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Eligibility Survey

Date Completed

Extending Direct Instruction to Students with ASD Using Speech Generating Devices

Thank you for your interest in this study. Below is a detailed description of the study procedures and eligibility
criteria:

The study is testing a curriculum called the Direct Instruction Language for Learning (DI-LL) that has previously been shown to improve language skills for all kinds of students, but it is unknown if it can help improve language skills for children with autism that use SGDs. That is what this study is looking at.

If you child is enrolled, they will be randomly assigned to a group that will either receive this DI-LL curriculum for 10 weeks or will continue their treatment as usual. Children in both groups will complete a language skills assessment at the beginning and end of the 10 weeks. Those who are receiving the curriculum will participate in two sessions per week of 90 minutes for 10 weeks. You will also be asked some questions about your child's language ability and preferences.

If your child is in the "treatment-as-usual" group, you will have the option of participating in the DI-LL curriculum group after the first ten weeks is over. You will be compensated for your time.

This study is being conducted solely for research purposes and your participation is strictly voluntary. If you are interested in taking part, we will ask you to sign a form to indicate that you consent to taking part in the study. If you consent to participate, you may withdraw from the study at any time. You will receive compensation for participation.

Your child may be eligible if they are:

4 - 8 years of age.
Confirmed diagnosis of ASD and are minimally verbal (using fewer than 5 spoken words).
Currently using a speech generative device.
Able to understand instructions given in English.

If you are interested in participating in this study and believe you meet the eligibility criteria, you will need to answer several short questions. These questions will take about 5 minutes to complete.

Would you like to continue with the eligibility questions?

* must provide value

Yes

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How did you hear about the study?

Is your child between the ages of 4 - 8 years old?

* must provide value

Yes

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Date of Birth

M-D-Y

Age in months

View equation

Does your child have a diagnosis of Autism Spectrum Disorder (ASD) or related developmental delays?

Yes

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Is your child minimally verbal?

Yes

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Does your child currently use a Speech Generating Device?

Yes

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Does your child use 10 requests and/or 10 expressive labels for items using their Speech Generating Device?

Yes

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About how many things do you think they ask for (this could be tangible or attention)?

About how many things do you think they label?

Is your child able to follow at least 10 single-step instructions (i.e., clap hands, come here, etc.)?

Yes

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Is your child taking any medications?

Yes

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If so, what medications?

Expand

Does your child have a known serious medical condition that could interfere with participation in the study?

Yes

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Does your child have a current serious behavioral or psychiatric condition that would require another treatment (e.g., psychotic disorder, moderate or severe aggression or self-injury)?

Yes

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Is English the primary language of your child and at least one of their caregivers?

Yes

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Do you think your child would be willing to participate in a 15-minute instructional session?

Yes

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Is your child currently participating in another research study?

Yes

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How would you like us to contact you about this study?

Phone call

Text Message

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First Name

Phone Number

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.