Autism, Early Intervention
Conditions
Brief summary
Although the efficacy of early intervention (EI) for autistic children and their families has been established, many marginalized families with diverse cultural and linguistic backgrounds still report inequitable access to evidence-based practices (EBP). There are several strategies to increase EBP implementation that are especially relevant to marginalized families who report inequitable access to coaching from EI providers, such as increasing the capacity of EI providers to coach families in a culturally responsive way. However, EI providers are provided with limited professional development in both family coaching and cultural responsiveness, which results in perpetuation of EBP implementation failure. Thus, it is crucial to develop and validate an implementation toolkit that comprises strategies to enhance cultural responsiveness in the uptake of EBPs among EI providers. Therefore, the overall purpose of this research is to identify facilitators and barriers of EBP implementation among marginalized families in EI to aid the development an implementation toolkit with a focus on capacity building of EI providers to implement EBP with cultural responsiveness. This will involve conducting individual interviews with EI providers.
Interventions
BEHAVIORALI-TEAM
I-TEAM is a web-based implementation toolkit that supports to enhance cultural responsiveness of EI providers in their EBP delivery with minoritized families of young autistic children
Sponsors
Seattle Children's Hospital
University of Washington
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants will not be blinded into which condition they were assigned into
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
There are two sets of inclusion criteria for both types of participants. Inclusion Criteria for EI providers: * Currently working with minoritized families of young children within Part-C * Willing to complete I-TEAM as instructed * Over the age of 18
Exclusion criteria
for EI providers: * Not able to complete I-TEAM as instructed Inclusion Criteria for families: * Having a minoritized backgrounds (e.g., migrant/refugee background, primarily speaks another language other than English at home) * Having a young child eligible for early intervention services
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Coaching Fidelity Scale (CFS) | Change from baseline at 8 weeks | CFS is an observational measure to assess coaching fidelity during an interaction between a coach and a learner |
| Cultural Self-Efficacy Scale for Early Interventionists (CSES-EI) | Change from baseline at 8 weeks | CSES-EI is a 32-item, self-reported measure of cultural self-efficacy of early intervention providers |
| Social Validity | Change from baseline at 8 weeks | We will measure acceptability and feasibility of I-TEAM |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measure of NDBI Strategy Implementation: Caregiver Change (MONSI-CC) | Change from baseline at 8 weeks | MONSI-CC is an observational measure that detects changes in caregivers' use of NDBI strategies in early intervention |
| Autism-specific parenting self-efficacy | Change from baseline at 8 weeks | We will use this self-reported tool to assess self-efficacy of parents of young autistic children |
| Social validity | Change from baseline at 8 weeks | We will assess social validity, including satisfaction with their services, reports of cultural responsiveness of their providers, acceptability of early intervention among intervention recipients |
Countries
United States
Outcome results
None listed