期刊论文详细信息
Trials
The group-based social skills training SOSTA-FRA in children and adolescents with high functioning autism spectrum disorder - study protocol of the randomised, multi-centre controlled SOSTA - net trial
Meinhard Kieser1  Cornelia Ursula Kunz1  Stephan Bender3  Anne K Kroeger2  Leyla Elsuni2  Hannah Cholemkery2  Christine M Freitag2 
[1] Institute of Medical Biometry and Informatics, University of Heidelberg, 69120, Heidelberg, Germany;Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Frankfurt, 60528, Frankfurt, Germany;Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Dresden, 01307, Dresden, Germany
关键词: Autism spectrum disorder;    Moderating factors;    Neural function;    Social skills training;   
Others  :  1094996
DOI  :  10.1186/1745-6215-14-6
 received in 2012-07-19, accepted in 2012-12-13,  发布年份 2013
PDF
【 摘 要 】

Background

Group-based social skills training (SST) has repeatedly been recommended as treatment of choice in high-functioning autism spectrum disorder (HFASD). To date, no sufficiently powered randomised controlled trial has been performed to establish efficacy and safety of SST in children and adolescents with HFASD. In this randomised, multi-centre, controlled trial with 220 children and adolescents with HFASD it is hypothesized, that add-on group-based SST using the 12 weeks manualised SOSTA–FRA program will result in improved social responsiveness (measured by the parent rated social responsiveness scale, SRS) compared to treatment as usual (TAU). It is further expected, that parent and self reported anxiety and depressive symptoms will decline and pro-social behaviour will increase in the treatment group. A neurophysiological study in the Frankfurt HFASD subgroup will be performed pre- and post treatment to assess changes in neural function induced by SST versus TAU.

Methods/design

The SOSTA – net trial is designed as a prospective, randomised, multi-centre, controlled trial with two parallel groups. The primary outcome is change in SRS score directly after the intervention and at 3 months follow-up. Several secondary outcome measures are also obtained. The target sample consists of 220 individuals with ASD, included at the six study centres.

Discussion

This study is currently one of the largest trials on SST in children and adolescents with HFASD worldwide. Compared to recent randomised controlled studies, our study shows several advantages with regard to in- and exclusion criteria, study methods, and the therapeutic approach chosen, which can be easily implemented in non-university-based clinical settings.

Trial registration

ISRCTN94863788 – SOSTA – net: Group-based social skills training in children and adolescents with high functioning autism spectrum disorder.

【 授权许可】

   
2013 Freitag et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150130180832693.pdf 300KB PDF download
Figure 1. 68KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Baird G, Simonoff E, Pickles A, Chandler S, Loucas T, Meldrum D, Charman T: Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). Lancet 2006, 368:210-215.
  • [2]Baron-Cohen S, Scott FJ, Allison C, Williams J, Bolton P, Matthews FE, Brayne C: Prevalence of autism-spectrum conditions: UK school-based population study. Br J Psychiatry 2009, 194:500-509.
  • [3]Leyfer OT, Folstein SE, Bacalman S, Davis NO, Dinh E, Morgan J, Tager-Flusberg H, Lainhart JE: Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. J Autism Dev Disord 2006, 36:849-861.
  • [4]Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G: Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatry 2008, 47:921-929.
  • [5]Williams White SW, Koenig K, Scahill L: Social skills development in children with autism spectrum disorders: a review of the intervention research. J Autism Dev Disord 2007, 37:1858-1868.
  • [6]Rao PA, Beidel DC, Murray MJ: Social skills interventions for children with Asperger's syndrome or high-functioning autism: a review and recommendations. J Autism Dev Disord 2008, 38:353-361.
  • [7]Solomon M, Goodlin-Jones BL, Anders TF: A social adjustment enhancement intervention for high functioning autism, Asperger's syndrome, and pervasive developmental disorder NOS. J Autism Dev Disord 2004, 34:649-668.
  • [8]Beaumont R, Sofronoff K: A multi-component social skills intervention for children with Asperger syndrome: the Junior Detective Training Program. J Child Psychol Psychiatry 2008, 49:743-753.
  • [9]DeRosier ME, Swick DC, Davis NO, McMillen JS, Matthews R: The efficacy of a Social Skills Group Intervention for improving social behaviors in children with High Functioning Autism Spectrum disorders. J Autism Dev Disord 2011, 41:1033-1043.
  • [10]Frankel F, Myatt R, Sugar C, Whitham C, Gorospe CM, Laugeson E: A randomized controlled study of parent-assisted Children's Friendship Training with children having autism spectrum disorders. J Autism Dev Disord 2010, 40:827-842.
  • [11]Koenig K, White SW, Pachler M, Lau M, Lewis M, Klin A, Scahill L: Promoting social skill development in children with pervasive developmental disorders: a feasibility and efficacy study. J Autism Dev Disord 2010, 40:1209-1218.
  • [12]Lopata C, Thomeer ML, Volker MA, Toomey JA, Nida RE, Lee GK, Smerbeck AM, Rodgers JD: RCT of a manualized social treatment for high-functioning autism spectrum disorders. J Autism Dev Disord 2010, 40:1297-1310.
  • [13]Herbrecht E, Poustka F, Birnkammer S, Duketis E, Schlitt S, Schmotzer G, Bolte S: Pilot evaluation of the Frankfurt Social Skills Training for children and adolescents with autism spectrum disorder. Eur Child Adolesc Psychiatry 2009, 18:327-335.
  • [14]Tse J, Strulovitch J, Tagalakis V, Meng L, Fombonne E: Social skills training for adolescents with Asperger syndrome and high-functioning autism. J Autism Dev Disord 2007, 37:1960-1968.
  • [15]Unnewehr S, Schneider S, Margraf J: Kinder-DIPS - Diagnostisches Interview bei psychischen Störungen im Kindes- und Jugendalter. Berlin: Springer; 2009.
  • [16]Constantino JN, Davis SA, Todd RD, Schindler MK, Gross MM, Brophy SL, Metzger LM, Shoushtari CS, Splinter R, Reich W: Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. J Autism Dev Disord 2003, 33:427-433.
  • [17]Bölte S, Poustka F: Skala zur Erfassung sozialer Reaktivität. BernHuber; 2008.
  • [18]Arbeitsgruppe Deutsche Child Behavior Checklist: Deutsche Bearbeitung der Child Behavior Checklist (CBCL/4-18) - Einführung und Anleitung zur Handauswertung, 2. Auflage mit deutschen Normen. Köln: author’s print 1999
  • [19]Rothenberger A, Becker A, Erhart M, Wille N, Ravens-Sieberer U: Psychometric properties of the parent strengths and difficulties questionnaire in the general population of German children and adolescents: results of the BELLA study. Eur Child Adolesc Psychiatry 2008, 17:99-105.
  • [20]Stiensmeier-Pelster J, Schürmann M, Duda K: DIKJ - Depressionsinventar für Kinder und Jugendliche. Göttingen: Hogrefe; 2000.
  • [21]Elashoff JD: nQuery Advisor Version 7 User's Guide. Los Angeles: Statistical Solutions; 2007.
  • [22]Laugeson EA, Frankel F, Mogil C, Dillon AR: Parent-assisted social skills training to improve friendships in teens with autism spectrum disorders. J Autism Dev Disord 2009, 39:596-606.
  • [23]Maurer M, Hothorn L, Lehmacher W: Multiple comparisons in drug clinical trials and preclinical assays: a priori ordered hypothesis. In Biometrie in der chemisch-pharmazeutischen Industrie. Volume 6 Edited by Stuttgart VJ: Fischer. 1995, 3-12.
  • [24]Mallinckrodt CH, Lane PW, Schnell D, Peng Y, Mancuso JP: Recommendations for the primary analysis of continuous endpoints in longitudinal clinical trials. Drug Inf J 2008, 42:303-319.
  • [25]Lane P: Handling drop-out in longitudinal clinical trials: a comparison of the LOCF and MMRM approaches. Pharm Stat 2008, 7:93-106.
  • [26]Siddiqui O, Hung HM, O'Neill R: MMRM vs. LOCF: a comprehensive comparison based on simulation study and 25 NDA datasets. J Biopharm Stat 2009, 19:227-246.
  文献评价指标  
  下载次数:9次 浏览次数:20次