Centering Autistic Perspectives in Behavioral Intervention Discussions

ConditionAutism
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorDrexel University

About this trial

The Centering Autistic Perspectives for Behavioral Interventions Discussions (CAPBID) PCORI Science of Engagement Award will examine different community engagement approaches for bringing together autistic people, Applied Behavioral Analysis (ABA) providers, and other members of the autism community to advance a shared equitable dialogue around research priorities for ABA-related research. One of these approaches will be based on existing transformative and restorative justice methods and frameworks. This project also utilizes a community-driven participatory research approach that will center autistic leadership in all aspects of the project.

The investigators hope that this research will pave the way for creating spaces where autistic people are heard in their experiences and can collaborate effectively with open-minded ABA providers about how to advance the next generation of care and research in the field. More broadly, the investigators aim to create engagement approaches that may be used to have conversations around critical and difficult issues faced by the autistic and autism communities, as well as other marginalized communities.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Adults over the age of 18

An Autistic individual who experienced Applied Behavior Analysis or

A practitioner who currently or previously was involved in the delivery of Applied Behavior Analysis

Able to communicate fluently in English

Disqualifiers

Under the age of 18,

Unable to communicate in English

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transformative and Restorative Engagement Circle (TREC)

    Behavioral

    TREC will be co-developed in Phase 1, to focus on ensuring the presence of at least 3 key components: 1) a listening phase (focused on unconditionally hearing the experiences of autistic participants), 2) an acknowledgement phase (in which the experiences, including but not limited to harms and trauma, of autistic participants will be expressly addressed and acknowledged), 3) a negotiation/priority-setting phase, in which participants will collaboratively identify goals for future CER.

  • Stakeholder Engagement in quEstion Development and prioritization (SEED)

    Behavioral

    The SEED Method is a PCORI-supported multilevel stakeholder engagement model, using a participatory framework to develop stakeholder priorities. The core premise of SEED is creating a level playing field for stakeholders, wherein participants learn how to collaboratively identify their own community's priorities, and then refine them together. It involves convening participatory Topic Groups of stakeholders, assembled based on their experience and knowledge of the area of focus (in this case, autism and ABA). It also involves additional consultative stakeholder participants to fill in key gaps in representation; this element may or may not be present in thi SEED iteration, based on the CAC-led adaptation. SEED participants convene over a period of time (adapted to the needs of the specific group, and will be matched to the length of TREC here) to conceptualize (i.e., learn how to build a conceptual model and conduct exercises to do so), generate questions (i.e., review the conceptual m

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: Transformative and Restorative Engagement Circle (TREC)Experimental treatment 1 intervention
Group B: Stakeholder Engagement in quEstion Development and prioritization (SEED)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Brief Engagement Poll

3-item poll indicating perceived quality ("ability to engage you as a member of our team in the meeting"), value ("Was today's meeting a good use of your time"), and contribution ("To what extent did you contribute to project-related processes") to the process, developed for autistic research partnerships by AASET

Time frame
Up to one day after the start of the intervention (engagement approach) delivery and up to 24 hours after completion of the intervention (engagement approach) delivery
2

ABX Stakeholder Toolkit

Likert-type measure, with items including, "The study values the differences of contributing stakeholders," "I feel the study team has a clear understanding of stakeholders' expertise, strengths, and roles," "study stakeholders engage in open communication and demonstrate a willingness to listen to others," "My fellow stakeholder participants respect what I have to say, even when they do not agree with me." (post-engagement trust) "Participating in these activities has helped me better understand research on \[this topic\]," (sense of agency) "Individuals whose lives are most impacted by \[this topic\] are well represented," "I have decision-making authority and believe I contribute meaningfully to relevant outcomes and objectives for the study," "I feel that I have been compensated appropriately for my time and expertise as a stakeholder," "I have learned a lot from participating in these activities," "I feel I could explain the ABX study to others." (sense of buy-in)

Time frame
At baseline, up to one day after the start of the intervention (engagement approach) delivery and up to 24 hours after the completion of the intervention (engagement approach) delivery
3

Genetic Alliance Engagement Assessment Tool

Quantitative engagement metrics, including the degree to which "stakeholders report satisfaction in involvement in the research process and feel adequately informed about the project activities and results," and "Stakeholders report that the research is valuable to them and that they have contributed to setting and revising project priorities." as well as self-report items such as "A sense of partnership among team members and investigators has been established," "All team members are given equal opportunity to provide input," "Input from team members is incorporated into the decision-making process," and "There is clear communication about how input from team members is incorporated into decisions."

Time frame
At baseline, up to one day after the start of the intervention (engagement approach) delivery and up to 24 hours after the completion of the intervention (engagement approach) delivery

Secondary outcomes

1

ABA Willingness Tool

Likert-type measure regarding the willingness of participants to engage in further discussions regarding ABA-related CER. To be adapted with the CAC

Time frame
Up to 24 hours after completion of the intervention (engagement approach) delivery, up to 1-week after completion of the intervention, and up to 1-month after completion of the intervention.
2

AAPS

1-item bipolar expanded -type self-report measure, indicating degree of pro- or anti-ABA positionality among participants. Scale endpoints will approximate, "I believe ABA should never be used with autistic people" and "All critiques of ABA are misguided, and ABA represents a uniformly useful evidence-based practice for autistic people."

Time frame
During screening for study enrollment and up to 1 week after completion of the intervention (engagement approach) delivery.
3

AASPIRE CBPR Check In

A Likert-type measure, with items including "I feel I have the chance to say (or type) what I want to say during team meetings," "I feel like my comments are taken seriously," "I feel my opinions are valued" (sense of buy-in), and "this project is important," "I feel like this team works well together," "I find working on this project to be rewarding," "I am glad I am part of this team," "I am proud of the work we have done so far on this project" (post-engagement trust), all to be adapted with the CAC.

Time frame
At baseline, up to one day after the start of the intervention (engagement approach) delivery and up to 24 hours after the completion of the intervention (engagement approach) delivery
4

TREC and SEED Fidelity Tools

The Community Advisory Council-led process will yield co-development of a self-reported fidelity tool, to be completed by TREC Facilitators after each day. This tool will be used to assess the degree to which the groups adhered to the EA processes developed by the group

Time frame
Up to 24 hours after each day of intervention (engagement approach)delivery.

Other outcomes

Sponsors and contacts

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Drexel University

Lead sponsor

Patient-Centered Outcomes Research Institute

Collaborator

La Trobe University

Collaborator

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