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Autism Spectrum DisorderNCT04427150

Affective Prosody Recognition and Auditory Intervention for Children With Autism Spectrum Disorders (ASD)

A study testing Auditory Training and Non-auditory training in people with Autism Spectrum Disorder, run by Hong Kong Baptist University at 1 site in Hong Kong.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The proposed study aims to examine the abilities of children with ASD to recognize emotional tones of voice - also known as affective prosody - as compared to typically developing (TD) children. Read more about this study

Who is it for?
Ages 8 to 14 yearsHealthy volunteers can take part
Conditions the study is for
Autism Spectrum Disorder
What is being tested?
Auditory Training and Non-auditory training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteHong Kong
Study dates
25 Sep 2020to 31 Dec 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 14 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Cantonese as mother language
  • IQ > 70
  • Children with autism spectrum disorder

Who cannot join

  • Children diagnosed with dyslexia
  • Prior diagnosis of mental disorders

Trial locations and contacts

1 site in 1 country.

Hong Kong1 site
  • Centre of Learning Science

    Kowloon Tong

Other trials in Hong Kong

About this study

Official title: Examining Affective Prosody Recognition Among Children With Autism Spectrum Disorders and the Effectiveness of an Auditory Intervention Using a Mobile App

The proposed study aims to examine the abilities of children with ASD to recognize emotional tones of voice - also known as affective prosody - as compared to typically developing (TD) children. Past findings are mixed, and although some studies have found intact performance among individuals with ASD, it is possible that they rely on different underlying mechanisms in processing affective prosody compared to TD children. Our second objective is therefore to examine whether children with ASD have a stronger reliance on psychoacoustic abilities - including rapid auditory processing and pitch direction recognition - to identify emotional stimuli, as compared to TD children. Lastly, the investigators will study whether auditory training targeting psychoacoustic abilities would improve affective prosody recognition among children with ASD. Sixty children with ASD and 60 TD children between 10 to 12 years old will be recruited. Participants' psychoacoustic abilities and affective prosody recognition will be assessed in the pretest. The investigators hypothesize that psychoacoustic abilities are stronger predictors of affective prosody recognition among children with ASD than among TD children. The ASD children will then be randomly assigned to two groups: one group will receive auditory training; the other will be an active control group that receives non-auditory training. Both groups will receive 12 hours of training via a mobile app. The children will be assessed again in the posttest.

Read the detailed description

Participants will sign an informed consent statement prior to arriving at the lab. Participants with ASD will be randomly assigned into either the auditory training group (Group 1) or the active control group (Group 2). Participants without ASD will be assigned to the typically developed group (Group 3). Groups 1 and 2 will complete all stages of the study, whereas Group 3 will only complete the pre-test stage.

Pre-test: Researchers will assess participants' affective prosody recognition ability and psychoacoustic ability. The tests will be conducted in a sound attenuated lab located at Hong Kong Baptist University. The tests include an affective prosody recognition test, a pitch discrimination recognition test, a rapid auditory processing test, and a theory of mind test.

Intervention Training: Participants will be required to partake in an intervention training program. The program will adopt training exercises provided by Posit Science - BrainHQ. The participants will be asked to complete a training session of 15-30 minutes each day for 8 weeks, arriving at a total of at least 8 hours of training. The progress of intervention training will be closely monitored by the research team.

Post-test: Participant will be asked to return to the lab for post-test assessment of the same tests, and complete an autism assessment (ADOS-2) and intelligence assessment (WISC-IV) conducted by a clinical psychologist, as well as a non-verbal Intelligence test (KBIT-2) conducted by a trained researcher.

Note: For ethical and fairness purposes, participants from Group 2 will be allowed to access the intervention training after Post-test.

To encourage completion of the intervention training program, participants who successfully complete 8 hours of training will be offered a monetary reward as a token of appreciation.

Being tested
Auditory Training, Non-auditory training
Medical subject headings
Autism Spectrum Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Auditory TrainingBehavioural

    A series of psychoacoustic training exercises through Posit Science - BrainHQ (mobile app or web-browser version). Each training is approximately 2 minutes

  • Non-auditory trainingBehavioural

    A series of non-psychoacoustic training exercises through Posit Science - BrainHQ (mobile app or web-browser version). Each training is approximately 2 minutes

Study groups in NCT04427150
Study groupRoleWhat they receive
Auditory Training GroupExperimental12 hours of psychoacoustic training over 8 weeks
Receives: Behavioral: Auditory Training
Other Training GroupActive comparator12 hours of non-psychoacoustic training over 8 weeks
Receives: Behavioral: Non-auditory training
TD GroupNo interventionNot described

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Accuracy of Affective Prosody Recognition

    Measures the change in the participants' ability in identifying emotional tone of words or sentences (sound stimuli). The participant will be tested before intervention and after intervention. For each test, participants will listen to word or sentences, which are pre-recorded by voice actors, then identify the emotional tone (happy, anger, fear, sad, or neutral) of the stimuli by pressing the corresponding keys on the keyboard. The accuracy of response will be used to assess the participants' ability.

    Measured: Before & after 8-week intervention program

  2. Change in Ability in Discriminating Pitch Differences

    Measures the change the participants' ability in discriminating the pitch between two tones using the Pitch Discrimination Recognition task. The participant will be tested before intervention and after intervention. For each test, participants will listen to two tones and will be required to identify which tone has the higher pitch. The pitch difference between the two tones will change using a "two-down one-up" mechanism with a step-wise adjustment, which means the pitch difference will decrease every two consecutive correct responses or increase for every incorrect response. For every reversal (change from decrease to increase or vice versa) of stimuli, the latest pitch difference will be recorded. The average pitch difference of the final 8 reversals will be used to assess the participants' pitch discrimination ability. Lesser difference indicate stronger ability in discriminating the pitch between two tones.

    Measured: Before & after 8-week intervention program

  3. Change in Accuracy in Processing Rapid Presentation of Two Tones

    Measures the change in the participants' ability in processing two rapid tones using the Rapid Auditory Processing task. The participant will be tested before intervention and after intervention. Two complex tones with fundamental frequency of 100Hz (Low tone) and 305Hz (High tone), each 75ms in duration, will be used throughout the entire test. For each trial, the participant will listen to two tones at ISI of 4ms, 8ms, or 30ms. The participants will be required to replicate the sequence of High or Low tones in each trial as quickly as possible. The accuracy of replicating the sequence will be used to assess the participants' ability.

    Measured: Before & after 8-week intervention program

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jun 2020
  2. Study start25 Sep 2020
  3. Primary completion31 Dec 2021
  4. Study completion31 Dec 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
120 participants (60 children with autism spectrum disorder and 60 typically developed children) will form three groups: Group 1 will contain 30 children with autism spectrum disorder (randomly selected) whom will partake in psychoacoustic intervention training. Group 2 will contain 30 children with autism spectrum disorder (randomly selected) whom will partake in non-psychoacoustic intervention training. Group 3 will contain 60 typically developed children whom will not partake in any training.
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04427150
Sponsor's protocol ID
HKBU 12604418
Status last verified
Mar 2022
First submitted
1 Jun 2020
Last updated
31 Mar 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Anonymous individual participant data will be uploaded to an publicly accessible database should the results were published as a journal article.

Publications

  • Ashwin C, Baron-Cohen S, Wheelwright S, O'Riordan M, Bullmore ET. Differential activation of the amygdala and the 'social brain' during fearful face-processing in Asperger Syndrome. Neuropsychologia. 2007 Jan 7;45(1):2-14. doi: 10.1016/j.neuropsychologia.2006.04.014. Epub 2006 Jun 30.

    PubMed 16806312
  • Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a "theory of mind"? Cognition. 1985 Oct;21(1):37-46. doi: 10.1016/0010-0277(85)90022-8. No abstract available.

    PubMed 2934210
  • Bonnel A, Mottron L, Peretz I, Trudel M, Gallun E, Bonnel AM. Enhanced pitch sensitivity in individuals with autism: a signal detection analysis. J Cogn Neurosci. 2003 Feb 15;15(2):226-35. doi: 10.1162/089892903321208169.

    PubMed 12676060
  • Boucher J, Lewis V, Collis GM. Voice processing abilities in children with autism, children with specific language impairments, and young typically developing children. J Child Psychol Psychiatry. 2000 Oct;41(7):847-57.

    PubMed 11079427
  • Oram Cardy JE, Flagg EJ, Roberts W, Brian J, Roberts TP. Magnetoencephalography identifies rapid temporal processing deficit in autism and language impairment. Neuroreport. 2005 Mar 15;16(4):329-32. doi: 10.1097/00001756-200503150-00005.

    PubMed 15729132
  • Castelli F, Happe F, Frith U, Frith C. Movement and mind: a functional imaging study of perception and interpretation of complex intentional movement patterns. Neuroimage. 2000 Sep;12(3):314-25. doi: 10.1006/nimg.2000.0612.

    PubMed 10944414
  • Demopoulos C, Hopkins J, Kopald BE, Paulson K, Doyle L, Andrews WE, Lewine JD. Deficits in auditory processing contribute to impairments in vocal affect recognition in autism spectrum disorders: A MEG study. Neuropsychology. 2015 Nov;29(6):895-908. doi: 10.1037/neu0000209. Epub 2015 May 25.

    PubMed 26011112
  • Demopoulos C, Lewine JD. Audiometric Profiles in Autism Spectrum Disorders: Does Subclinical Hearing Loss Impact Communication? Autism Res. 2016 Jan;9(1):107-20. doi: 10.1002/aur.1495. Epub 2015 May 11.

    PubMed 25962745
  • Devine RT, Hughes C. Silent films and strange stories: theory of mind, gender, and social experiences in middle childhood. Child Dev. 2013 May-Jun;84(3):989-1003. doi: 10.1111/cdev.12017. Epub 2012 Nov 30.

    PubMed 23199139
  • Gaab N, Gabrieli JD, Deutsch GK, Tallal P, Temple E. Neural correlates of rapid auditory processing are disrupted in children with developmental dyslexia and ameliorated with training: an fMRI study. Restor Neurol Neurosci. 2007;25(3-4):295-310.

    PubMed 17943007
  • Gebauer L, Skewes J, Horlyck L, Vuust P. Atypical perception of affective prosody in Autism Spectrum Disorder. Neuroimage Clin. 2014 Oct 5;6:370-8. doi: 10.1016/j.nicl.2014.08.025. eCollection 2014.

    PubMed 25379450
  • Globerson E, Amir N, Kishon-Rabin L, Golan O. Prosody recognition in adults with high-functioning autism spectrum disorders: from psychoacoustics to cognition. Autism Res. 2015 Apr;8(2):153-63. doi: 10.1002/aur.1432. Epub 2014 Nov 26.

    PubMed 25428545
  • Golan O, Baron-Cohen S, Hill JJ, Golan Y. The "reading the mind in films" task: complex emotion recognition in adults with and without autism spectrum conditions. Soc Neurosci. 2006;1(2):111-23. doi: 10.1080/17470910600980986.

    PubMed 18633780
  • Grossman RB, Tager-Flusberg H. "Who said that?" Matching of low- and high-intensity emotional prosody to facial expressions by adolescents with ASD. J Autism Dev Disord. 2012 Dec;42(12):2546-57. doi: 10.1007/s10803-012-1511-2.

    PubMed 22450703
  • Hudepohl MB, Robins DL, King TZ, Henrich CC. The role of emotion perception in adaptive functioning of people with autism spectrum disorders. Autism. 2015 Jan;19(1):107-12. doi: 10.1177/1362361313512725. Epub 2013 Dec 11.

    PubMed 24335115

Questions about this trial

What is this clinical trial studying?

A study testing Auditory Training and Non-auditory training in people with Autism Spectrum Disorder, run by Hong Kong Baptist University at 1 site in Hong Kong.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Accuracy of Affective Prosody Recognition (time frame: Before & after 8-week intervention program). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04427150, which also lists 33 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Mar 2022.

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