced during postsecondary education. The ESP-C is delivered by a clinician in 2 sessions.

  • BehavioralEmotional Support Plan - Self Guided (ESP-S)

    The Emotional Support Plan (ESP) is designed to help prepare students to cope with stress experienced during postsecondary education. The ESP-S is created by the participant on their own, with the support of self-guided materials.

06

What researchers measure

Primary outcomes

  1. Change in distress on Patient Health Questionnaire (PHQ-9)

    The PHQ-9, assessed weekly for first 6 weeks and biweekly for remaining 9 weeks, is a 9-item questionnaire of psychological function over the past week with all items on a "0" (not at all) to "3" (nearly every day) scale. Higher scores equal more distress.

    Time frame: 15 week monitoring period

  2. Change in distress on Ecological Momentary Assessment (EMA) reports

    EMA (Ecological Momentary Assessment) reports of decreased distress (in ESP + daily monitoring groups only). Scores range from 0(not at all) to 5 (very much). Higher scores on the item equal higher levels of distress.

    Time frame: 15 week monitoring period

  3. Change in anxiety symptoms on the Generalized Anxiety Disorder Questionnaire (GAD-7)

    The GAD-7, assessed weekly, is a 7-item questionnaire of anxiety symptoms over the past week with all items on a "0" (not at all) to "3" (nearly every day) scale. Higher scores equal more anxiety.

    Time frame: 15 week monitoring period

Secondary outcomes

  1. Change in Adult Self Report

    The ASR is a measure of adaptive functioning and psychopathology (e.g., anxiety, depression symptoms). Most of the items are on a 3 point scale including: (0) Not true, (1) Somewhat or sometimes true, and (2) Very often or often true. Higher scores equal more symptoms.

    Time frame: 15 week monitoring period

  2. Change in Adult Behavior Checklist

    The ABCL is a caregiver-report measure of adaptive functioning and psychopathology (e.g., anxiety, depression symptoms). Most of the items are on a 3 point scale including: (0) Not true, (1) Somewhat or sometimes true, and (2) Very often or often true. Higher scores equal more symptoms.

    Time frame: 15 week monitoring period

  3. Change in Emotion Dysregulation Inventory

    The EDI is a measure of emotion dysregulation designed for use with individuals with autism. Items are rated on a scale of 0-5. Higher score equal more symptoms.

    Time frame: 15 week monitoring period

  4. Change Young Adult Coping Orientation for Problem Experience (YA-COPE)

    The YA-COPE is a 56-item measure designed to capture coping behaviors of college students. Items are rated on a scale of 1(never) to 5 (most of the time. Higher scores indicate more positive strategies.

    Time frame: 15 week monitoring period

07

Study locations

1 site
  • Rutgers University
    Piscataway, New Jersey 08854, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2021 to primary completion in Jul 2022, 12 months.

Of 801 non-industry interventional studies with no phase under Autism Spectrum Disorder, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 48. This study's 12 months is below that.

Counting every sponsor, half of 825 studies reached it within 25 months; a quarter within 12 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 8, 2021
First posted
Jun 14, 2021
StartActual
Jul 26, 2021
Primary completionActual
Jul 27, 2022
CompletionActual
Jul 27, 2022
Last update
Aug 10, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04926090
Collaborators
Organization for Autism Research
Responsible party
Vanessa H. Bal, PhD (Associate Professor, Rutgers, The State University of New Jersey) — Principal investigator
First posted
Jun 14, 2021
Start date
Jul 26, 2021
Primary completion
Jul 27, 2022
Completion
Jul 27, 2022
Last update
Aug 10, 2022

Study contacts

Vanessa H Bal, PhD
principal investigator · Rutgers University - New Brunswick

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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