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Autism Spectrum DisordersGIETSANCT04607616

Interactive Guidance Therapy With Video Feed-back of Parent and Child With Autism Spectrum Disorder

A study testing Baseline sessions TAU, Interactive guidance therapy and Developmental and diagnostic assessments in people with Autism Spectrum Disorders, run by Assistance Publique - Hôpitaux de Paris at 4 sites in France.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this study is to assess the effect of Interactive Guidance Therapy with video feed back (IGT) of parent and child with Autism Spectrum Disorder, under three years of age, using a Single Case Experimental Design (SCED) with multiple baseline across subjects, multicentric, randomized, with multiple… Read more about this study

Who is it for?
Ages 18 months to 3 years
Conditions the study is for
Autism Spectrum Disorders
What is being tested?
Baseline sessions TAU, Interactive guidance therapy and Developmental and diagnostic assessments
Could I receive a placebo?
No, everyone receives an active treatment
How many people
27 participants
Where
4 sitesFrance
Study dates
26 Mar 2021to May 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 months to 3 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 18 months to 3 years child at screening
  • Child with a diagnosis of Autism Spectrum Disorder (DSM 5) or pervasive Developmental Disorder (ICD 10)
  • Child with ADI R and ADOS-2 fulfilling the criteria for TSA / PDD at diagnosis
  • Developmental age > 12 months in motility with the Brunet-Lézine test
  • Child with availability of parent most present in daily life, only this parent participating directly in play sessions
  • Signed Informed consent form by both parents
  • Patient affiliated to the health insurance system

Who cannot join

  • Level of language in French of parents insufficient to benefit from the care and fill in the questionnaires
  • Psychiatric parental pathology interfering with interactions with the child, qualitatively assessed by the referring psychiatrist
  • Severe sensory illness of the child (blindness, deafness, degenerative disease)

Trial locations and contacts

4 sites in 1 country.

France4 sites
  • Hôpital Saint Eloi

    Montpellier, 34000

  • Hôpital Ville Evrard

    Montreuil, 93100

  • Hôpital Pitié Salpétriere

    Paris, 75013

  • Hôpital Necker Enfants Malades

    Paris, 75015

Other trials in France

About this study

The purpose of this study is to assess the effect of Interactive Guidance Therapy with video feed back (IGT) of parent and child with Autism Spectrum Disorder, under three years of age, using a Single Case Experimental Design (SCED) with multiple baseline across subjects, multicentric, randomized, with multiple replications, blinded scored

Read the detailed description

The purpose of this study is to assess the effect of Interactive Guidance Therapy with video feed back (IGT) of parent and child with Autism Spectrum Disorder, under three years of age, using a Single Case Experimental Design.

Early Interventions in Autism Spectrum Disorders (ASD) undergo a major development. The investigators identify three generations of early support: 1) Behavioral studies ; 2) Early Intensive Behavioral Interventions (EIBI), inspired by ABA, focused on targeted ASD disorders 3) Naturalistic Behavioral Developmental Behavioral Interventions (NDBI), more ecological, focused on the child's skills.

Among them, methods of video feedback target parental sensitivity (identification, interpretation, response, contingency and synchrony). The VIPP (Video Interactive Positive Parenting) in children less than one year of age, has shown moderate and long term effects on parent-child interaction. The PACT (Preschool Autism Communication Trial) showed immediate and in the long term effects on the synchronization of the parental response, the child initiation, less importantly on the joint attention, and on the autistic symptoms. The dyadic communication allows for changes in autistic symptoms.

Interactive guidance is a brief video-feedback therapy, based on the analysis of "the here and now" with the parent (s), of videotaped interactions with their child. The objective is to strengthen parental skills, their sensitivity, their ability to decipher and respond to the specific needs of their child.

The interest of IGT in the field of ASD, compared to VIPP and PACT, is to offer a standardized feedback intervention adapted to each dyad, according to the child's and parents skills and difficulties, structured on the "here and now" more than on a predetermined sequence of goals.

The investigators use the Single Case Experimental Design (SCED) with multiple baseline across subjects, multicentric, randomized, with multiple replications, blinded scored.

They expect

  • to improve the interactive and communicative basic skills of the child, soon after the ASD diagnosis, by accompanying the parents in the identification and understanding of their child's disorders.
  • to propose a method highlighting parental skills, in a collaborative and pleasant way
  • To increase the parental alliance in the implementation of a tailored intervention for the child
  • To facilitate access to healthcare and reduce the parental wandering in the implementation of intervention
Being tested
Baseline sessions TAU, Interactive guidance therapy, Developmental and diagnostic assessments, Developmental assessment -Parental scales, Qualitative analysis
Keywords
Autism Spectrum Disorders, Interactive guidance therapy, Video feed-back
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.

  • Baseline sessions TAUBehavioural

    TAU consists of sessions lasting around one/one and a half hour ; the consultant is practicing as usual. The interventions focus on child's behavior, parent infant relationship, with moments of play with the child, advices, informations about child development and Autism.

  • Interactive guidance therapyBehavioural

    The objective is to reinforce the identification, deciphering, interpretation, and answer to child's signals by the parent, in order to to promote a synchronous and attuned response to the child's needs.

    Sessions last around one/one and a half hour. Parent plays 7-10 minutes with the child, in the presence of the therapist, with toys chosen according to the child's developmental stage. Then therapist proposes an immediate viewing of the play session. The therapist selects short moments of positive interaction. He has determined a " focus ", depending on the play, previous sessions, the child's difficulties and parent's interventions. He accompanies, guides and supports the parent to describe the interaction, the alternance in play, joint attention, shared affect, in a co-construction: the parent discovers the child's and his own skills.

  • Developmental and diagnostic assessmentsDiagnostic test

    MSEL, CARS, ECAR, CIM10, DMS5, ADOS, ADIR

  • Developmental assessment -Parental scalesBehavioural

    Vineland II, IFDC, IDE

  • Qualitative analysisBehavioural

    Interpretative Phenomenological Analysis. Parents' semi structured interview about the Interactive Guidance experience. Qualitative analysis of transcripts (recurrent themes, meta themes).

Study groups in NCT04607616
Study groupRoleWhat they receive
3 baselines sessions Treatment As Usual (TAU)ExperimentalPatients received 3 baseline sessions before interactive guidance therapy
Receives: Behavioral: Baseline sessions TAU; Behavioral: Interactive guidance therapy; Diagnostic Test: Developmental and diagnostic assessments; Behavioral: Developmental assessment -Parental scales; Behavioral: Qualitative analysis
4 baselines sessions TAUExperimentalPatients received 4 baseline sessions before interactive guidance therapy
Receives: Behavioral: Baseline sessions TAU; Behavioral: Interactive guidance therapy; Diagnostic Test: Developmental and diagnostic assessments; Behavioral: Developmental assessment -Parental scales; Behavioral: Qualitative analysis
5 baselines sessions TAUExperimentalPatients received 5 baseline sessions before interactive guidance therapy
Receives: Behavioral: Baseline sessions TAU; Behavioral: Interactive guidance therapy; Diagnostic Test: Developmental and diagnostic assessments; Behavioral: Developmental assessment -Parental scales; Behavioral: Qualitative analysis
6 baselines sessions TAUExperimentalPatients received 6 baseline sessions before interactive guidance therapy
Receives: Behavioral: Baseline sessions TAU; Behavioral: Interactive guidance therapy; Diagnostic Test: Developmental and diagnostic assessments; Behavioral: Developmental assessment -Parental scales; Behavioral: Qualitative analysis
7 baselines sessions TAUExperimentalPatients received 7 baseline sessions before interactive guidance therapy
Receives: Behavioral: Baseline sessions TAU; Behavioral: Interactive guidance therapy; Diagnostic Test: Developmental and diagnostic assessments; Behavioral: Developmental assessment -Parental scales; Behavioral: Qualitative analysis
8 baselines sessions TAUExperimentalPatients received 8 baseline sessions before interactive guidance therapy
Receives: Behavioral: Baseline sessions TAU; Behavioral: Interactive guidance therapy; Diagnostic Test: Developmental and diagnostic assessments; Behavioral: Developmental assessment -Parental scales; Behavioral: Qualitative analysis

What is being measured

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

  1. Percentage of time spent in a joint attention situation

    Coordinated Joint Attention (COJ) rate is evaluated during the parents-child play-time

    Measured: Up to 15 months

  2. Percentage of time spent in a joint attention situation

    Supported Joint Attention (SUJ) rate is evaluated during the parents-child play-time

    Measured: Up to 15 months

Secondary outcomes (15)
  1. Parent-child interactive features/ joint attention

    • SUJ and COJ rate initiated by child

    Measured: Up to 15 months

  2. Parent-child interactive features / DCMA scale

    • DCMA: dyadic communication measure in autism

    Measured: Up to 15 months

  3. Parent-child interactive features / Parental synchrony

    • number of parental responses in synchrony with child

    Measured: Up to 15 months

  4. Parent-child interactive features / Communication

    • Number conversational turns of speech between the child and the parent

    Measured: Up to 15 months

  5. Parent-child interactive features / Initiation of communication

    • Initiation of communication by the child with the parent : in proportion to the child's acts of communication

    Measured: Up to 15 months

  6. Child development / MSEL

    • MSEL : is Mullen Scale of Early Learning evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  7. Child development / CDI

    • CDI is Child Development Inventory evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  8. Child development / IFDC

    • IFDC is French adaptation of MacArthur-Bates Communicative Development Inventories evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  9. Autistic Symptoms / CARS

    CARS is Childhood Autism Rating Scale evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  10. Autistic Symptoms ECAR

    ECA R is "Evaluation des comportements autistiques Révisée" Scale evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  11. Autistic Symptoms ADOS-2

    ADOS-2 is Autism diagnostic observation Schedule evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  12. Autistic Symptoms ADIR

    ADI R is Autism Diagnosis Interview Revised evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  13. Adaptive behavior of the child

    Vineland 2 Scale evaluated at inclusion visit, guidance session 1, guidance session 10 and guidance session 15

    Measured: Up to 15 months

  14. Change process

    Psychotherapy Process Q-set evaluated at baseline visit 1 and last baseline visit (depend of randomization), guidance session 1 and guidance session 10

    Measured: Up to 15 months

  15. Content analysis of guidance session by parent

    Targeted interview of parents with the psychologist on the content of guidance session

    Measured: At 16 months

Timeline

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

  1. First posted29 Oct 2020
  2. Study start26 Mar 2021
  3. Primary completion23 May 2022
  4. Study completionMay 2026 (estimated)

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
27 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04607616
Sponsor's protocol ID
APHP180671
Other IDs
2019-A02707-50
Acronym
GIETSA
Status last verified
Apr 2026
First submitted
1 Jul 2020
Last updated
6 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 1. McDonough S. Interaction guidance. Treat Parent-infant Relatsh Probl Strateg Interv. 2004;79-96.

  • 2. McDonough SC. Promoting positive early parent-infant relationships through interaction guidance. Child Adolesc Psychiatr Clin N Am. 1995;4(3):661-72.

  • Rusconi-Serpa S, Sancho Rossignol A, McDonough SC. Video feedback in parent-infant treatments. Child Adolesc Psychiatr Clin N Am. 2009 Jul;18(3):735-51. doi: 10.1016/j.chc.2009.02.009.

    PubMed 19486848

Questions about this trial

What is this clinical trial studying?

A study testing Baseline sessions TAU, Interactive guidance therapy and Developmental and diagnostic assessments in people with Autism Spectrum Disorders, run by Assistance Publique - Hôpitaux de Paris at 4 sites in France.

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 7 inclusion and 3 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: under way, not looking for participants, as of the sponsor's last update on 6 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in France. 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?

This study is still under way. Results are not available in the source record yet.

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?

Percentage of time spent in a joint attention situation (time frame: Up to 15 months). The study lists 2 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 NCT04607616, which also lists 3 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 6 May 2026.

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