Yu Fan, Liang Zhou, Xiyuan Chen, Jinghua Su, Shaoling Zhong
Determinants and outcomes of health-promoting lifestyle among people with schizophrenia
BMC psychiatry
much 80 children autism spectrum exhibit challenging behaviors ie behaviors dangerous self others behaviors interfere learning development behaviors interfere socialization devastating impact personal family wellbeing contribute teacher burnout even require hospitalization evidencebased practices reduce behaviors emphasize identifying triggers events antecedents lead challenging behaviors however parents teachers often report challenging behaviors surface little warning exciting recent advances biometric sensing mobile computing technology allow measurement momentary emotion dysregulation using physiological indexes present framework protocol pilot trial test mobile digital mental health app keepcalm app schoolbased approaches managing challenging behaviors children autism spectrum limited 3 key factors children autism spectrum often difficulties communicating emotions challenging implement evidencebased personalized strategies individual children group settings difficult teachers track strategies successful child keepcalm aims address barriers communicating childrens stress teachers using physiological signaling emotion dysregulation detection supporting implementation emotion regulation strategies via smartphone popup notifications top strategies child according behavior emotion regulation strategy implementation easing task tracking outcomes providing childs educational team tool track effective emotion regulation strategies child based physiological stress reduction data emotion regulation strategy evaluation test keepcalm 20 educational teams students autism spectrum challenging behaviors exclusion based iq speaking ability pilot randomized waitlistcontrolled field trial 3month period examine usability acceptability feasibility appropriateness keepcalm primary outcomes secondary preliminary efficacy outcomes include clinical decision support success false positives false negatives stress alerts reduction challenging behaviors emotion dysregulation also examine technical outcomes including number artifacts proportion time children engaged high physical movement based accelerometry data test feasibility recruitment strategies test response rate sensitivity change measures preparation future fully powered largescale randomized controlled trial pilot trial begin september 2023 results provide key data important aspects implementing keepcalm preschools elementary schools provide preliminary data efficacy reduce challenging behaviors support emotion regulation children autism spectrum clinicaltrialsgov nct05277194 httpswwwclinicaltrialsgovct2shownct05277194 prr110219645852