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Virtual Practitioner Training and Coaching of a Triadic Approach in Early Intervention: A Mixed-Methods Investigation 虚拟执业者的培训和辅导在早期干预的三合一方法:混合方法的调查
4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-10-10 DOI: 10.1177/10538151231200777
Shawna G. Harbin, Angel Fettig, Elizabeth M. Kelly
Caregivers are critical partners in early intervention service delivery; therefore, it is essential to ensure that early intervention practitioners (EIPs) have sufficient training in family-centered strategies to assist families with reaching targeted family and child outcomes. The triadic strategies from the Parents Interacting With Infants (PIWI) framework comprise a set of six practitioner strategies that align with family-centered caregiver coaching practices. For this mixed methods study, we used single-case research design to investigate a virtual training and coaching program for EIPs to increase their use of triadic strategies with caregivers during teleintervention sessions. We also conducted interviews to understand the experiences of EIPs and families with triadic strategy use. Results suggest practitioners demonstrated modest increases in strategy implementation, with marked decreases in directive strategy use. Participants described experiences with strategy use as well as factors potentially influencing implementation. Implications for practice and research are discussed.
护理人员是提供早期干预服务的关键伙伴;因此,必须确保早期干预从业者(eip)在以家庭为中心的战略方面得到充分的培训,以帮助家庭实现有针对性的家庭和儿童成果。来自父母与婴儿互动(PIWI)框架的三合一策略包括一套六种从业者策略,这些策略与以家庭为中心的照顾者指导实践相一致。在这项混合方法研究中,我们采用单案例研究设计来调查一个虚拟培训和指导计划,以增加他们在远程干预期间对护理人员使用三合一策略。我们还进行了访谈,以了解eip和使用三合一策略的家庭的经验。结果表明,从业人员在战略实施方面表现出适度的增加,在指导性战略使用方面显着减少。与会者描述了使用战略的经验以及可能影响实施的因素。讨论了对实践和研究的启示。
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引用次数: 1
Experiences of Parents Supporting Their Young Children Who Use Speech-Generating Devices 父母支持幼儿使用语音生成设备的经验
4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-09-28 DOI: 10.1177/10538151231199898
Allyson P. Arserio, Elizabeth E. Biggs, Emily Holz
Despite evidence for the usefulness of augmentative and alternative communication (AAC) for young children with complex communication needs (CCN), several barriers prevent children from accessing AAC intervention. This qualitative study is focused on understanding the lived experiences of parents accessing and learning how to use speech-generating devices with their young children (3-6 years) with CCN. Findings generate insight into the similarities and differences across families’ experiences through several categories and themes: (a) foundational perspectives (determination and resilience; finding balance); (b) experiences getting access to an AAC device (initiating access; navigating barriers); (c) experiences using an AAC device (learning and navigating challenges; supporting their child’s communication at home and in the community; seeing progress); and (d) surrounding factors (family structure, informal supports, and demands; access to services and professional supports; the COVID-19 pandemic). Implications for practice and policy are discussed related to how to improve AAC access and intervention.
尽管有证据表明增强和替代沟通(AAC)对有复杂沟通需求(CCN)的幼儿有用,但一些障碍阻碍了儿童获得AAC干预。本定性研究的重点是了解父母与患有CCN的幼儿(3-6岁)接触和学习如何使用语音生成设备的生活经验。调查结果通过几个类别和主题对家庭经历的异同产生了深刻的见解:(a)基本观点(决心和恢复力;找到平衡);(b)访问AAC设备的经历(启动访问;导航障碍);(c)使用AAC设备的经验(学习和导航挑战);支持孩子在家和在社区的交流;看到进步);(d)周围因素(家庭结构、非正式支持和需求);获得服务和专业支持;COVID-19大流行)。讨论了如何改善AAC的获取和干预对实践和政策的影响。
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引用次数: 0
Patterns and Correlates of Developmental Profiles Using the Battelle Developmental Inventory Among Children in Early Intervention 早期干预儿童巴特尔发育量表的发育特征模式及其相关性
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-08-17 DOI: 10.1177/10538151231191757
Mary Troxel, R. Sheldrick, A. Eisenhower, A. Carter
This study aimed to replicate and extend findings from the only known study that has conducted latent profile analysis of developmental profiles, measured by the Battelle Developmental Inventory, for children in Early Intervention (EI). Children ( N = 57,966) who were enrolled in Massachusetts EI sites between 2011 and 2019 and completed a Battelle assessment at EI entry were included. Replicating previous findings, child Battelle profiles were best classified with four latent classes which were largely consistent with previously observed patterns (i.e., domain means within/between classes). Classes were labeled: “Marked communication delay, relative motor strength,” “Communication delay, and average motor functioning,” “Cognitive and motor delays, relative adaptive strength,” and “Consistent mild delays.” We described associations between class and sociodemographic factors and autism spectrum disorder (ASD) diagnosis. We found large effects of age and ASD. Two profiles that demonstrated communication delays were associated with older age. The “Marked communication delay” profile was associated with an elevated likelihood of ASD. Results suggest that Battelle developmental profiles may be an additional indicator to improve the identification of ASD in community settings and that profile membership could guide tailored interventions for specific developmental needs. Continued research will help determine whether class membership is stable and associated with differential response to EI.
本研究旨在复制和扩展唯一已知的研究结果,该研究通过Battelle发育量表对早期干预(EI)儿童进行了潜在的发育特征分析。纳入2011年至2019年期间在马萨诸塞州EI站点注册并在EI入学时完成Battelle评估的儿童(N = 57,966)。与先前的发现重复,儿童Battelle概况最好地分为四个潜在类别,这与先前观察到的模式基本一致(即,类别内/类别之间的域均值)。这些类别被标记为:“明显的沟通延迟,相对运动强度”,“沟通延迟,和平均运动功能”,“认知和运动延迟,相对适应强度”和“持续的轻度延迟”。我们描述了阶级和社会人口学因素与自闭症谱系障碍(ASD)诊断之间的关系。我们发现年龄和自闭症谱系障碍有很大的影响。两份资料显示,沟通迟缓与年龄的增长有关。“明显的沟通延迟”与ASD的可能性升高有关。结果表明,Battelle发展概况可能是提高社区环境中ASD识别的额外指标,并且该概况的成员资格可以指导针对特定发展需求的量身定制的干预措施。继续的研究将有助于确定班级成员是否稳定以及是否与对EI的不同反应有关。
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引用次数: 0
Growth and Utility of Language and Early Literacy Measures for Young Children 幼儿语言的成长和使用及早期识字措施
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-08-17 DOI: 10.1177/10538151231191755
S. McConnell, Alisha K. Wackerle-Hollman, Anthony D. Albano, Erin M. Lease, Marianne Elmquist, Kelsey K. Will
Ongoing expansion of early education services in the United States is often rooted in these programs’ contribution to development that promotes later academic and behavioral competence. Multi-tiered systems of support (MTSS, sometimes referred to as Response to Intervention) represent one increasingly common resource to promote desired outcomes for all children. MTSS requires seasonal screening of all students and progress monitoring of those selected for more intensive intervention. This study explores development and evaluation of measures for these uses, designed specifically to assess the language and early literacy development of 3-year-old children. Results from assessment of 449 children describe measure reliability, growth across three seasonal screenings, development of criterion-referenced benchmarks, and variations in growth for children at different levels of initial performance. Results are discussed in terms of normative versus criterion-referenced standards for building MTSS assessment systems as well as future directions for research, policy, and practice.
美国早期教育服务的持续扩张通常源于这些项目对发展的贡献,从而提高后来的学术和行为能力。多层支持系统(MTSS,有时被称为干预反应)是一种越来越常见的资源,可以促进所有儿童的预期结果。MTSS要求对所有学生进行季节性筛查,并对选择进行更深入干预的学生进行进度监测。本研究探讨了针对这些用途的措施的制定和评估,旨在评估3岁儿童的语言和早期识字发展。对449名儿童的评估结果描述了测量的可靠性、三次季节性筛查的生长、标准参考基准的制定以及不同初始表现水平儿童的生长变化。结果从建立MTSS评估系统的规范性标准与标准参考标准以及未来的研究、政策和实践方向进行了讨论。
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引用次数: 0
Examining Inclusive Preschool Teachers’ Perspectives and Practices: A Mixed-Methods Investigation 检视幼儿全纳教师的观点与实践:一项混合方法的调查
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-08-08 DOI: 10.1177/10538151231190627
Sophia R. D’Agostino, Elizabeth Horton
Many factors influence the quality of preschool inclusion classrooms. A total of 35 inclusive preschool teachers across a variety of organizational contexts completed a questionnaire containing open-ended and closed-ended questions to understand their beliefs (i.e., self-efficacy, attitudes, and concerns) regarding inclusion. In addition, trained inclusive classroom profile (ICP) users observed the inclusive classrooms to collect ratings of inclusive quality. The purpose of this convergent mixed-methods study is to share teachers’ beliefs and observed practices to advance the field’s knowledge of preschool inclusion implementation. Results showed that teachers perceived a high level of self-efficacy toward including children with disabilities and positive attitudes toward the benefits of inclusion yet expressed the need for training and support. Observations of inclusive practices using the ICP revealed that the mean inclusive quality item scores ranged from minimal to good. Based on the results, implications for research and practice are discussed.
影响学前教育综合教室质量的因素很多。共有35名来自不同组织背景的包容性学前教师完成了一份包含开放式和封闭式问题的问卷,以了解他们对包容性的信念(即自我效能、态度和担忧)。此外,受过培训的包容性课堂档案(ICP)用户观察了包容性课堂,以收集包容性质量的评级。这项趋同混合方法研究的目的是分享教师的信念和观察到的实践,以提高该领域对学前教育包容性实施的知识。结果显示,教师在接纳残疾儿童方面表现出高度的自我效能感,对接纳的好处持积极态度,但表示需要培训和支持。使用国际比较项目对包容性做法的观察表明,包容性质量项目的平均得分从最低到良好不等。在此基础上,讨论了对研究和实践的启示。
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引用次数: 0
Using the System of Least Prompts to Teach Pretend Play to Preschoolers With Developmental Disabilities in Contexts With Their Peers 用最小提示系统教发育障碍学龄前儿童在与同伴的情境中进行假装游戏
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-07-31 DOI: 10.1177/10538151231186896
Jennifer C. Bancroft, E. Barton, Lauren E. Schulte
Play skills are a behavioral cusp as they provide the foundation for the development of other related skills in young children. Children with developmental disabilities often demonstrate significant delays in their play skills. When children do not engage in play at the same rates or in the same ways as their peers or siblings, their ability to learn and practice other skills such as communication and social interactions is negatively impacted. We used a concurrent, multiple probe design across participants to assess the efficacy of using a system of least prompts (SLP) intervention package to teach pretend play to three children with disabilities in contexts with their peers. The SLP intervention package was related to increases in target pretend play behaviors for all three children. Also, parents and teachers reported observed changes in play across both the classroom and the home environments.
游戏技能是一种行为尖端,因为它们为幼儿其他相关技能的发展提供了基础。有发育障碍的儿童在游戏技能方面往往表现出明显的滞后。当孩子们不像他们的同龄人或兄弟姐妹那样以同样的速度或方式参与游戏时,他们学习和练习其他技能(如沟通和社会互动)的能力就会受到负面影响。我们采用并行的、跨参与者的多探针设计来评估使用最小提示系统(SLP)干预包来教三名残疾儿童在与其同伴的环境中进行假装游戏的效果。SLP干预包与所有三个孩子的目标假装游戏行为的增加有关。此外,家长和老师也报告了在课堂和家庭环境中观察到的游戏变化。
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引用次数: 0
Maryland’s PRIDE: Evaluation of an Early Intervention Program Embedded Within a NICU and NICU Follow-Up Program 马里兰州的PRIDE:NICU和NICU随访计划中早期干预计划的评估
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-06-23 DOI: 10.1177/10538151231179113
Xiaofang Xue, X. Zong, Gloria Valentine, B. Hussey-Gardner
The Maryland’s Premature Infant Developmental Enrichment (PRIDE) program is a unique collaborative endeavor between the University of Maryland School of Medicine and the Part C program for Baltimore City residents (Baltimore Infants and Toddlers Program; BITP). To evaluate the impact of PRIDE, the current study compared premature infants from low-income families who participated in BITP with (BWP) and without PRIDE (BWOP). A total of 956 premature infants (nBWP = 271; nBWOP = 685) were included in the study. Results showed that infants in BWP were referred at a younger age and stayed in BITP longer. A smaller percentage of parents in BWP withdrew from BITP and a larger percentage of BWP infants were eligible for special education preschool services under Part B of the Individuals with Disabilities Education Act (IDEA) at age 3. These findings provide support for the relative benefits of PRIDE to the traditional system of early intervention referral, evaluation, and service coordination.
马里兰早产儿发展强化(PRIDE)项目是马里兰大学医学院和巴尔的摩市居民C部分项目(巴尔的摩婴幼儿项目;BITP)。为了评估PRIDE的影响,本研究比较了参加BITP的低收入家庭早产儿(BWP)和不参加PRIDE (BWOP)。共956例早产儿(nBWP = 271;nBWOP = 685)被纳入研究。结果显示,BWP的婴儿在更年轻的时候被转诊,并且在BITP停留的时间更长。根据《残疾人教育法》(IDEA) B部分的规定,在三岁时,有资格接受特殊教育学前服务的残疾儿童中,有一小部分的父母退出了残疾儿童教育计划,而有很大一部分的残疾儿童有资格接受特殊教育学前服务。这些发现为PRIDE相对于传统的早期干预转诊、评估和服务协调系统的优势提供了支持。
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引用次数: 0
Systematic Review of Time Delay Instruction for Teaching Young Children 幼儿延时教学的系统评价
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-06-15 DOI: 10.1177/10538151231179121
Paige Bennett Eyler, Jennifer R. Ledford
Background: Previous reviews did not include sources that were published in the last 14 years, indicating a need for an updated synthesis on the time delay literature. Objectives: This review was designed to synthesize outcomes for studies assessing time delay prompting procedures for teaching young children. Data sources: PsycINFO and ProQuest Dissertations & Theses Global. Eligibility criteria: To meet inclusion criteria, studies had to be written in English, include a single case design with the primary intervention being time delay. Methods: We coded descriptive characteristics and evaluated rigor using the Single-Case Analysis and Review Framework. Results: A total of 33 published and unpublished sources were included. Results were mixed but suggest that time delay is effective for teaching young children with intellectual and developmental disabilities. Limitations: We did not calculate effect sizes or conduct a meta-analysis due to the inappropriateness of most effect size metrics for acquisition data. Conclusions: Additional research is needed to (a) determine in which contexts time delay can and will be used by endogenous implementers; (b) assess outcomes for children who are non-imitative; and (c) evaluate child preferences for learning variations.
背景:先前的综述不包括过去14年中发表的来源,这表明需要对延时文献进行更新综合。目的:本综述旨在综合评估幼儿教学时间延迟提示程序的研究结果。数据来源:PsycINFO和ProQuest全球论文与论文。资格标准:为了达到入选标准,研究必须用英语书写,包括单一病例设计,主要干预措施是时间延迟。方法:我们使用单例分析和回顾框架对描述特征进行编码,并评估其严谨性。结果:共纳入33个已发表和未发表的来源。结果喜忧参半,但表明时间延迟对教育有智力和发育障碍的幼儿是有效的。局限性:由于大多数效应大小指标对采集数据不合适,我们没有计算效应大小或进行荟萃分析。结论:需要进行更多的研究,以(a)确定内源性实施者可以并将在哪些情况下使用时间延迟;(b) 评估非模仿儿童的结果;以及(c)评估儿童对学习变化的偏好。
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引用次数: 0
Emotional Regulation and Language in Young Children With and Without Autism Traits 有和无自闭症儿童的情绪调节和语言
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-06-02 DOI: 10.1177/10538151231176188
S. Cibralic, J. Kohlhoff, Nancy M. Wallace, C. McMahon, V. Eapen
Language ability has been associated with emotion regulation (ER) ability. Children on the autism spectrum have greater rates of language delays and lower ER ability. Despite this, autism traits have not been considered or controlled for in past research. This study therefore examined the association between language ability and ER in young children with and without autism traits. An exploratory analysis was also conducted to examine the types of ER strategies used by young children with autism traits compared with young children without such traits. Ninety mother–toddler dyads participated in the study. Results showed greater receptive language ability was significantly associated with greater parent-reported ER ability both when children with, and children without, autism traits were included in the sample. Furthermore, greater expressive language ability was significantly associated with greater observed ER but only when children with autism traits were excluded from the analysis. These findings have clinical implications for early intervention development for both children with and without autism traits.
语言能力与情绪调节能力有关。患有自闭症的儿童有更大的语言延迟率和更低的ER能力。尽管如此,在过去的研究中,自闭症的特征并没有被考虑或控制。因此,这项研究考察了有和没有自闭症特征的幼儿的语言能力和ER之间的关系。研究人员还进行了一项探索性分析,以比较具有自闭症特征的幼儿与没有这些特征的幼儿所使用的ER策略的类型。90对母子参与了这项研究。结果显示,无论是有自闭症特征的孩子还是没有自闭症特征的孩子,接受性语言能力越强,父母报告的ER能力越强。此外,更高的语言表达能力与更高的观察到的ER显著相关,但只有在分析中排除了具有自闭症特征的儿童时。这些发现对有或无自闭症特征的儿童的早期干预发展具有临床意义。
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引用次数: 0
Impact of a Culturally Responsive Professional Development Program in Assistive Technology for Latinx Teachers 辅助技术对拉丁教师的文化响应性专业发展计划的影响
IF 1.4 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2023-06-01 DOI: 10.1177/10538151221097706
Lydia Ocasio-Stoutenburg, Christina Sudduth, Christina Nunez, Jhonelle Bailey, M. Dowling, Rebecca Shearer, Ruby Natale, Michelle Schladant
Very few studies have examined how to culturally and linguistically (CL) adapt professional development (PD) programs in assistive technology (AT) for Latinx teachers serving young children with disabilities. The purposes of this article are (a) to present an iterative design of a CL-adapted PD program, (b) to examine the impact of this program on teachers’ use of AT practices to support young children with disabilities in early childhood classrooms, and (c) to evaluate the usefulness of program adaptations through the lens of bilingual Latinx practitioners. The Ecological Validity Model (EVM) was used as a framework for both the development and assessment of the program’s CL adaptations. Quantitative results indicated significant changes in teachers’ AT use pre- to post-intervention, while qualitative findings revealed the program’s alignment with the language, persons, metaphors, and context dimensions of the EVM. In addition, three themes provided rich descriptions of the program’s responsiveness to practitioners and classrooms. This study supports the CL adaptation of AT interventions as an equitable practice, supporting young children across a range of disabilities, cultures, and contexts while empowering the diverse practitioners who serve them.
很少有研究调查了如何在文化和语言上适应辅助技术(AT)中的专业发展(PD)计划,为为残疾儿童服务的拉丁语教师服务。本文的目的是(a)提出一个适应cl的PD项目的迭代设计,(b)检查该项目对教师使用AT实践来支持幼儿课堂上的残疾儿童的影响,以及(c)通过双语拉丁裔从业者的视角评估项目调整的有用性。生态有效性模型(EVM)被用作开发和评估项目CL适应的框架。定量结果表明,教师在干预前和干预后的翻译使用发生了显著变化,而定性结果显示,该计划与EVM的语言、人物、隐喻和语境维度保持一致。此外,三个主题丰富地描述了项目对从业者和课堂的响应。本研究支持将人工智能干预作为一种公平的实践,支持各种残疾、文化和背景下的幼儿,同时赋予为他们服务的不同从业者权力。
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引用次数: 0
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Journal of Early Intervention
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