A Trial of Project ImPACT in Early Intervention

The BOSCC is a measure of treatment-response for social-communication behaviors. The BOSCC contains 12 items in total. The score range of individual items is 0-5. Items are then summed to a total score. The range for a total score is 0-60. Higher scores are an indication of more symptom severity.

Time frame: Baseline and 6 Month Follow Up (Exit) (6 months)

Population: Participants in the arms/groups Treatment as Usual: Early Interventionists, ImPACT at a Dose of 1 Hour/Week: Early Interventionists, ImPACT at 4 Hours/Week: Early Interventionists, Treatment as Usual: Caregivers, ImPACT at a Dose of 1 Hour/Week: Caregivers, ImPACT at 4 Hours/Week: Caregivers are not included in the analysis as the measure's intent is to assess child outcomes.

The EIPSES is a measure of parent self-efficacy. It is a 16-item self-report measure that examines parents beliefs about their ability to produce positive changes and promote optimal development in their child with a disability. Once items are summed, the total score ranges from 16-112, with higher scores indicating better self-efficacy and empowerment.

Time frame: Baseline and 6 Month Follow Up (6 months)

Population: Participants in the arms/groups Treatment as Usual: Early Interventionists, ImPACT at a Dose of 1 Hour/Week: Early Interventionists, ImPACT at 4 Hours/Week: Early Interventionists, Treatment as Usual: Children, ImPACT at a Dose of 1 Hour/Week: Children, ImPACT at 4 Hours/Week: Children are not included in the analysis as the measure's intent is to assess parent outcomes.

Parent Responsiveness is measured using the Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO™). PICCOLO is a checklist of 29 observable developmentally supportive parenting behaviors, with children ages 10-47 months, in four domains (affection, responsiveness, encouragement, and teaching). Each item is scored as 0, 1 or 2. 0 = Behavior absent, not observed 1. = Behavior barely there, sometimes 2. = Behavior seen often Assessors add scores for each item to calculate a domain score and an overall domain score. Total scores can range from 0-58, with higher scores indicating more parent responsiveness to child behavior and actions.

Time frame: Collected at Baseline and 6 Month Follow Up (time frame: 6 months)

Population: Participants in the arms/groups Treatment as Usual: Early Interventionists, ImPACT at a Dose of 1 Hour/Week: Early Interventionists, ImPACT at 4 Hours/Week: Early Interventionists, Treatment as Usual: Children, ImPACT at a Dose of 1 Hour/Week: Children, ImPACT at 4 Hours/Week: Children are not included in the analysis as the measure's intent is to assess parent outcomes.

Clinician fidelity is measured using the Project ImPACT Coaching Fidelity Checklist. The checklist measures the providers' use of the core components to Project ImPACT. The form uses a 3-point score (scored from 0-2): 0, Not observed; 1, partially observed; and 2, observed. The final score is a summary percentage rating of overall fidelity with a range of 0-100%.

Time frame: 3 Month Follow-Up (3 month time frame)

Population: Treatment as Usual providers did not implement Project ImPACT and were not evaluated using this fidelity measure. Participants in the arms/groups Treatment as Usual: Families, ImPACT at a Dose of 1 Hour/Week: Families, ImPACT at 4 Hours/Week: Families are not included in the analysis as the measure's intent is to assess the provider's adherence to the intervention. Parent adherence to the intervention was assessed with a separate measure.

Parent Treatment Adherence will be assessed through a videotaped parent-child interaction at home. Parent behavior will be scored for use of the intervention strategies using the Project ImPACT Intervention Fidelity Checklist. The scores range from 1 to 5, the higher the score representing the most adherence to the Project ImPACT intervention. The overall score is an average of scores from each item.

Time frame: 6 months

Population: Treatment as Usual Children/Caregivers didn't receive the Project ImPACT intervention and not evaluated for their adherence to it. Participants in the arms/groups Treatment as Usual: Early Interventionists, ImPACT at a Dose of 1 Hour/Week: Early Interventionists, ImPACT at 4 Hours/Week: Early Interventionists are not included in the analysis as the measure's intent is to assess caregiver adherence to the intervention. A separate measure was used to evaluate interventionist's adherence.

The Vineland-3 is a standardized measure of adaptive behavior--the things that people do to function in their everyday lives. Because it is a norm-based instrument, the examinee's adaptive functioning is compared to that of others his or her age. The ABC score is based on scores for three specific adaptive behavior domains: Communication, Daily Living Skills, and Socialization. The domain scores are also expressed as standard scores with a mean of 100 and standard deviation of 15. The standard score range for the Communication domain is 20-140. Higher scores indicate better outcomes.

Time frame: Time 1 (Baseline) and Time 3 (6 Month Follow Up) for a total of 6 months.

Population: Participants in the arms/groups Treatment as Usual: Early Interventionists, ImPACT at a Dose of 1 Hour/Week: Early Interventionists, ImPACT at 4 Hours/Week: Early Interventionists, Treatment as Usual: Caregivers, ImPACT at a Dose of 1 Hour/Week: Caregivers, and ImPACT at 4 Hours/Week: Caregivers are not included in the analysis as the measure's intent is to assess child outcomes.

The Vineland-3 is a standardized measure of adaptive behavior--the things that people do to function in their everyday lives. Because it is a norm-based instrument, the examinee's adaptive functioning is compared to that of others his or her age. The ABC score is based on scores for three specific adaptive behavior domains: Communication, Daily Living Skills, and Socialization. The domain scores are also expressed as standard scores with a mean of 100 and standard deviation of 15. The standard score range for the Socialization domain is 20-140. Higher scores indicate better outcomes.

Time frame: 6 months

Population: Participants in the arms/groups Treatment as Usual: Early Interventionists, ImPACT at a Dose of 1 Hour/Week: Early Interventionists, ImPACT at 4 Hours/Week: Early Interventionists, Treatment as Usual: Caregivers, ImPACT at a Dose of 1 Hour/Week: Caregivers, and ImPACT at 4 Hours/Week: Caregivers are not included in the analysis as the measure's intent is to assess child outcomes.

The PEACE Fidelity Tool measures a provider's caregiver coaching quality by evaluating the quality and use of evidence based caregiver coaching strategies during recorded EI session across 5 domains (collaboration, daily routines, demonstration, practice and feedback, and reflection). The tool consists of 25 items scored on a 5 point scale from 1-5. Domains and total scores are calculated by averaging items. Scores can range from 1-5, with higher scores indicating better coaching competency and quality.

Time frame: 3 Month Follow Up (3 Months)

Population: Participants in the arms/groups Treatment as Usual: Families, ImPACT at a Dose of 1 Hour/Week: Families, ImPACT at 4 Hours/Week: Families are not included in the analysis as the measure's intent is to assess provider coaching fidelity.