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Professional Preparation, Growth, and Recognition in the Service Coordination Workforce 服务协调工作人员的专业准备、成长和认可
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1097/IYC.0000000000000229
Sarah L. Nichols, S. M. Connor, Maria P. Kastanis, Robert M. Corso
A survey was distributed to Part C early intervention (EI) service coordination (SC) stakeholders in one state in order to gain a deeper understanding of service coordinator knowledge, skills, and motivators for professional growth and recognition. Survey participants (N = 107), including dedicated service coordinators, program managers, social emotional consultants, parent liaisons, local interagency council coordinators, and developmental pediatric consultants, identified knowledge and skills required for the role of service coordinators. Key motivators for professional growth within the SC role were also identified, including monetary, award/acknowledgment, and varied levels of responsibility. Data collected were analyzed, reviewed with Part C administrators, system point of entry leadership, and shared with EI stakeholders. Findings are being used to guide systems planning and decision-making to ensure service coordinators have opportunities for professional growth and are well prepared with the knowledge, skills, and supports necessary to partner with families and other professionals in EI. Information gained may also inform other state Part C programs and professional development entities as they (1) create and assess systems to support SC personnel; (2) build service coordinators' capacity to implement evidence-informed practices; (3) recognize service coordinators' critical role and expertise; and (4) foster the retention of well-trained, well-supported service coordinators.
为了更深入地了解服务协调员的知识、技能以及专业成长和认可的激励因素,本研究向某州的C部分早期干预服务协调利益相关者分发了一份调查问卷。调查参与者(N = 107),包括专职服务协调员、项目经理、社会情感咨询师、家长联络员、地方跨机构理事会协调员和儿童发展咨询师,确定了服务协调员角色所需的知识和技能。还确定了SC角色中专业成长的主要激励因素,包括金钱,奖励/认可和不同级别的责任。收集的数据进行分析,与C部分管理员、系统入口点领导进行审查,并与EI利益相关者共享。调查结果被用于指导系统规划和决策,以确保服务协调员有专业成长的机会,并为与家庭和其他EI专业人员合作做好充分的知识、技能和支持准备。获得的信息也可以告知其他州C部分项目和专业发展实体,因为他们(1)创建和评估支持SC人员的系统;(2)建立服务协调员实施循证实践的能力;(3)认可服务协调员的关键作用和专业知识;(4)培养训练有素、得到良好支持的服务协调员。
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引用次数: 0
A Conceptual Model for a Blended Intervention Approach to Support Early Language and Social-Emotional Development in Toddler Classrooms 一个支持幼儿早期语言和社会情感发展的混合干预方法的概念模型
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1097/IYC.0000000000000232
Jennifer E. Cunningham, Jason C. Chow, Katherine A. Meeker, Abby Taylor, M. Hemmeter, A. Kaiser
The purpose of this article is to present a theory-driven blended intervention model that integrates evidence-based interventions to support language and social development of young children. We (1) provide an overview of practices that are designed to support language and social-emotional development, (2) present a theory of change model that outlines the theoretical basis for our proposed approach, and (3) provide an example of the conceptual model via the blending of Tier 1 interventions that provide class-wide language and behavioral support for young children. We conclude by arguing for the parsimony that a proactive synergy between social and language interventions blended into a single professional development approach will provide.
本文的目的是提出一个理论驱动的混合干预模型,该模型整合了基于证据的干预措施,以支持幼儿的语言和社会发展。我们(1)概述了旨在支持语言和社会情感发展的实践,(2)提出了一个变革理论模型,概述了我们提出的方法的理论基础,(3)提供了一个概念模型的例子,通过混合第一级干预措施,为幼儿提供班级范围的语言和行为支持。我们的结论是,社会和语言干预之间的积极协同作用混合成单一的专业发展方法将提供的简约性。
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引用次数: 1
Family-Centered Practices and Caregiver Mental Health in a Developmental Intervention for Young Children With Congenital Zika Syndrome 以家庭为中心的实践和照顾者心理健康在先天性寨卡综合征幼儿发育干预中的作用
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1097/IYC.0000000000000230
Natalie A. Williams, Pompéia Villachan-Lyra, Holly Hatton-Bowers, C. Marvin, E. Chaves, Cody Hollist, R. T. M. Gomes, L. Barbosa
The goal of this study was to describe the provision of intervention services to children with congenital Zika syndrome (CZS) in a large health care institution located in Recife, Brazil, and family factors related to intervention involvement, through the lens of family-centered developmental–behavioral pediatric care principles. Caregivers (N = 50) of children with CZS who were receiving services at a public rehabilitation hospital participated a cross-sectional survey study. Among caregivers, 22% reported a low number of both child and caregiver intervention contacts, 26% reported a high number of child contacts but low caregiver contacts, and 52% reported both high child and caregiver contacts with intervention staff in the past 3 months. Caregiver stress scores were higher and coping strategies were lower in the low child and caregiver intervention contact group. Most caregivers reported high levels of family-centered practices. In regression models, low family resources was associated with higher depression and stress and low coping strategy use, whereas higher support was associated with higher coping. This study adds to the small literature exploring intervention services provided to children with CZS with a particular emphasis on family-centered care principles. It is recommended that intervention programs in Brazil evaluate the availability and accessibility of family resources and develop strategies to help connect families to resources that promote caregiver mental health and child outcomes.
本研究的目的是通过以家庭为中心的儿童发育行为护理原则,描述巴西累西腓一家大型卫生保健机构对先天性寨卡综合征(CZS)儿童的干预服务提供情况,以及与干预参与相关的家庭因素。对在公立康复医院接受服务的cz患儿护理人员(N = 50)进行横断面调查研究。在护理人员中,22%的人报告儿童和护理人员的干预接触次数较少,26%的人报告儿童接触次数较多但护理人员接触次数较少,52%的人报告过去3个月内与干预人员的儿童和护理人员接触次数较多。在低儿童和照顾者干预接触组中,照顾者压力得分较高,应对策略较低。大多数护理人员都报告了高度以家庭为中心的做法。在回归模型中,低家庭资源与高抑郁、高压力和低应对策略使用相关,而高支持与高应对相关。本研究补充了小文献探讨干预服务提供给cz儿童,特别强调以家庭为中心的护理原则。建议巴西的干预方案评估家庭资源的可用性和可及性,并制定战略,帮助家庭与促进照顾者心理健康和儿童结局的资源联系起来。
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引用次数: 0
Redistribution for Regular Texture Bites for Clinical Pediatric Feeding Cases In-Home 临床儿科家庭喂养病例中正常质地咬痕的再分配
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.1097/IYC.0000000000000225
Tessa Taylor
Research has shown effectiveness of redistribution procedures for decreasing packing and increasing swallowing. Redistribution has been done using lower manipulated-texture foods on an infant gum brush in specialized U.S. hospitals. We extended this by using regular texture bites of food in a short-term (1–2 weeks) home-based program in Australia, showing decreased then absent use of the procedure, and following up. Two children with autism spectrum disorder participated. We used a modified withdrawal/reversal design. Latency to swallow decreased. Participants increased variety to 90 and 122 regular texture foods across food groups. All goals were met including increasing independence in self-feeding. Both parents were trained. Gains maintained to 6 months and redistribution was no longer needed.
研究表明,重新分配程序对减少包装和增加吞咽是有效的。在美国的专业医院,重新分配使用低加工质地的食物在婴儿牙龈刷上。我们通过在澳大利亚短期(1-2周)的家庭项目中使用常规质地的食物来延长这一过程,结果显示使用该程序的人减少了,然后没有使用,并进行了随访。两名患有自闭症谱系障碍的儿童参与了研究。我们采用了改良的撤回/逆转设计。吞咽潜伏期减少。参与者在食物组中增加了90种和122种常规质地的食物。所有的目标都达到了,包括增加自理能力。父母都受过训练。收益维持在6个月,不再需要重新分配。
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引用次数: 0
Impacts of a Parent-Implemented Language Intervention on Children's Language Development Within Home Visiting 家访中父母实施的语言干预对儿童语言发展的影响
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.1097/IYC.0000000000000224
J. Pentimonti, Danielle Shaw Attaway, Michael Harris Little, Aleksandra Holod, Virginia Buysse, D. Walker, Kathryn M. Bigelow
The purpose of this study was to conduct a pilot randomized controlled trial to evaluate the efficacy of an intervention for enhancing the language development of young children enrolled in home visiting programs. The participants were 59 children (18–30 months old) enrolled in one of three types of home visiting programs. Children's language skills were assessed pre- and post-intervention with the Preschool Language Scale. To estimate the impacts of the intervention on children's language scores, we conducted a two-level hierarchical linear model. Results from this model provide promising evidence for the benefits of using systematic parent-implemented language interventions.
本研究的目的是进行一项随机对照试验,以评估一项干预措施对参加家访计划的幼儿语言发展的效果。参与者是59名18-30个月大的儿童,他们参加了三种家访计划中的一种。使用学前语言量表评估干预前后儿童的语言技能。为了评估干预对儿童语言成绩的影响,我们进行了一个两级层次线性模型。该模型的结果为使用系统的父母实施的语言干预的好处提供了有希望的证据。
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引用次数: 0
Comparing and Contrasting Quality Frameworks Using Research on High-Probability Requests With Young Children 用对幼儿高概率请求的研究比较和对比质量框架
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.1097/IYC.0000000000000223
J. Hardy, R. McLeod, Chris A. Sweigart, T. Landrum
The purpose of this study was to compare and contrast frameworks for evaluating methodological rigor in single case research. Specifically, research on high-probability requests to increase compliance in young children was evaluated. Ten studies were identified and were coded using 4 frameworks. These frameworks were the Council for Exceptional Children Standards for Evidence-based Practices, What Works Clearinghouse, Risk of Bias Assessment for Single Subject Experimental Designs, and Single Case Analysis and Review Framework. Significant differences were found across frameworks, both in the rating of rigor and the study effects. Implications for determining high-quality research and effective practices are discussed.
本研究的目的是比较和对比评估单一案例研究方法严谨性的框架。具体地说,对提高幼儿依从性的高概率请求的研究进行了评估。确定了10项研究,并使用4个框架进行了编码。这些框架是基于证据的实践的特殊儿童标准委员会,有效的信息交换中心,单一受试者实验设计的偏见风险评估,以及单一案例分析和审查框架。不同框架之间存在显著差异,无论是在严谨性评级还是研究效果方面。讨论了确定高质量研究和有效实践的含义。
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引用次数: 0
A Review of Early Motor Issues in Young Children With Autism Spectrum Disorder 自闭症谱系障碍幼儿早期运动障碍的研究进展
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2022-10-01 DOI: 10.1097/IYC.0000000000000227
E. Hebert, Karen W. Nolan, Katie Smith
The cardinal features of autism spectrum disorder (ASD) are recognized to include impairments in communication, social interactions, and restricted, repetitive behaviors and stereotyped interests. However, many children with ASD also have motor activity limitations that are often overlooked. The purpose of this review is to summarize the literature on neuromotor impairment and motor activity limitation in children with ASD. A literature search was conducted of citations from 1998 through 2021 using PubMed, EMBASE, and PsycINFO. Twenty-three search terms were used to encompass diverse articles focused on children with autism and motor activity. The search resulted in 78 articles that included the search terms and were also consistent with the aims of this literature review. The potential significance of motor activity limitations on development from an early age is explored and recommendations are offered for more holistic surveillance in children with ASD, which can facilitate early access to services when indicated.
自闭症谱系障碍(ASD)的主要特征被认为包括沟通障碍、社会互动障碍、限制性重复行为和刻板兴趣。然而,许多自闭症儿童也有经常被忽视的运动活动限制。本文综述了有关ASD儿童神经运动障碍和运动活动限制的文献。使用PubMed、EMBASE和PsycINFO对1998年至2021年的引文进行了文献检索。研究人员使用了23个搜索词来涵盖各种关于自闭症儿童和运动活动的文章。检索结果为78篇包含检索词的文章,这些文章也与本文献综述的目的一致。本文探讨了运动活动限制对早期发育的潜在意义,并提出了对ASD儿童进行更全面监测的建议,这有助于在需要时尽早获得服务。
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引用次数: 0
Including Peers in Intervention for Young Children With Disabilities 包括对残疾儿童的同伴干预
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000221
M. Hanline, Jennifer Eldridge, Audrey Robbins
The purpose of this systematic review was to describe single case design (SCD) research studies that systematically included peers in interventions designed to have positive outcomes for children with disabilities aged 3–8 years. Thirty-nine articles published in peer-referred journals in the past 10 years were analyzed in relation to study rigor and characteristics of interventions. Overall, this review supports including peers into systematic interventions for young children with disabilities, as the interventions were effective in producing positive changes in the behavior of young children with a variety of disabilities in social, communication, cognitive, play, and academic skills. No clear pattern emerged of a relationship between ecological factors (setting and interventionist) and generalization and maintenance of child behaviors. The analysis of study rigor suggests that fewer than half of the studies met current standards for SCD research and the number of studies conducting generalization, maintenance, and social validity was inadequate. A significant challenge for the field is to conduct more rigorous research to identify critical factors promoting positive behavior change for young children with disabilities when peers are included in interventions.
本系统综述的目的是描述单病例设计(SCD)研究,这些研究系统地将同伴纳入旨在对3-8岁残疾儿童产生积极结果的干预措施中。我们分析了过去10年发表在同行参考期刊上的39篇文章,分析了研究的严谨性和干预措施的特点。总的来说,这篇综述支持将同伴纳入对残疾儿童的系统干预,因为这些干预有效地在社交、沟通、认知、游戏和学术技能方面对残疾儿童的行为产生积极的变化。生态因素(环境因素和干预因素)与儿童行为的普遍化和维持之间没有明确的关系模式。研究严谨性分析表明,只有不到一半的研究符合SCD研究的现行标准,进行概括、维持和社会效度的研究数量不足。该领域面临的一个重大挑战是进行更严格的研究,以确定在同伴参与干预时促进残疾儿童积极行为改变的关键因素。
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引用次数: 0
Developing Parents Plus 发展父母Plus
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000219
Brook E. Sawyer, C. Hammer, Julie K. Santoro, Julie Smith, Edward G. Feil
In this article, we describe the development and investigation of the social validity of Parents Plus, a parent-implemented intervention for preschool children with developmental language disorder. Parents Plus is a fully online intervention that is delivered through three components: (a) training delivered through an app that educates parents on how to use focused stimulation (FS), a language facilitation strategy; (b) parent implementation of FS during naturally occurring routines; and (c) remote practice-based coaching provided by a coach via Zoom. Parents Plus was developed in three steps: (a) initial content development with input from parents and professional advisory board members, (b) brief field test with five parent–child dyads, and (c) full-length field test with seven parent–child dyads. Throughout the development process, we collected social validity data on the intervention's goals, procedures, content and outcomes. Each step was followed by revisions to Parents Plus. Findings suggest that Parents Plus has strong social validity. Recommendations for early intervention practice are provided based on lessons learned, such as different methods to scaffold learning experiences for parents.
在本文中,我们描述了父母实施的学龄前儿童发展性语言障碍干预“父母加”的社会效度的开发和调查。Parents Plus是一种完全在线的干预,通过三个部分提供:(a)通过一个应用程序提供培训,教育父母如何使用集中刺激(FS),一种语言促进策略;(b)在自然发生的例程中父端执行FS;(c)由教练通过Zoom提供的远程实践指导。“家长Plus”的开发分三个步骤:(a)根据家长和专业顾问委员会成员的意见进行初步内容开发,(b)对五对亲子进行简短的实地测试,以及(c)对七对亲子进行全面的实地测试。在整个开发过程中,我们收集了有关干预目标、程序、内容和结果的社会效度数据。每个步骤之后都对“家长Plus”进行了修订。研究结果表明,“家长Plus”具有较强的社会效度。根据经验教训,提供了早期干预实践的建议,例如为家长提供不同的学习经验的方法。
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引用次数: 0
Latinx Mothers' Experiences With Linkage to Early Intervention 拉丁裔母亲与早期干预相关的经验
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000220
Irina Quebles, Judith L. Perrigo, R. Bravo, Mona Patel Gera, M. Poulsen, B. Wheeler, Marian E. Williams
This study explored the experiences and perspectives of Latinx mothers of children younger than 3 years who had participated in a developmental screening initiative provided by 2 Federally Qualified Health Centers in an urban setting, had positive developmental screenings, and were referred to early intervention (EI) services. A 2-phase mixed-methods explanatory design was implemented in English and Spanish. In Phase 1, a telephone survey was conducted with 62 parents. In Phase 2, qualitative semistructured interviews (regarding parental experiences with their child's developmental screening, the process of linking to services, the EI evaluation, and subsequent services received) were conducted with a subset of 13 Phase 1 mothers. Results from the phone survey showed that 91% of children were found eligible for EI and 92% were receiving EI services. More than 90% of mothers reported positive experiences with their children's developmental screening, learning about their child's development, and accessing services. However, results from the semistructured interviews revealed that mothers had mixed experiences with the developmental screening process and linkage to EI services. Findings from this study provide insights into the perceived value of EI services by Latinx families and the need for improved system supports to access and navigate EI services.
本研究探讨了三岁以下儿童的拉丁裔母亲的经验和观点,这些母亲参加了由城市环境中的两家联邦合格卫生中心提供的发育筛查倡议,进行了积极的发育筛查,并被转介到早期干预(EI)服务。采用英语和西班牙语两阶段混合方法解释设计。在第一阶段,对62名家长进行了电话调查。在第二阶段,对13位第一阶段的母亲进行了定性半结构化访谈(关于父母对孩子发育筛查的经历、与服务的联系过程、情商评估以及随后接受的服务)。电话调查的结果显示,91%的儿童有资格获得情商,92%的儿童正在接受情商服务。90%以上的母亲报告说,她们在接受儿童发育筛查、了解儿童发育情况和获得服务方面经历了积极的经历。然而,半结构化访谈的结果显示,母亲在发育筛选过程和与情商服务的联系方面有不同的经历。本研究的结果为拉丁裔家庭对EI服务的感知价值以及改善系统支持以获取和导航EI服务的需求提供了见解。
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引用次数: 1
期刊
Infants & Young Children
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