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| Name | Class |
|---|---|
| University of Washington | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Intervention group will receive access to the I-TEAM |
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| Waitlist control | No Intervention | Waitlist control group will not receive access to the I-TEAM until the Intervention group has completed the 8-week intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| I-TEAM | Behavioral | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Coaching Fidelity Scale (CFS) | CFS is an observational measure to assess coaching fidelity during an interaction between a coach and a learner | Change from baseline at 8 weeks |
| Cultural Self-Efficacy Scale for Early Interventionists (CSES-EI) | CSES-EI is a 32-item, self-reported measure of cultural self-efficacy of early intervention providers | Change from baseline at 8 weeks |
| Social Validity | We will measure acceptability and feasibility of I-TEAM | Change from baseline at 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Measure of NDBI Strategy Implementation: Caregiver Change (MONSI-CC) | MONSI-CC is an observational measure that detects changes in caregivers' use of NDBI strategies in early intervention | Change from baseline at 8 weeks |
| Autism-specific parenting self-efficacy |
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There are two sets of inclusion criteria for both types of participants.
Inclusion Criteria for EI providers:
Exclusion Criteria for EI providers:
Inclusion Criteria for families:
Exclusion Criteria for EI providers:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seattle Children's Research Institute | Seattle | Washington | 98115 | United States |
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| ID | Term |
|---|---|
| D001321 | Autistic Disorder |
| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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Participants will not be blinded into which condition they were assigned into
We will use this self-reported tool to assess self-efficacy of parents of young autistic children |
| Change from baseline at 8 weeks |
| Social validity | We will assess social validity, including satisfaction with their services, reports of cultural responsiveness of their providers, acceptability of early intervention among intervention recipients | Change from baseline at 8 weeks |