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Parents' Part C Experiences in Rural Areas: Alignment With Recommended Practices. 家长在农村地区的C部分经验:与推荐做法的一致性。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-06-01 Epub Date: 2020-09-04 DOI: 10.1177/1053815120953484
Kalli B Decker, Jacie Meldrum, J Mitchell Vaterlaus, Tricia D Foster

The Division for Early Childhood (DEC) clearly outlined recommended practices for the provision of Part C services. However, there may be challenges in rural areas associated with services aligning with these recommended practices. Therefore, this study focuses on how families experience Part C services and the extent to which services align with specific areas the DEC recommended practices in the large, rural state of Montana. We interviewed parents (N = 30) about their children's Part C services. Deductive qualitative content analysis was used. Parents' reports suggest that while some aspects of their Part C services align with specific recommended practices, others do not. There were some meaningful differences regarding alignment with these recommended practices depending on type of provider being described. The environments in which services take place are discussed, as these may influence aspects of collaboration and building family capacity.

幼儿司(DEC)明确概述了提供C部分服务的建议做法。然而,在农村地区,与这些建议做法相一致的服务可能存在挑战。因此,本研究的重点是家庭如何体验C部分服务,以及这些服务在多大程度上符合DEC在蒙大拿州农村大州推荐的具体地区的做法。我们采访了30位家长,询问他们孩子的C部分服务。采用演绎定性含量分析。家长们的报告表明,虽然他们的C部分服务的某些方面符合具体的推荐做法,但其他方面却没有。根据所描述的提供者类型,在与这些推荐实践的一致性方面存在一些有意义的差异。讨论了提供服务的环境,因为这些环境可能影响协作和建立家庭能力的各个方面。
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引用次数: 6
Cross-System Communication in Early Childhood Settings in the United States: An Exploratory Study Using the National Survey of Children’s Health 美国儿童早期环境中的跨系统交流:一项使用全国儿童健康调查的探索性研究
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-05-20 DOI: 10.1177/10538151211012779
Shreya Roy, Olivia J. Lindly, M. Berardinelli, Alison J. Martin
Communication between a child’s health care provider, child care and other community providers (cross-system communication) may facilitate access and referral to early intervention (EI). This study examined (a) factors associated with cross-system communication and (b) whether cross-system communication was associated with receiving EI among U.S. toddlers ages 1 to 2 years. This study used data from the National Survey of Children’s Health 2016 and included 1,184 children of ages 1 to 2 years, whose parents indicated a need for cross-system communication. Dependent variable was having an EI plan. Primary independent variable was cross-system communication. Children who had cross-system communication had almost three times (2.9) higher odds of receiving EI services as compared to those who did not have cross-system communication (odds ratio [OR] = 2.9, 95% confidence interval [CI] = 1.2, 6.9, p = .014). This study found that cross-system communication was associated with receiving EI services for U.S. children of ages 1 to 2 years.
儿童卫生保健提供者、儿童保健和其他社区提供者之间的沟通(跨系统沟通)可以促进早期干预(EI)的获取和转诊。本研究考察了(a)与跨系统沟通相关的因素,以及(b)跨系统沟通是否与美国1至2岁幼儿接受情商有关。这项研究使用了2016年全国儿童健康调查的数据,包括1184名1至2岁的儿童,他们的父母表示需要跨系统沟通。因变量是是否有EI计划。主要的自变量是跨系统通信。与没有进行跨系统交流的儿童相比,进行过跨系统交流的儿童接受EI服务的几率几乎高出3倍(2.9)(优势比[OR] = 2.9, 95%可信区间[CI] = 1.2, 6.9, p = 0.014)。本研究发现,跨系统沟通与美国1至2岁儿童接受EI服务有关。
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引用次数: 1
A Retrospective Review of Communication Evaluation Practices of Young Latinx Children 拉丁裔儿童沟通评估实践回顾
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-05-11 DOI: 10.1177/10538151211012703
Lidia Huerta, Lauren M. Cycyk, Hannah Sanford-Keller, A. Busch, Jill K. Dolata, Heather W. Moore, Stephanie De Anda, K. Zuckerman
A retrospective review of initial early intervention and early childhood special education (EI/ECSE) evaluation reports was completed to identify practices specific to the evaluation of Latinx children’s communication development. A records abstraction approach employed entailed a random selection of 294 EI/ECSE evaluation reports completed in Oregon with Latinx children with communication concerns. The reports were coded for documentation of background information, evaluation procedures, and eligibility decisions. Quantitative and qualitative analyses were completed to identify common evaluation practices. Adequate evaluation practices documented included the use of a multidisciplinary evaluation team, administration of multiple evaluation measures, and provision of basic information on children’s language background. EI/ECSE providers did not consistently specify children’s language exposure/use, denote the language of the evaluation, prioritize appropriate assessment measures, and indicate attention to cultural and linguistic differences when determining eligibility. Recommendations for decreasing bias in the evaluation of Latinx children and culturally and linguistically diverse (CLD) populations more broadly are offered.
完成了对初始早期干预和幼儿特殊教育(EI/ESE)评估报告的回顾性审查,以确定评估拉丁裔儿童沟通发展的具体做法。采用的记录抽象方法需要随机选择294份在俄勒冈州完成的EI/ESE评估报告,这些报告涉及有沟通问题的拉丁裔儿童。对这些报告进行了编码,以记录背景信息、评估程序和资格决定。完成了定量和定性分析,以确定共同的评价做法。记录在案的充分评估做法包括使用多学科评估小组,管理多种评估措施,以及提供有关儿童语言背景的基本信息。EI/ESE提供者没有始终如一地规定儿童的语言接触/使用情况,表示评估的语言,优先考虑适当的评估措施,并在确定资格时表示注意文化和语言差异。提出了在更广泛地评估拉丁裔儿童以及文化和语言多样性(CLD)人群时减少偏见的建议。
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引用次数: 4
Examining the Feasibility and Fit of Family Implemented TEACCH for Toddlers in Rural Settings 考察家庭为农村幼儿实施TEACCH的可行性和适宜性
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-04-21 DOI: 10.1177/10538151211009306
Heather Coleman, K. Hume, L. Fanning, Samantha Scott
Many autism-focused early intervention (EI) models have not yet been adopted by community-based providers in rural settings due to fit and feasibility when working within the Part C model. Family Implemented TEACCH for Toddlers (FITT, based on the University of North Carolina TEACCH Autism Program) is a research-based, Part-C compatible, EI model incorporating parent-coaching and naturalistic strategies with early evidence of efficacy in rural communities. Its use by rural community providers has not yet been examined. Thus, in this multiple baseline study, rural EI professionals (n = 3) working with caregivers and their toddlers with autism spectrum disorder (ASD) were provided training and weekly coaching on the use of the FITT model and parent-coaching strategies. The implementation of FITT and parent-coaching strategies were measured, and social validity information was gathered from participants. Results indicate that FITT is both feasible to implement, as demonstrated by provider implementation, and acceptable to both EI providers and caregivers.
许多以自闭症为重点的早期干预(EI)模式尚未被农村环境中的社区提供者采用,因为在C部分模式下工作时是合适和可行的。家庭实施的幼儿TEACCH(FITT,基于北卡罗来纳大学TEACCH自闭症项目)是一种基于研究的、兼容C部分的EI模式,结合了父母指导和自然主义策略,并在农村社区获得了早期疗效证据。农村社区服务提供者尚未对其使用情况进行审查。因此,在这项多基线研究中,为与照顾者及其患有自闭症谱系障碍(ASD)的幼儿一起工作的农村EI专业人员(n=3)提供了关于使用FITT模型和家长辅导策略的培训和每周辅导。测量了FITT和家长辅导策略的实施情况,并从参与者那里收集了社会有效性信息。结果表明,正如提供者实施所证明的那样,FITT既可行实施,也为EI提供者和护理人员所接受。
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引用次数: 0
Multitiered Early Literacy Identification in 3-Year-Old Children in Head Start Settings 学前教育环境下3岁儿童多层次早期读写能力识别
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-03-10 DOI: 10.1177/1053815121998434
Kizzy Albritton, Adrienne Stuckey, Nicole Patton Terry
Three-year-old children are seldom the focus in studies about supplemental early literacy instructional support. This study examines 3-year-old children’s potential need for additional early literacy support, extending and replicating a previous investigation that identified prekindergarten children (i.e., 4-year-olds) in Head Start classrooms for additional tiers of early literacy support. The sample included 143 children from Head Start centers in a southeastern, urban region of the United States who had received both fall and spring administrations of an early literacy screener (i.e., Get Ready to Read! —Revised). Standard scores were used to classify children into three tiers, and child tier movement from fall to spring was analyzed. Results support the feasibility of a tiered approach for examining 3-year-old children’s early literacy instructional needs. This might allow researchers and practitioners to provide intervention to children much sooner, thereby increasing the potential for positive long-term reading outcomes.
在补充早期识字教学支持的研究中,三岁儿童很少成为焦点。这项研究考察了3岁儿童对额外早期识字支持的潜在需求,扩展并复制了之前的一项调查,该调查确定了Head Start教室中的幼儿园前儿童(即4岁儿童)需要额外的早期识字支持。样本包括来自美国东南部城市地区Head Start中心的143名儿童,他们在秋季和春季都接受了早期识字筛查(即“准备阅读!——修订版”)。使用标准分数将儿童分为三个等级,并分析儿童从秋季到春季的等级运动。研究结果支持采用分层方法检查3岁儿童早期识字教学需求的可行性。这可能会让研究人员和从业者更快地为儿童提供干预,从而增加积极的长期阅读结果的潜力。
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引用次数: 3
Exploring Growth in Expressive Communication of Infants and Toddlers With Autism Spectrum Disorder 自闭症谱系障碍婴幼儿表达性交流发育的探讨
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-02-25 DOI: 10.1177/1053815121995578
J. Buzhardt, A. Wallisch, Dwight W. Irvin, B. Boyd, Brenda Salley, Fan Jia
One of the earliest indicators of autism spectrum disorder (ASD) is delay in language and social communication. Despite consensus on the benefits of earlier diagnosis and intervention, our understanding of the language growth of children with ASD during the first years of life remains limited. Therefore, this study compared communication growth patterns of infants and toddlers with ASD to growth benchmarks of a standardized language assessment. We conducted a retrospective analysis of growth on the Early Communication Indicator (ECI) of 23 infants and toddlers who received an ASD diagnosis in the future. At 42 months of age, children with ASD had significantly lower rates of gestures, single words, and multiple words, but significantly higher rates of nonword vocalizations. Children with ASD had significantly slower growth of single and multiple words, but their rate of vocalization growth was significantly greater than benchmark. Although more research is needed with larger samples, because the ECI was designed for practitioners to monitor children’s response to intervention over time, these findings show promise for the ECI’s use as a progress monitoring measure for young children with ASD. Limitations and the need for future research are discussed.
自闭症谱系障碍(ASD)的早期指标之一是语言和社会交流的延迟。尽管对早期诊断和干预的好处有共识,但我们对ASD儿童在生命最初几年的语言发育的了解仍然有限。因此,本研究将ASD婴幼儿的交流增长模式与标准化语言评估的增长基准进行了比较。我们对23名未来被诊断为ASD的婴幼儿的早期沟通指标(ECI)进行了回顾性分析。在42个月大的时候,自闭症儿童的手势、单字和多字的比例明显较低,但非单词发声的比例明显较高。ASD患儿单字和多字的增长速度明显减慢,但发声速度明显高于基准。虽然需要更多的研究和更大的样本,因为ECI是为从业人员设计的,用于监测儿童对一段时间的干预的反应,这些发现显示了ECI作为自闭症儿童进展监测措施的前景。讨论了该方法的局限性和未来研究的需要。
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引用次数: 5
A Parent-Implemented Gross Motor Intervention for Young Children with Disabilities 一位家长对残疾幼儿实施了粗大运动干预
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-02-19 DOI: 10.1177/1053815121993570
Hsiu-wen Yang, H. Meadan, M. Ostrosky
Children with disabilities often experience gross motor delays. Adults, including parents, can play a crucial role in supporting children’s motor development. However, a limited number of research studies have focused on building parents’ capacity to support their young children’s motor skill development. The purpose of this study was to examine the effects of a training and coaching program on parent implementation of prompting procedures and children’s gross motor skills. A multiple-probe single-case design across three parent–child dyads was used to evaluate the effectiveness of the intervention. The findings show that parents learned how to implement prompting procedures with high fidelity. In addition, the parents reported improvements in their children’s gross motor performance.
残疾儿童经常经历严重的运动迟缓。包括父母在内的成年人在支持儿童的运动发育方面可以发挥至关重要的作用。然而,数量有限的研究集中在培养父母支持幼儿运动技能发展的能力上。本研究的目的是检验培训和辅导计划对父母实施提示程序和儿童毛运动技能的影响。采用跨三个亲子二元组的多探针单病例设计来评估干预的有效性。研究结果表明,父母学会了如何高保真地执行提示程序。此外,家长们报告说,他们孩子的总体运动表现有所改善。
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引用次数: 2
Parent–Infant Interventions to Promote Parental Sensitivity During NICU Hospitalization: Systematic Review and Meta-Analysis 新生儿重症监护室住院期间提高父母敏感性的母婴干预措施:系统综述和荟萃分析
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-02-19 DOI: 10.1177/1053815121991928
A. Lavallée, Gwenaëlle De Clifford-Faugère, A. Ballard, M. Aita
This systematic review and meta-analysis examined the effectiveness of parent–infant interventions for parents of preterm infants on parental sensitivity compared to standard care or active comparators. This review follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO; registration ID: CRD42016047083). Database searches were performed from inception to 2020 to identify eligible randomized controlled trials. Two review authors independently selected studies, extracted data, and assessed the risk of bias using the Cochrane risk of bias assessment tool and quality of evidence using the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) guidelines. A total of 19 studies (n = 2,111 participants) were included and 14 were suitable to be pooled in our primary outcome meta-analysis. Results show no significant effect of parent–infant interventions over standard care or basic educational programs, on parental sensitivity. Results may not necessarily be due to the ineffectiveness of the interventions but rather due to implementation failure or high risk of bias of included studies.
这项系统综述和荟萃分析检验了与标准护理或主动对照相比,早产儿父母的父母-婴儿干预措施对父母敏感性的有效性。本综述遵循PRISMA(系统评价和荟萃分析的首选报告项目)指南,并在国际系统评价前瞻性登记册(PROSPERO;注册ID:CRD42016047083)中前瞻性登记。从开始到2020年进行数据库搜索,以确定符合条件的随机对照试验。两位综述作者独立选择研究,提取数据,并使用Cochrane偏倚风险评估工具评估偏倚风险,使用推荐、评估、发展和评估等级(GRADE)指南评估证据质量。共纳入19项研究(n=2111名参与者),其中14项适合纳入我们的主要结果荟萃分析。结果显示,父母-婴儿干预措施与标准护理或基础教育计划相比,对父母的敏感性没有显著影响。结果可能不一定是由于干预措施的无效性,而是由于实施失败或纳入研究的高偏倚风险。
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引用次数: 9
An Exploration of Reflective Conversations in Early Intervention Caregiver Coaching Sessions 早期干预护理人员辅导中反思性对话的探索
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-02-12 DOI: 10.1177/1053815121992132
Ciera M. Lorio, Juliann Woods, Patricia A. Snyder
This descriptive study included a systematic examination of provider and caregiver reflective conversations during caregiver coaching sessions focused on embedded intervention. Transcribed videos from 31 provider–caregiver dyads in two groups (Embedded Practices and Interventions with Caregivers [EPIC] vs. business-as-usual [BAU]) were used for data collection, resulting in a total of 93 transcripts across three different time points. Using methods of directed content analysis, a coding scheme describing various components of shared reflection was developed and used to code transcripts. Coding data were used to explore the rate per minute and relative frequency of types, topics, and spontaneity of reflection. Although there were no statistically significant differences in the frequency and rate of reflective versus nonreflective conversational turns, there were group differences in the reflective topics and specific types of reflective comments and questions posed by participants. Results from this study and others can help the field further define reflection as a coaching strategy and consider the potential utility of different reflective comment and question types to increase caregiver capacity to embed interventions in home routines. Further research is recommended to explicate further definitions and processes for reflection specific to caregiver coaching, including methods used to code reflective conversations and evaluate how reflection impacts caregivers’ intervention implementation.
这项描述性研究包括在专注于嵌入式干预的护理人员辅导会议期间,对提供者和护理人员的反思性对话进行系统检查。使用来自两组31个提供者-照顾者二人组的转录视频(与照顾者的嵌入式实践和干预[EPIC]与照常营业[BAU])进行数据收集,在三个不同的时间点共产生93个转录本。使用定向内容分析的方法,开发了一个描述共享反射的各种组成部分的编码方案,并用于编码转录本。编码数据用于探索每分钟的速率和类型、主题和反思自发性的相对频率。尽管在反思性和非反思性会话转向的频率和比率方面没有统计学上的显著差异,但在反思性话题以及参与者提出的反思性评论和问题的具体类型方面存在群体差异。这项研究和其他研究的结果可以帮助该领域进一步将反思定义为一种指导策略,并考虑不同反思性评论和问题类型的潜在效用,以提高护理人员在家庭日常生活中嵌入干预措施的能力。建议进行进一步的研究,以解释针对护理人员辅导的反思的进一步定义和过程,包括用于编码反思对话和评估反思如何影响护理人员干预实施的方法。
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引用次数: 6
Reciprocal Peer Coaching and Teaching Teams’ Use of Pyramid Model Practices 互惠同伴辅导和教学团队使用金字塔模型实践
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2021-02-10 DOI: 10.1177/1053815121993225
Adrienne K. Golden, M. Hemmeter, Marisa Edmonds, Jennifer R. Ledford
A multiple probe design across behaviors, replicated across teaching teams, was used to evaluate the effectiveness of training plus reciprocal peer coaching on teaching teams’ implementation of Pyramid Model (PM) practices. In this study, teaching teams (three dyads and one triad) were provided with training around the use of targeted PM practices and reciprocal peer coaching. Coaching required teachers within each team to observe and provide feedback to one another around their use of targeted PM practices. Data from this study indicate reciprocal peer coaching is an effective and efficient way for early childhood teaching teams to increase their use of PM practices. Increased use of PM practices generalized across classroom activities and maintained following the removal of peer coaching. Results, limitations, impacts on the field, and next steps are discussed.
采用跨行为的多重探针设计,在教学团队中复制,用于评估培训加对等同伴指导对教学团队实施金字塔模型实践的有效性。在本研究中,教学团队(三个二人组和一个三人组)接受了针对性项目管理实践和互惠同伴指导的培训。指导要求每个团队中的教师观察并就目标项目管理实践的使用向彼此提供反馈。本研究的数据表明,对等同伴指导是幼儿教学团队增加项目管理实践的有效途径。在课堂活动中增加项目管理实践的使用,并在同伴指导取消后保持。讨论了结果、局限性、对该领域的影响以及下一步的工作。
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引用次数: 6
期刊
Journal of Early Intervention
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