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RecruitingNCT05125003FITBIUpdated Jan 22, 2024

Family-Implemented Treatment on the Behavioral Inflexibility of Children With Autism

An interventional study of FITBI and Parental Education in Autism Spectrum Disorder and Repetitive Compulsive Behavior, sponsored by University of Kansas. Recruiting at 1 site in United States. Open to participants aged 3 Years to 9 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-22.

Sponsored by University of Kansas · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Apr 2022; still recruiting 4 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
3 Years to 9 Years
Sex
All
01

Study summary

The overall goal of this project is to determine whether a new form of family-based treatment for repetitive and inflexible behaviors, delivered using videoconferencing technology, can counter any negative effects of those behaviors, but also improve positive outcomes for young children with ASD.

Read the detailed description

The overall goal of this project is to conduct a parallel group randomized controlled trial comparing remote delivery of FITBI (13-week intervention + 3 booster sessions over 6 months) to remote delivery of a parent education only (PE) control condition in a final sample size of 100 (3 years, 0 months to 9 years, 6 months) children with ASD and high rates of ritualistic repetitive behaviors. We will use TORSH, a comprehensive secure online platform that enhances therapist-parent coaching via telehealth. Further, an important objective of this proposal is to examine child and parent factors associated with treatment response and uptake in order to advance translational research and knowledge on personalized intervention approaches. Thus, the aims of this project are to:

Aim 1: Examine the acute and distal effects of the FITBI intervention on child and parent outcomes.

H1: In comparison to a PE only condition, FITBI will result in reductions in children's repetitive behaviors and increases in appropriate play skills immediately post-treatment.

H2: Effects of the FITBI intervention will be maintained at a 6-month follow-up and increases in child adaptive functioning and decreases in parent stress will be found.

Aim 2: Determine if the FITBI intervention shows differential treatment effects for lower versus higher order repetitive behaviors.

H1: FITBI will be effective at treating both lower and higher order RRBIs.

Aim 3: Examine if child variables (i.e., IQ and anxiety) moderate treatment response.

H1: Based on prior behavioral intervention research, it is hypothesized that children with higher IQs and fewer symptoms of anxiety at pretreatment, will show a better treatment response.

Aim 4: Explore if parent variables (i.e., SES, race/ethnicity, marital status, and stress) predict intervention fidelity and telehealth acceptance.

H1: As this is an exploratory aim, we do not have specific hypotheses.

02

Conditions studied

  • Autism Spectrum Disorder
  • Repetitive Compulsive Behavior

Keywords

  • family-based intervention
  • video-conferencing technology
  • telehealth
03

In context

Autism Spectrum Disorder

1,724 studies on the registry are indexed under Autism Spectrum Disorder; 500 are open to participants now.

This study's planned enrollment of 100 is above the median of 52 across 1,368 interventional studies indexed under Autism Spectrum Disorder.

Browse Autism Spectrum Disorder studies →

Lead sponsor

University of Kansas is the lead sponsor of 81 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 9 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • ASD criteria on Social Communication Questionnaire-Lifetime and Autism Diagnostic Interview-Revised.
  • Between ages of 3 years, 0 months and 9 years, 6 months
  • exhibiting levels of repetitive behavior (Score >26 on Repetitive Behavior Scales-Revised
  • prior clinical or medical diagnosis of autism spectrum disorder

Exclusion criteria

Exclusion Criteria:

  • diagnosed comorbid genetic disorder known to associated with increased symptom severity
  • child engages in serious self-injurious behavior with intensity or frequency that warrants hospitalization
  • change in psychotropic medications within last 6 weeks
  • child already receives >20hours per week of home-based ABA services
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    FITBI

    Reinforcement-based learning procedures delivered via telehealth in 16 remote-delivered treatment sessions - 13 weekly and 3 booster treatment sessions over 6 month period.

    Behavioral: FITBI

  • Active comparator
    Parent Education

    Information relevant to parenting a young child with ASD (e.g. parent advocacy, developmental changes in ASD, treatment options) delivered via telehealth in 15 remote-delivered treatment sessions -12 weekly and 3 booster treatment sessions over 6 month period.

    Behavioral: Parental Education

Interventions

  • BehavioralFITBI

    parents learn to identify high probability cues in the environment that can elicit RRBI symptoms and teach their child to inhibit repetitive behaviors and instead replace them with alternative and flexible play behaviors; and (b) teach parents how to embed this FITBI approach into their child's everyday routines

  • BehavioralParental Education

    Sessions will cover relevant information on young children with ASD, including understanding the ASD diagnosis, developmental changes in ASD, educational planning, advocacy, and treatment options.

06

What researchers measure

Primary outcomes

  1. Behavioral Inflexibility Scale - Clinical Interview

    video interview yields a severity score from 0 no impairment to 28 maximum impairment

    Time frame: Baseline

  2. Behavioral Inflexibility Scale - Clinical Interview

    video interview yields a severity score from 0 no impairment to 28 maximum impairment

    Time frame: 6 weeks

  3. Behavioral Inflexibility Scale - Clinical Interview

    video interview yields a severity score from 0 no impairment to 28 maximum impairment

    Time frame: 12 weeks

  4. Behavioral Inflexibility Scale - Clinical Interview

    video interview yields a severity score from 0 no impairment to 28 maximum impairment

    Time frame: 6 months

Secondary outcomes

  1. Aberrant Behavior Checklist-Community (ABC-C)

    online survey

    Time frame: Baseline, 6 weeks, 12 weeks, and 6 month follow-up

  2. Direct Observation of Repetitive Behaviors in Autism (DORBA)

    The DORBA is an observational measure of restricted and repetitive behaviors in children with ASD based on clinician- or caregiver-child interactions.

    Time frame: Baseline, 12 weeks, and 6 month follow-up

  3. Behavioral Inflexibility Scale (BIS)

    parent survey of severity with total score ranging from 0 (no problem) to 190 very severe on all 38 items

    Time frame: Baseline, 6 weeks, 12 weeks, and 6 month follow-up

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Participant data will be shared with the NDAR repository using their system of GUIDs.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data will be available following the completion of the trial and data cleaning. It will remain in the archive as soon as the archive is supported.

Access criteria: Access criteria will be managed by the NDAR site.

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

Started Apr 2022 (actual). Primary completion is estimated for Dec 2025, 44 months after the start.

Of 800 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 planned 44 months is above that.

Counting every sponsor, half of 823 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
Oct 29, 2021
First posted
Nov 18, 2021
StartActual
Apr 1, 2022
Primary completionEst.
Dec 31, 2025
CompletionEst.
Mar 31, 2026
Last update
Jan 22, 2024
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 Jan 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05125003
Lead sponsor
University of Kansas
Responsible party
Sponsor
First posted
Nov 18, 2021
Start date
Apr 1, 2022
Primary completion
Dec 31, 2025 (estimated)
Completion
Mar 31, 2026 (estimated)
Last update
Jan 22, 2024

Study contacts

Brian Boyd, PhD
Contact
Brian_Boyd@unc.edu
(913) 321-3143
Natalie Babich
Contact
nataliebabich@ku.edu
(913) 321-3143
Brian Boyd, PhD
principal investigator · University of North Carolina, Chapel Hill

Oversight

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

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