About this trial
Babies Can't Wait (BCW) in Georgia will be referring families with children seeking an autism spectrum disorder (autism) diagnosis at the Emory Autism Center's (EAC) Child Screening and Assessment Clinic.The objective of this study is to develop, pilot, and evaluate a diagnostic protocol for children identified at high risk for autism in the BCW early intervention program screening (part of a public health service). This program evaluation will be using pre- and post-data and data collected through the process to evaluate the effectiveness of the EDRM pilot.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All families of children between the ages of 16-30 months of age who scored ≥8 on the MCHAT-R and whose BCW provider refers the child to our clinic by 33 months of age will be a possible participant. Evaluations will be done by 36 months of age.
Referring BCW provider must be one of the participating BCW health districts in this pilot study.
Parent/Guardian needs to have basic English proficiency
Parent/Guardian needs to have internet access
Disqualifiers
Families making self-referrals to the EAC or referrals outside of the targeted BCW districts will be excluded from recruitment for this study.
Children above the age of 33 months at the time of the referral will be excluded as the current EDRM protocol has not been developed in this phase of piloting for individuals over this age.
Non-English speakers will be excluded from participation due to the current protocol not being applicable to their needs as well as a high correlation between verbal language abilities and social communication and social interaction (SCI) abilities as part of the DSM-5-TR autism criteria.
Trial design
Single group
Treatments tested in this trial
Early Diagnostic Response Model (EDRM)
BehavioralUse of telehealth capabilities to implement measures and capture and code information related to an autism diagnosis. This program evaluation will be using pre- and post-data and data collected through the process to evaluate the effectiveness of the EDRM pilot.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants referred to the Early Diagnostic Response Model (EDRM)
Monthly numbers of high-risk referrals to the EDRM pilot project and total number of referrals made to the EDRM at the end of the study
Number of participants consented in the Early Diagnostic Response Model (EDRM) study
Monthly number of families referred who consent to EDRM participation
Response rate in the Early Diagnostic Response Model (EDRM) study
Response rate will be calculated at project end using the formula \[# of families who consented / # of families referred to project\] x 100 = response rate)
Number of participants that completed the Early Diagnostic Response Model (EDRM) study
Quarterly numbers of participants that completed the EDRM assessment protocol and total number of participants who completed EDRM assessment protocol at study conclusion
Secondary outcomes
Number of high-risk referral assessments that completed entirely via streamlined telehealth protocol
Number of high-risk referral assessments that completed entirely via streamlined telehealth protocol, analyzed globally. Monthly, Quarterly, and Total numbers of participants who completed EDRM pilot assessment.
Number of of high-risk referral by BCW district
Number of high-risk referral assessments by specific BCW district. Monthly, Quarterly, and Total numbers of participants who completed EDRM pilot assessment.
Number of of high-risk referral by child factors
Number of high-risk referral assessments by child factors. Monthly, Quarterly, and Total numbers of participants who completed EDRM pilot assessment.
Number of of high-risk referral by clinician setting
Number of high-risk referral assessments by clinician setting. Monthly, Quarterly, and Total numbers of participants who completed EDRM pilot assessment.
Sponsors and contacts
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Emory University
Lead sponsor
Georgia Department of Public Health
Collaborator