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Effectiveness of a multi-level implementation strategy for ASD interventions: study protocol for two linked cluster

Lauren Brookman-Frazee1,2, Aubyn C Stahmer3,4

  • 1Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093-0812, USA. lbrookman@ucsd.edu.

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|May 11, 2018
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Summary
This summary is machine-generated.

The Translating Evidence-based Interventions (EBI) for ASD: Multi-Level Implementation Strategy (TEAMS) model improves autism intervention implementation. TEAMS enhances leadership and provider training, leading to better child outcomes in mental health and education settings.

Keywords:
AutismEducation servicesFidelityImplementation strategyLeadershipMental health servicesProvider training

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Area of Science:

  • Implementation Science
  • Public Health
  • Child Psychology

Background:

  • Autism Spectrum Disorder (ASD) affects 1 in 59 children, costing $236 billion annually in the U.S.
  • Evidence-based interventions (EBIs) improve child outcomes but scaling them across systems is challenging.
  • Limited research exists on generalizable methods to implement EBIs for ASD.

Purpose of the Study:

  • To test the effectiveness of the TEAMS model in scaling up EBIs for ASD.
  • To improve implementation leadership, organizational climate, and provider motivation.
  • To enhance provider training completion, intervention fidelity, and child outcomes.

Main Methods:

  • A cluster randomized hybrid type 3 trial with a dismantling design.
  • Study #1: TEAMS with AIM HI in mental health services. Study #2: TEAMS with CPRT in education settings.
  • Randomized 37 mental health programs and 37 school districts into four groups to test TEAMS modules.

Main Results:

  • Examined implementation outcomes including provider training completion and fidelity.
  • Child behavior change was assessed for mental health providers, teachers, and children.
  • The study design allows for understanding mechanisms of change across settings and participants.

Conclusions:

  • The TEAMS model has the potential to increase the quality of ASD care in publicly funded settings.
  • The TEAMS process and modules are generalizable to multiple service systems, providers, and interventions.
  • This approach offers broad impact for community services caring for children with ASD.