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出境医 / 临床实验 / VR for Joint Attention Support in ASD

VR for Joint Attention Support in ASD

Study Description
Brief Summary:
The overall objective of this study is to determine the effectiveness of the Floreo VR Joint Attention Module in improving social communication skills in children with ASD. An additional objective is ongoing investigation of the tolerability of the product and the extent of potential adverse effects of Floreo VR, if any.

Condition or disease Intervention/treatment Phase
Autism Spectrum Disorder Device: Floreo Joint Attention Module Behavioral: Regularly Scheduled Therapy Phase 2

Detailed Description:

The study will be a Phase II randomized controlled trial in which the Floreo VR Joint Attention Module is the intervention being evaluated. Floreo is a mobile application that offers a supervised virtual reality experience for individuals with ASD. The application provides a 3D immersive scene for Google Cardboard-compatible smartphones and a WiFi paired supervisory overview that can run on smartphones or tablets.

The therapeutic content will consist of a Learning Module focused on Joint Attention. This Joint Attention Learning Module will include separate Learning Cards (LCs) that address specific subskills necessary to develop appropriate joint attention. Each Learning Card will consist of a virtual reality environment in a safari-themed setting, complete with animals designed to draw the learner's attention when necessary.

The product will be implemented at The Children's SPOT by a therapist working with a client during the course of a therapy session.

The intervention arm participant would engage in one or two VR episodes during a scheduled session. Each episode would last no more than 5 minutes. If two episodes are done in a day, there is a mandatory break of at least 3 minutes in between them. The sessions would occur two days per week, with at least two days in between sessions to allow the eyes time to rest.

There are 15 total VR sessions in the protocol, and completion of all study sessions would take 8 weeks.

The control condition is treatment as usual, that is, regularly scheduled therapy.

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Immersive VR as a Tool to Support Joint Attention Skills in Children With Autism Spectrum Disorder
Actual Study Start Date : July 20, 2018
Actual Primary Completion Date : July 16, 2019
Actual Study Completion Date : July 16, 2019
Arms and Interventions
Arm Intervention/treatment
Experimental: VR Intervention
Eight weeks of training with Floreo's VR Joint Attention Module with two sessions per week
Device: Floreo Joint Attention Module
Two sessions per week for eight weeks of the Floreo VR Joint Attention Module, delivered via a Google Cardboard compatible VR headset. Each session includes one or two 5-minute VR episodes and an intermission that is at least 3 minutes long

Active Comparator: Treatment as Usual
Regularly scheduled therapy
Behavioral: Regularly Scheduled Therapy
therapy as regularly scheduled at therapy center

Outcome Measures
Primary Outcome Measures :
  1. Change from Baseline Joint Attention Protocol score at 12 weeks [ Time Frame: immediately before and 4 weeks after intervention or control period of the study ]
    A measure developed to rate child behaviors on 16 items involving response to joint attention and initiation of joint attention


Secondary Outcome Measures :
  1. Change from Baseline Joint Attention Assessment score at 12 weeks [ Time Frame: immediately before and 4 weeks after intervention or control period of the study ]
    an in-person, videotaped, play-based measure to rate frequency of joint attention skills in school-aged children. Instances of each joint attention behavior observed are summed to provide a total Joint Attention Assessment score, with higher numbers reflecting more frequent joint attention behaviors.

  2. Change from Baseline Vineland Adaptive Behavior Scales, Third Edition total score [ Time Frame: immediately before and 4 weeks after intervention or control period of the study ]
    a parent-reported measure of adaptive skills, commonly used for assessment of individuals with developmental disabilities. The Vineland provides an Adaptive Behavior Composite (ABC) score, which can be compared to a normative mean score of 100 with a normative standard deviation of 15.


Eligibility Criteria
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Ages Eligible for Study:   7 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Documented ASD diagnosis, between 7 and 17 years of age

Exclusion Criteria:

  • History of seizures, migraines, vertigo, psychosis
Contacts and Locations

Locations
Layout table for location information
United States, Maryland
Children's SPOT
Columbia, Maryland, United States, 21045
Sponsors and Collaborators
Floreo, Inc.
Tracking Information
First Submitted Date  ICMJE July 8, 2019
First Posted Date  ICMJE July 11, 2019
Last Update Posted Date July 17, 2019
Actual Study Start Date  ICMJE July 20, 2018
Actual Primary Completion Date July 16, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 9, 2019)
Change from Baseline Joint Attention Protocol score at 12 weeks [ Time Frame: immediately before and 4 weeks after intervention or control period of the study ]
A measure developed to rate child behaviors on 16 items involving response to joint attention and initiation of joint attention
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 9, 2019)
  • Change from Baseline Joint Attention Assessment score at 12 weeks [ Time Frame: immediately before and 4 weeks after intervention or control period of the study ]
    an in-person, videotaped, play-based measure to rate frequency of joint attention skills in school-aged children. Instances of each joint attention behavior observed are summed to provide a total Joint Attention Assessment score, with higher numbers reflecting more frequent joint attention behaviors.
  • Change from Baseline Vineland Adaptive Behavior Scales, Third Edition total score [ Time Frame: immediately before and 4 weeks after intervention or control period of the study ]
    a parent-reported measure of adaptive skills, commonly used for assessment of individuals with developmental disabilities. The Vineland provides an Adaptive Behavior Composite (ABC) score, which can be compared to a normative mean score of 100 with a normative standard deviation of 15.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE VR for Joint Attention Support in ASD
Official Title  ICMJE Immersive VR as a Tool to Support Joint Attention Skills in Children With Autism Spectrum Disorder
Brief Summary The overall objective of this study is to determine the effectiveness of the Floreo VR Joint Attention Module in improving social communication skills in children with ASD. An additional objective is ongoing investigation of the tolerability of the product and the extent of potential adverse effects of Floreo VR, if any.
Detailed Description

The study will be a Phase II randomized controlled trial in which the Floreo VR Joint Attention Module is the intervention being evaluated. Floreo is a mobile application that offers a supervised virtual reality experience for individuals with ASD. The application provides a 3D immersive scene for Google Cardboard-compatible smartphones and a WiFi paired supervisory overview that can run on smartphones or tablets.

The therapeutic content will consist of a Learning Module focused on Joint Attention. This Joint Attention Learning Module will include separate Learning Cards (LCs) that address specific subskills necessary to develop appropriate joint attention. Each Learning Card will consist of a virtual reality environment in a safari-themed setting, complete with animals designed to draw the learner's attention when necessary.

The product will be implemented at The Children's SPOT by a therapist working with a client during the course of a therapy session.

The intervention arm participant would engage in one or two VR episodes during a scheduled session. Each episode would last no more than 5 minutes. If two episodes are done in a day, there is a mandatory break of at least 3 minutes in between them. The sessions would occur two days per week, with at least two days in between sessions to allow the eyes time to rest.

There are 15 total VR sessions in the protocol, and completion of all study sessions would take 8 weeks.

The control condition is treatment as usual, that is, regularly scheduled therapy.

Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 2
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Condition  ICMJE Autism Spectrum Disorder
Intervention  ICMJE
  • Device: Floreo Joint Attention Module
    Two sessions per week for eight weeks of the Floreo VR Joint Attention Module, delivered via a Google Cardboard compatible VR headset. Each session includes one or two 5-minute VR episodes and an intermission that is at least 3 minutes long
  • Behavioral: Regularly Scheduled Therapy
    therapy as regularly scheduled at therapy center
Study Arms  ICMJE
  • Experimental: VR Intervention
    Eight weeks of training with Floreo's VR Joint Attention Module with two sessions per week
    Intervention: Device: Floreo Joint Attention Module
  • Active Comparator: Treatment as Usual
    Regularly scheduled therapy
    Intervention: Behavioral: Regularly Scheduled Therapy
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Withdrawn
Actual Enrollment  ICMJE
 (submitted: July 16, 2019)
0
Original Estimated Enrollment  ICMJE
 (submitted: July 9, 2019)
20
Actual Study Completion Date  ICMJE July 16, 2019
Actual Primary Completion Date July 16, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Documented ASD diagnosis, between 7 and 17 years of age

Exclusion Criteria:

  • History of seizures, migraines, vertigo, psychosis
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 7 Years to 17 Years   (Child)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04016701
Other Study ID Numbers  ICMJE Floreo Salus Protocol 1
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Floreo, Inc.
Study Sponsor  ICMJE Floreo, Inc.
Collaborators  ICMJE Not Provided
Investigators  ICMJE Not Provided
PRS Account Floreo, Inc.
Verification Date July 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP