Storytelling With or Without Social Contextual Information in Children With Autistic Spectrum Disorder and Typical Development

Overview

This study was to examine the effects of storytelling with or without contextual information on children with autism spectrum disorder (ASD) and typical development (TD).

Full Title of Study: “The Effects of Storytelling With or Without Social Contextual Information Regarding Eye Gaze and Visual Attention in Children With Autistic Spectrum Disorder and Typical Development: A Randomized, Controlled Eye-tracking Study”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Participant)
  • Study Primary Completion Date: December 2018

Detailed Description

This was a 2 x 2 x 2 randomized controlled trial with 52 children (26 with ASD and 26 with TD) recruited in the community and randomized into four groups: 1) ASD Group 1 – storytelling with contextual information; 2) ASD Group 2 – storytelling without contextual information; 3) TD Group 1 – storytelling with contextual information; 4) TD Group 2 – storytelling without contextual information. All stories were photo-based and static in nature. The only difference between Group 1 and Group 2 was that the stories included and did not include social contextual information, respectively. Training was delivered in small groups, with eight sessions across four weeks, two sessions per week, and 30 minutes per session. Participants' total fixation duration (TFD), total visit duration (TVD), and total fixation count (TFC) on human faces from 20 photos and a video were recorded using the Tobii eye tracker.

Interventions

  • Behavioral: Storytelling with social contextual information
    • Four out of 100 stories from a storytelling app (SAHK, 2013) that incorporated social contextual information, and inter-personal skills were selected. The intervention was in small group format, consisted of eight sessions across four weeks, two sessions per week, 30 minutes per session.
  • Behavioral: Storytelling without social contextual information
    • Four out of 100 stories from a storytelling app (SAHK, 2013) without social contextual information, and inter-personal skills were selected. The intervention was in small group format, consisted of eight sessions across four weeks, two sessions per week, 30 minutes per session.
  • Other: Children with ASD
    • Four out of 100 stories from a storytelling app (SAHK, 2013) were selected for children with ASD.
  • Other: Children with TD
    • Four out of 100 stories from a storytelling app (SAHK, 2013) were selected for children with TD.

Arms, Groups and Cohorts

  • Experimental: ASD Group 1 – storytelling with social contextual information
    • Storytelling with social contextual information for children with Autism Spectrum Disorder
  • Active Comparator: ASD Group 2 – storytelling without social contextual information
    • Storytelling without social contextual information for children with Autism Spectrum Disorder
  • Experimental: TD Group 1 – storytelling with social contextual information
    • Storytelling with social contextual information for typically developed children
  • Active Comparator: TD Group 2 – storytelling without social contextual information
    • Storytelling without social contextual information for typically developed children

Clinical Trial Outcome Measures

Primary Measures

  • Eye gaze on the eye tracker
    • Time Frame: Change from baseline to 4 weeks
    • Total fixation duration (TFD)
  • Eye gaze on the eye tracker
    • Time Frame: Change from baseline to 4 weeks
    • Total visit duration (TVD)
  • Eye gaze on the eye tracker
    • Time Frame: Change from baseline to 4 weeks
    • Total fixation count (TFC)

Secondary Measures

  • Trail Making Test
    • Time Frame: Change from baseline to 4 weeks
    • Trail Making Test A (TMT-A)
  • Trail Making Test
    • Time Frame: Change from baseline to 4 weeks
    • Trail Making Test B (TMT-B)

Participating in This Clinical Trial

Inclusion Criteria for children with ASD:

  • 1) children aged between 6 and 12 years old;
  • 2) had a previous diagnosis of ASD from medical professionals;
  • 3) studied in mainstream primary school;
  • 4) had a composite IQ score of 80 or above

Inclusion Criteria for children with TD:

  • 1) children aged between 6 and 12 years old;
  • 2) had no developmental disorder or intellectual disability;
  • 3) attended primary school.

Exclusion Criteria

  • NA

Gender Eligibility: All

Minimum Age: 6 Years

Maximum Age: 12 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • The Hong Kong Polytechnic University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Kenneth N. K. Fong, Professor – The Hong Kong Polytechnic University

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