Clinical trial Recruiting at 1 site Interventional Ages 2 to 5

Online Pivotal Response Treatment training for parents of young children with autism

Official title: Randomized Controlled Trial of an Online Pivotal Response Treatment Training in Autism Spectrum Disorder

Run by Stanford University · NCT06523387 · Data updated 2026-11-12

This program will test whether an online Pivotal Response Treatment course can teach English-speaking parents to deliver PRT effectively to children with autism ages 2 to 5.

More Autism trials

Quick facts

Study typeInterventional
Ages2 Years to 5 Years
SexAll
Enrollment44 (estimated)
SponsorStanford University
Academic / other
Locations1 site (Stanford, California)
StatusRecruiting
StartedJanuary 30, 2026
Main results expectedDecember 30, 2028
Study endsDecember 30, 2028
Registry record updatedMay 19, 2026
Trial IDNCT06523387 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 2:0–5:11 with a confirmed or suspected ASD diagnosis, significant adaptive communication deficits, and an English-speaking parent who can consistently participate and deliver treatment, with any psychotropic or biomedical interventions stable for at least one month.

Probably not a fit

Children outside the 2–5 age range, families without an English-speaking parent who can participate consistently, or cases with severe co-occurring medical issues may not benefit from this online parent-training approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Parents complete an online Pivotal Response Treatment (PRT-O) course designed to teach PRT strategies for improving young children's communication. Children must be aged 2:0–5:11 with a confirmed or suspected autism diagnosis and measurable adaptive communication deficits. Outcomes focus on whether parents learn to deliver PRT correctly and on related child communication measures, using standardized tools such as the Vineland and diagnostic review (e.g., ADI-R). The program is run through Stanford University with English-language participation required and some coordination for assessments.

Why it matters

Potential benefit: If successful, this online training could let more parents learn PRT skills at home, increasing access to evidence-based coaching and potentially improving children's communication.

How similar studies have gone: Parent-mediated PRT and other parent-training approaches have shown benefits in prior research, but fully online PRT courses are less well-studied though early digital parent-coaching studies show promise.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 2:0 to 5:11 years at the time of consent,
* diagnosed with ASD (based on history, review of available medical records including diagnostic testing, e.g., Autism Diagnostic Observation Schedule) or suspicion of Autism Spectrum Disorder diagnosis, and confirmed with Autism Diagnostic Interview-Revised (ADI-R),
* with significant adaptive communication deficits (i.e., either a Vineland-3 Communication subscale 2 Standard Deviations below average for 2 and 3 year olds and 3 Standard Deviations below for 4 and 5 year olds or a Vineland-3 Expressive V-scale Score 2 Standard Deviations below average for 2 and 3 year olds, or 3 Standard Deviations below for 4 and 5 year old, and at least moderate severity on the Clinical Global Impressions Severity (CGI-S) language subscale),
* an English-speaking parent able to consistently participate in study procedures and conduct treatment in English,
* stable psychotropic medication(s) or biomedical intervention(s) for at least 1 month prior to baseline measurements with no anticipated changes during study participation,
* stable treatment (ABA, Floortime, or other interventions), speech therapy, and school placement for at least 1 month prior to baseline measurements with no expected changes during study participation,
* no more than 60 minutes of 1:1 speech therapy per week

Exclusion Criteria:

* Children who have a primary language other than English
* parent or child diagnosed with severe psychiatric disorder or unstable medical problem
* previous adequate trial of pivotal response treatment resulting in parent meeting Pivotal Response Treatment fidelity of implementation at baseline
* Receiving more than 15 hours of in home 1:1 ABA per week
* living within 100 miles of Stanford University.

Where it's running

  • Stanford University
    Stanford, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.