Early social-communication therapy with parent coaching for young children
Speech Therapy and Parenting for Early Socio-communicative Skills in Children With Neurodevelopmental Disabilities
This study tests whether a parent-involved program that teaches early social and communication skills helps children aged 6 months to 5 years with neurodevelopmental disabilities more than standard speech therapy.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 6 Months to 59 Months |
| Sex | All |
| Sponsor | IRCCS Eugenio Medea Academic / other |
| Locations | 9 sites (Como, Como and 8 other locations) |
| Trial ID | NCT06666777 on ClinicalTrials.gov |
What this trial studies
The trial enrolls children aged 6 months to 5 years who have a diagnosed neurodevelopmental disability and documented developmental delay or socio-communicative difficulties. Participants are assigned to a parent-involved intervention targeting intersubjective prelinguistic and socio-communicative skills or to standard speech therapy, with sessions delivered at regional rehabilitation centers. The intervention combines therapist-led techniques and parent coaching to support early attention, emotional coordination, and joint attention behaviors that underpin later language. Outcomes focus on changes in social-communication, parent–child interaction, and early language measures over the treatment period.
Who should consider this trial
Good fit: Children aged 6 months to 5 years with a neurodevelopmental disability and documented developmental delay or socio-communicative difficulties, whose caregivers are adults fluent in Italian and without major psychiatric or intellectual disability, are ideal candidates.
Not a fit: Children without developmental delay or socio-communicative difficulties, those with neurodegenerative conditions or mental age below 6 months, or families unable to participate in Italian-language parent coaching are unlikely to receive benefit from this protocol.
Why it matters
Potential benefit: If successful, the program could help children develop stronger early social and communication skills and improve parent–child interaction, supporting later language development.
How similar studies have performed: Parent-mediated early interventions have shown benefits for social-communication and language in conditions such as autism, but applying these approaches across a broad range of neurodevelopmental disabilities has been less well studied.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion criteria: For children: * Age between 6 months (corrected age in cases of prematurity) and 5 years. * Documented developmental delay and/or socio-communicative difficulties, based on clinical signs or standardized developmental scales (e.g., Griffiths Scales). * Mental age of at least 6 months. * Diagnosis of neurodevelopmental disability, including cerebral palsy, genetic syndromes, rare diseases with non-progressive neurological impairments, or congenital disorders of undetermined nature. For parents: * Adult age (≥ 18 yo) * Good knowledge and fluency in Italian. * No manifest psychiatric conditions. * No documented intellectual disability. Exclusion criteria: For children: * Age greater than 5 years at the time of recruitment. * Mental age below 6 months. * Absence of developmental delay (developmental quotient \> 85) and socio-communicative difficulties. * Diagnosis of neurodevelopmental disability resulting from neurodegenerative diseases or brain tumor outcomes. * Severe sensory impairments (profound deafness and/or blindness). For Parents: * Inability to speak Italian. * Documented psychiatric conditions or intellectual disability.
Where this trial is running
Como, Como and 8 other locations
- Associazione "La Nostra Famiglia" - Centro di Riabilitazione Ambulatoriale — Como, Como, Italy (Recruiting)
- Associazione "La Nostra Famiglia" - Centro di Riabilitazione Ambulatoriale e Diurno (CDC) — Ponte Lambro, Como, Italy (Recruiting)
- Associazione "La Nostra Famiglia" - Centro di Riabilitazione Ambulatoriale, Diurno (CDC) e Residenziale — Bosisio Parini, Lecco, Italy (Recruiting)
- Associazione La Nostra Famiglia - IRCCS E. Medea — Bosisio Parini, Lecco, Italy (Recruiting)
- Associazione "La Nostra Famiglia" - Centro di Riabilitazione Ambulatoriale, Diurno (CDC) e Domiciliare — Lecco, Lecco, Italy (Recruiting)
- Associazione "La Nostra Famiglia"- Centro di Riabilitazione Ambulatoriale — Sesto San Giovanni, Milano, Italy (Recruiting)
- Associazione "La Nostra Famiglia"- Centro di Riabilitazione Ambulatoriale — Carate Brianza, Monza E Brianza, Italy (Recruiting)
- Associazione "La Nostra Famiglia"- Centro di Riabilitazione Ambulatoriale — Cislago, Varese, Italy (Recruiting)
- Associazione "La Nostra Famiglia"- Centro di Riabilitazione Ambulatoriale, Diurno (CDC) — Vedano Olona, Varese, Italy (Recruiting)
Study contacts
- Study coordinator: Sandra Strazzer, M.D.
- Email: sandra.strazzer@lanostrafamiglia.it
- Phone: +39031877854
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.