UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060019
Receipt number R000068640
Scientific Title Effects of Clinical Interventions for Children Exhibiting Challenging Behaviors: An Evaluation Using Single-Case Experimental Design
Date of disclosure of the study information 2025/12/09
Last modified on 2025/12/12 00:06:44

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Basic information

Public title

Effects of Clinical Support for Children with Challenging Behaviors

Acronym

CB-CS Study

Scientific Title

Effects of Clinical Interventions for Children Exhibiting Challenging Behaviors:
An Evaluation Using Single-Case Experimental Design

Scientific Title:Acronym

SCD-CBI Study

Region

Japan


Condition

Condition

Children with Challenging Behaviors
(school refusal, behavioral disorders including aggressive behaviors, and anxiety disorders including obsessive-compulsive disorder and selective mutism)

Classification by specialty

Pediatrics Child

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to evaluate the effectiveness of clinical interventions, including behavioral therapy, for children exhibiting challenging behaviors such as school refusal, behavioral disorders, and anxiety disorders (including selective mutism), using single-case experimental designs, and to examine the causal relationship between the interventions and behavioral changes in order to identify effective support methods.

Basic objectives2

Others

Basic objectives -Others

To systematically examine the appropriateness of the individually defined target behaviors and clinical intervention procedures for each participant, and to clinically assess the potential for generalization and maintenance of intervention effects across daily life settings such as home and school.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in the frequency of individually defined target behaviors for each participant before, during, and after the clinical intervention. Target behaviors are individually defined as observable and measurable behaviors in daily life settings such as home and school, and are continuously evaluated during the intervention period and after the intervention.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

The intervention in this study consists of individualized clinical interventions, including behavioral therapy, designed based on ecological assessments of each participant's challenging behaviors. Specifically, behavioral techniques such as token economy procedures, behavioral contracts, and exposure are applied in combination as appropriate to the participant's characteristics and living environment. The intervention procedures are instructed by the researchers and implemented continuously by caregivers in daily life settings such as home and school.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 years-old <=

Age-upper limit

18 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Children aged 1 to 18 years exhibiting challenging behaviors such as school refusal, behavioral disorders including verbal or physical aggression, or anxiety disorders (including obsessive-compulsive disorder and selective mutism).

2) Caregivers who seek clinical intervention for the child's challenging behaviors.

3) Caregivers who are able to implement the intervention procedures in daily life settings such as home, nursery school, kindergarten, or school in accordance with the researchers' instructions.

4) Caregivers who are capable of appropriately evaluating, recording, and reporting the child's behavioral status to the researchers.

Key exclusion criteria

1) Children who require medical care or intensive medical management due to severe physical and/or intellectual disabilities.

2) Children who are judged by the investigators to be inappropriate for participation in this study for any other clinical or practical reasons.

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Masami
Middle name
Last name Narita

Organization

Kyorin University School of Medicine

Division name

Department of Pediatrics

Zip code

181-8611

Address

Kyorin University School of Medicine 6-20-2 Shinkawa, Mitaka-shi, Tokyo 181-8611, Japan

TEL

0422-47-5511

Email

masami-narita@ks.kyorin-u.ac.jp


Public contact

Name of contact person

1st name Masami
Middle name
Last name Narita

Organization

Kyorin University School of Medicine

Division name

Department of Pediatrics

Zip code

181-8611

Address

6-20-2 Shinkawa, Mitaka-shi, Tokyo 181-8611, Japan

TEL

0422-47-5511(23621)

Homepage URL


Email

masami-narita@ks.kyorin-u.ac.jp


Sponsor or person

Institute

Kyorin University

Institute

Department

Personal name



Funding Source

Organization

This study is funded by the investigators' own resources. No external funding is provided.

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Kyorin University School of Medicine

Address

6-20-2 Shinkawa, Mitaka-shi, Tokyo 181-8611, Japan

Tel

0422-47-5511 / +81-422-47-5511

Email

irb@ks.kyorin-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

杏林大学医学部付属病院(東京都)および家庭・学校等の生活場面


Other administrative information

Date of disclosure of the study information

2025 Year 12 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 06 Month 12 Day

Date of IRB

2025 Year 06 Month 12 Day

Anticipated trial start date

2025 Year 07 Month 09 Day

Last follow-up date

2027 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 12 Month 08 Day

Last modified on

2025 Year 12 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068640