School-based Paraeducator Education for Engagement at Recess
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Remaking Recess, TEAM.
- Who it may be relevant to
- Registry conditions: Autism Spectrum Disorder, Neurodevelopmental Disorders. Basic parameters: from 5 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The purpose of the proposed three-site study is to test whether an educator-level implementation strategy, coaching, with or without a school-level implementation strategy, school-based teams, will maximize paraeducators' use (fidelity and sustainment) of an evidence-based social engagement intervention, Remaking Recess (RR). RR aims to improve peer related social skills for autistic students and their non-autistic peers who are socially isolated or peripheral and need support during recess.
Interventions
- Behavioral Remaking Recess
Remaking Recess (RR) is a school-based social engagement intervention designed to enhance elementary school contextual factors to better support peer engagement during recess. Remaking Recess is delivered to educators through direct training and in vivo coaching by a certified Remaking Recess Coach. - Other TEAM
Schools that are randomized to the TEAM condition will receive an additional implementation support intervention. TEAM will leverage existing human resources in the school to specifically focus on developing an implementation blueprint to foster a supportive implementation context for paraeducators to use Remaking Recess.
Primary outcome measures
- Remaking Recess Fidelity [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
Secondary outcome measures (10)
- Playground Observation of Peer Engagement (POPE) [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
- Friendship Survey [Time frame: Baseline, 4 months, 8 months]
- Teacher Perceptions Measure [Time frame: Baseline, 4 months, 8 months]
- Acceptability of Intervention Measure (AIM) [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
- Cost Measure [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
- Provider Report of Sustainment Scale (PRESS) [Time frame: 12 months, 16 months]
- School Implementation Leadership Scale (S-ILS) [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
- School Implementation Climate Scale (SICS) [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
- Team Process Survey Measure (TPS) [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
- Quality of Play Questionnaire [Time frame: Baseline, 4 months, 8 months, 12 months, 16 months]
Eligibility criteria
Inclusion criteria
- Students: Elementary aged students in K-5th grade who are autistic or have a neurodevelopmental disorder (Age 5-12)
- Educators: Paraeducators, teachers, or other school personnel that work with K-5th grade students in a public school in the United States (Age 18+)
Exclusion criteria
- Students or educators that have previously participated in Remaking Recess studies will not be eligible to enroll in this study.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Factorial
- Masking
- Double blind
- Primary purpose
- Health services research
Study locations
United States · 3 centers
- University of California Los Angeles — Los Angeles
- University of Oregon — Eugene
- University of Washington — Seattle
Publications
- Locke J, Sridhar A, Shih W, Shire S, Eisman AB, Kim E, Du A, Espeland C, Kasari C. Study protocol for a hybrid type 3 effectiveness-implementation trial of a team-based implementation strategy to support educators' use of a social engagement intervention. Implement Sci. 2025 Jan 9;20(1):3. doi: 10.1186/s13012-024-01414-3. PMID 39789610
Identifiers
NCT: NCT06559267 · STUDY00020326 · R324A240031