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CTRI Number  CTRI/2025/11/098046 [Registered on: 25/11/2025] Trial Registered Prospectively
Last Modified On: 25/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Single Arm Study 
Public Title of Study   An experiment to see if a training is useful to support parents in reducing problem behaviours shown by their children with autism in India 
Scientific Title of Study   Co-design and open trial of a parenting programme for autistic adolescents in India 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  M Karuppasamy  
Designation  Assistant Professor  
Affiliation  Government Rehabilitation Institute for Intellectual Disabilities (GRIID) 
Address  Government Rehabilitation Institute for Intellectual Disabilities (GRIID), Sector, 31-C, Chandigarh

Chandigarh
CHANDIGARH
160047
India 
Phone  9865407772  
Fax    
Email  karuppasamy7772@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Arush Goel 
Designation  PhD Candidate 
Affiliation  University of Auckland 
Address  Desk 025, Building 507, Level 1, 22-30 Park Avenue, Grafton, Auckland 1023

Not Applicable
N/A
1023
Other 
Phone    
Fax    
Email  arush.goel@auckland.ac.nz  
 
Details of Contact Person
Public Query
 
Name  M Karuppasamy  
Designation  Assistant Professor 
Affiliation  Government Rehabilitation Institute for Intellectual Disabilities (GRIID)  
Address  Room no. 302, Block C, 3rd Floor, Government Rehabilitation Institute for Intellectual Disabilities (GRIID), Sector, 31-C, Chandigarh

Chandigarh
CHANDIGARH
160047
India 
Phone  9865407772   
Fax    
Email  karuppasamy7772@gmail.com   
 
Source of Monetary or Material Support  
Government Rehabilitation Institute for Intellectual Disabilities (GRIID), Sector, 31-C, Chandigarh, 160047 
 
Primary Sponsor  
Name  Arush Goel 
Address  Department of Psychological Medicine, Faculty of Medical and Health Sciences, 22-30 Park Avenue, Grafton, Auckland 1023, New Zealand  
Type of Sponsor  Other [University of affiliation of the PhD candidate, Arush Goel] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Hiran Thabrew  Department of Psychological Medicine, Faculty of Medical and Health Sciences, 22-30 Park Avenue, Grafton, Auckland 1023, New Zealand 
Prof Trecia Wouldes  Department of Psychological Medicine, Faculty of Medical and Health Sciences, 22-30 Park Avenue, Grafton, Auckland 1023, New Zealand  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr M Karuppasamy  Government Rehabilitation Institute for Intellectual Disabilities (GRIID)  Room no. 302, Block-C, 3rd floor, Department of Spcial Education, Government Rehabilitation Institute for Intellectual Disabilities (GRIID), Sector, 31-C, Chandigarh, 160047
Chandigarh
CHANDIGARH 
9865407772

karuppasamy7772@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Rehabilitation Institute for Intellectual Disabilities Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  No condition. Participants will be parents of autistic adolescents.  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Building Bridges Triple P parenting intervention  The Building Bridges Triple P program will consist of five 120-minute group sessions and three 30-minute telephonic sessions. All sessions are held over eight consecutive weeks (one session each week). The topics covered during the sessions include understanding positive parenting, encouraging and teaching appropriate behaviour, managing problem behaviour, getting their children connected and teaching survival skills.  
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  The sample will include parents only. The inclusion criteria is as follows -

Parents of adolescents aged 12-19 years who have received a diagnosis of autism (through ICD-10, including 84.0, F84.1, F84.5, F84.9, through ICD-11:6A02) by a clinician (psychiatrist, paediatrician, or clinical psychologist)

Parents reporting problem behaviour (including but not limited to irritability, aggression, self-harm, non-compliance, tantrums, etc).

Parents who can read, speak and understand English enough to effectively grasp the content of the training and reliably complete the outcome measures

Parents who have the means to attend the training sessions offline 
 
ExclusionCriteria 
Details  Parents of adolescents aged 12-19 who have received the diagnosis of Rett syndrome, other childhood disintegrative conditions, overactivity, and other pervasive developmental conditions (through ICD-10:F84.2, F84.3, F84.4, and F84.8, through ICD-11:LD90.4)
Evidence of psychosis in adolescents
Parents engaged in any other parent training program or within the last year
Autistic adolescents undergoing intensive Applied Behavioural Analysis program (ABA) or within the last year 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Child problem behaviours measured through likert scale parent self-report measures: Strengths and Difficulties Questionnaire (SDQ; Goodman; 1997) and Child Adjustment and Parent Efficacy Scale - Developmental Disability (CAPESDD; Mazzucchelli, Sanders & Morawska, 2011)  Pre-intervention, Post-intervention(8-weeks) and at 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Parent confidence and self-regulation measured through liker scale parent self-report measures: Child Adjustment and Parent Efficacy Scale - Developmental Disability (CAPESDD; Mazzucchelli, Sanders & Morawska, 2011) and Parenting Self-Regulation Scales-Parent version (PSRS; Sanders et al., 2017)  Pre-intervention, post-intervention and three month follow-up 
Feasibility of conducting the trial measured through The ease of recruiting participants and providing them training (based on
the student researcher’s experience), the overall cost involved during the various stages of the
trial (i.e. receiving training in the intervention, cost of material provided to participants, and
cost involved in training the participant), attendance and attrition of participants and time
duration of data collection will be used to assess the feasibility of the open trial 
Post-intervention to 3 month follow-up 
Acceptability of the intervention measured through quantitative questionnaire - Therapy Attitude Inventory (TAI; Eyberg & Johnson, 1974) and qualitative interviews   Quantitative measure will be collected post-intervention and qualitative interviews will be conducted at 3-month follow up  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="10"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This protocol is part of the PhD thesis of Mr Arush Goel, who is an Indian national, currently pursuing his doctoral degree from the University of Auckland, New Zealand. Mr Goel’s PhD is being supervised by Dr Hiran Thabrew (Senior Lecturer, Department of Psychological Medicine, University of Auckland) and Prof. Trecia Wouldes (Head of Department, Psychological Medicine, University of Auckland).  I, Dr Karuppasamy, am the Indian collaborator and co-investigator assisting Mr Goel with his data collection at GRIID. This study aims to evaluate a parenting intervention for autistic adolescents with problem behaviours in India. 

Health services for families of autistic adolescents in India are limited, as the majority of services focus on early interventions. Problem behaviours, including aggression, non-compliance and irritability, are common symptoms observed in autistic adolescents, and such issues increase the burden of autism on the individual and their families. Traditional therapies like the Applied Behaviour Analysis, although efficacious, pose feasibility issues to access in lower and middle-income countries like India. Hence, parenting interventions offer a scalable and cost-effective alternative for supporting autistic individuals with problem behaviours. Since such interventions have not yet been explored in India, the present study aims to do the same. The study aims to evaluate the feasibility, acceptability and preliminary efficacy of a parenting intervention, the Building Bridges Triple P, for Indian parents with autistic adolescents showing problem behaviour. 

In terms of feasibility, the study hypothesises that the trial of such an intervention will be feasible in terms of logistical issues. For acceptability, the study hypothesises that the parenting intervention will highlight good participant and cultural acceptability. Furthermore, the study hypothesises that the parenting intervention, Building Bridges Triple P, will be useful in reducing problem behaviours in autistic adolescents. Secondary to this, it may also improve parental confidence and self-regulation in supporting their child. 
 
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