Autism Spectrum Ambassador Program (ASAP)
|ClinicalTrials.gov Identifier: NCT02842671|
Recruitment Status : Suspended (We are working on the logistics of having this program occur in the same day procedure setting.)
First Posted : July 25, 2016
Last Update Posted : February 26, 2020
|Condition or disease||Intervention/treatment||Phase|
|Autism Spectrum Disorder||Other: Assigned Ambassador||Not Applicable|
The Autism Spectrum Ambassador Program (ASAP) is a medical student staffed program designed to improve the experience for children with Autism Spectrum Disorder coming into the Children's Hospital for a day procedure involving anesthesia. This program will pair an interested and trained medical student with a family whose child is scheduled for an outpatient procedure and who is identified as possibly needing special accommodations to improve cooperation and procedure tolerance.
Patients will be identified using the Anesthesia clinic's schedule via PowerChart, consented at the pre-operative anesthesia clinic visit, and enrolled in our program by study personnel. Once enrolled, families will be asked to complete a confidential survey that will identify areas that can be accommodated on the procedure day. Students will gain access to these survey results, contact the family at least 1 day prior to the procedure. A brief discussion will take place to review the child's history and survey results. The student will then create a written, personalized Accommodation Plan to be distributed to personnel and the family. The student will meet the family at the hospital and accompany the family check in until the patient is in the post anesthesia recovery unit.
Students will be trained to chart a child's Accommodation Plan for each member of the treatment team which will be distributed by the student with ample time before the procedure. This accommodation plan will alert each treatment team member including surgical nursing, anesthesia, registration, and to the extent possible surgeons, to what accommodations will be needed to improve the experience of the child. Students will be trained to assist with accommodations by communicating on the family's behalf to hospital personnel to include surgical nursing, anesthesia, registration, and to the extent possible surgeons, among others.
To the extent possible, the investigators hope that having a student advocate, educate staff on the procedure day, and implement changes as needed will improve patient satisfaction with the experience and improve the ease with which a procedure can be carried out for a child with ASD. Students will also be queried as to the experience and survey data will be used to improve the program over time.
Training will be completed so that all members of the treatment team will be aware of the program and aware of the possible accommodations. Treatment team members will be provided additional training to enhance the success of the ASAP program and all treatment team members will be encouraged to work together for the best possible outcome for all patients. Treatment team services include: surgical nursing, anesthesia, registration, and to the extent possible the surgeons involved in the care of these children.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||24 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||The Implementation and Evaluation of the Autism Spectrum Ambassador Program|
|Actual Study Start Date :||December 1, 2016|
|Actual Primary Completion Date :||March 31, 2019|
|Estimated Study Completion Date :||December 1, 2021|
Experimental: Assigned Ambassador (Intervention Group)
Patients who were consented, completed the accommodations survey, and for whom a medical student was available during the time of the the procedure will serve as our intervention group. The participants will be assigned an Ambassador throughout the procedure and will complete a patient satisfaction survey afterwards. The investigators hope to enroll 25 controls.
Other: Assigned Ambassador
If assigned to the intervention group, participants will be contacted by the assigned medical student ambassador at least 1 day prior to the procedure. A brief discussion will take place to review the child's history and survey results. The family will be met by the Ambassador at the hospital and stay with the family until the patient is in the post anesthesia recovery unit. The ambassador is expected to make accommodations for the child as determined by the accommodations survey results. The family will be required to allow the Ambassador to stay through check-in and the procedure.
No Intervention: Control Group
Patients who were consented, completed the accommodations survey, but for whom a medical student was not available during the time of the patient's procedure will serve as our control group. The controls will fill out both an accommodations survey before and a patient satisfaction survey after the procedure. No ambassador will be assigned for the procedure day. The investigators hope to enroll 25 controls.
- Patient Satisfaction Survey (questionnaire) [ Time Frame: 1 year ]Improved patient satisfaction and fewer behavioral complications during the procedure day; data collected using REDCap
- Medical Student Satisfaction Survey (questionnaire) [ Time Frame: 1 year ]Overall medical student satisfaction with the ambassador program; data collected using REDCap
- Medical Student Career Interest (questionnaire) [ Time Frame: 1 year ]Medical student career interests before and after participation in this program; data collected using REDCap
- Medical Student Comfort Level (questionnaire) [ Time Frame: 1 year ]Medical student comfort level interacting with autistic children before and after participation in this program; data collected using REDCap
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02842671
|United States, Pennsylvania|
|Penn State Hershey Children's Hospital|
|Hershey, Pennsylvania, United States, 17033|
|Principal Investigator:||Cheryl Tierney, M.D.||Developmental Pediatrics|