Abstract:
An expanding evidence base has advocated for delivery of naturalistic developmental behavioral interventions (NDBIs) within community systems, thus extending the reach of these practices to young autistic children. The current study examined provider-reported use of NBDIs within a Part C Early Intervention (EI) system and the extent to which provider background, attitudes, and perceived organizational support predicted NDBI use. Results from 100 EI providers representing multiple disciplines indicated reported use of NDBI strategies within their practice despite inconsistent reported competency with manualized NDBI programs. Although NDBI strategy use was not predicted by provider experiences or perceived organizational support, provider openness to new interventions predicted the reported use of NDBI strategies. Future directions include mixed methods data collection across and within EI systems to better understand NDBI use and ultimately facilitate NDBI implementation.
摘要:
不断扩大的证据基础主张在社区系统中提供自然主义发展行为干预措施(NDBIs),因此,这些做法的范围扩大到年轻的自闭症儿童。当前的研究检查了提供者报告的在C部分早期干预(EI)系统中使用NBDI的情况以及提供者背景的程度,态度,感知到的组织支持预测了NDBI的使用。来自代表多个学科的100个EI提供者的结果表明,尽管报告的与手动NDBI计划的能力不一致,但报告的实践中仍使用了NDBI策略。尽管NDBI战略的使用并不是由提供商的经验或感知到的组织支持来预测的,提供者对新干预措施的开放性预测了报告的NDBI策略的使用。未来的方向包括在EI系统之间和内部进行混合方法数据收集,以更好地了解NDBI的使用并最终促进NDBI的实施。