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The current project aims to assess the feasibility of conducting Functional Communication Training in the UK with a small sample of young children (aged under 9) in an NHS setting. Three delivery formats will be assessed in order to demonstrate the feasibility of conducting FCT via different delivery methods within an NHS context. Participants will be four children aged under 9 who have an identified intellectual / developmental disability and display either self-injury, property destruction, or aggression at home. In addition, one family carer per child will be coached to implement the intervention, either following researcher intervention, or from the beginning. Data will be collected on challenging behaviour, communication responses, family carer confidence in managing behaviour, fidelity of intervention implementation, family quality of life, and acceptability of the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Researcher Implemented FCT | Experimental | Children receive functional communication training. Assessment and initial intervention sessions are completed by the researcher and family carers are trained to continue the intervention at home. |
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| Family Carer Implemented FCT 1 | Experimental | Children receive functional communication training. Family carers are trained to implement all sessions (including assessment and initial intervention sessions) with coaching from the researcher in person. |
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| Family Carer Implemented FCT 2 | Experimental | Children receive functional communication training. Family carers are trained to implement all sessions (including assessment and initial intervention sessions) with coaching from the researcher via videoconferencing and support from a family carer assistant in person. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Functional Communication Training | Behavioral | Functional Communication Training (which aims to teach the child a communicative alternative to challenging behaviour) implemented by either the researcher or family carer. |
| Measure | Description | Time Frame |
|---|---|---|
| Observation of frequency or duration challenging behaviour | Observational measure of the frequency or duration of child target behaviours. This measure is expected to show a change over time as the intervention progresses, therefore data is collected during every session. | During functional analysis (2 sessions), intervention (4 sessions), maintenance (3 sessions) & follow up (1 session). Across a total of approximately 6 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Observation of occurrence of communication | Observational measure of the frequency of the child's use of the alternative communication response. This measure is expected to show a change over the course of the intervention and data will therefore be collected during each session. | During intervention (4 sessions), maintenance (3 sessions), & follow up (1 session). Across a total of approximately 5 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment Acceptability Rating Form - Revised (Reimers & Wacker, 1988) | Questionnaire assessing the acceptability of the intervention to family carers. | At final follow up session approximately 6 months after the beginning of the study. |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| East Kent Hospitals University NHS Foundation Trust | Canterbury | Kent | United Kingdom | |||
| Mencap Northern Ireland |
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| ID | Term |
|---|---|
| D008607 | Intellectual Disability |
| ID | Term |
|---|---|
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| Beech Centre Family Quality of Life Scale (Park et al., 2003) | Questionnaire evaluating family quality of life. This measure is expected to show a change over time as the intervention progresses, therefore data is collected at 3 time points (pre intervention, post intervention, and at final follow up). | At beginning of study, immediately after intervention (approximately 6-8 weeks later), and at final follow up session (approximately 6 months after beginning of the study). |
| Rating scale measuring intervention fidelity | Individualised rating scales assessing fidelity of researcher or family carer implementation of the intervention. | During intervention sessions (4 sessions), maintenance sessions (3 sessions), and during follow up (1 session). Across a total of approximately 5 months. |
| Modified Challenging Behaviour Checklist (Harris, Humphreys, & Thomson, 1994) | Questionnaire to assess changes in non-targeted behaviours. This measure is expected to show a change over time as the intervention progresses, therefore data is collected at 3 time points (pre intervention, post intervention, and at final follow up). | At beginning of study, immediately after intervention (approximately 6-8 weeks later), and at final follow up session (approximately 6 months after beginning of the study). |
| Functional Assessment Interview Communication Section (O'Neill, Albin, Storey, Horner, & Sprague, 2014) | Questionnaire used to assess changes in non-targeted areas of communication. This measure is expected to show a change over time as the intervention progresses, therefore data is collected at 3 time points (pre intervention, post intervention, and at final follow up). | At beginning of study, immediately after intervention (approximately 6-8 weeks later), and at final follow up session (approximately 6 months after beginning of the study). |
| Modified Parenting Task Checklist (Sanders & Woolley, 2001Íž 2005) | Questionnaire to assess family carer confidence in doing a range of activities with their child. This measure is expected to show a change over time as the intervention progresses, therefore data is collected at 3 time points (pre intervention, post intervention, and at final follow up). | At beginning of study, immediately after intervention (approximately 6-8 weeks later), and at final follow up session (approximately 6 months after beginning of the study). |
| Belfast |
| BT8 6BT |
| United Kingdom |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |