Virtual coaching for toddlers with autism shows promise but trial cut short
NCT ID NCT05456139
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a completely virtual early intervention program for toddlers with autism, using telehealth coaching to help parents embed learning into daily activities. Researchers planned to enroll 240 children from eight US regions, but the trial was terminated early with only 52 participants. The goal was to see if starting coaching earlier (at 18, 24, or 30 months) leads to better social communication and developmental outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Early Social Interaction Mobile Coaching (ESI-MC) via telehealth
- What this could lead to
- If successful, this approach could provide a scalable, virtual early intervention for toddlers with autism, improving social communication and developmental outcomes, especially in underserved communities.
- What could go wrong
- The trial was terminated early with only 52 participants, so results are limited. It is unclear if the intervention works better than usual care, and the virtual format may not suit all families.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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52 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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Jan 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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15 to 20 months
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Parent(s) complete the SoCo CheckUp by the time the child is 18 months of age and results will indicate positive risk for autism * Parent(s) submit a home observation video of the parent engaging their child for an hour in 6 everyday activities by the time the child is 18 months of age * Results of the SORF rated from the home observation indicate risk for autism * The child receives a clinical best estimate diagnosis of autism spectrum disorder based on a diagnostic and developmental evaluation by 18 months (+/-2 months) of age, which includes completion of the ADOS * The child will have sufficient trunk stability and control of arm and hand movements to hold objects and make simple gestures (give, show, reach) * Parent(s) agree to be in the intervention study by the time the child is 18 months (+/- 2 months) of age * The primary language at home is English or Spanish (the SoCo CheckUp and all Baby Navigator tools are available in these languages) * The family lives within 45 miles of one of the 8 recruitment sites. Exclusion Criteria: * Child does not meet diagnostic criteria for autism * Family does not agree to be video recorded * Family does not agree to receive the intervention via mobile technology * Enrollment in EI at the time of screening * A sibling is already enrolled in the trial * Children with significant motor, visual, or hearing impairments * Children born with very low birth weight or significant medical complications (e.g., seizure disorder)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19149, United States
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Emory University
Atlanta, Georgia, 30329, United States
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Florida State University Autism Institute
Tallahassee, Florida, 32309, United States
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Rush University
Chicago, Illinois, 60612, United States
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Seattle Children's Hospital
Seattle, Washington, 98145, United States
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University of California Los Angeles
Los Angeles, California, 90095, United States
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Weill Cornell Medical College
White Plains, New York, 10605, United States
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