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Naturalistic Developmental Behavioral Interventions (NDBIs) are increasingly used by early intervention providers for autistic children. Provider openness to new approaches, not background or support, predicted NDBI strategy use.

Keywords:
Autism spectrum disorderEvidence-based practiceImplementation determinantsNaturalistic developmental behavioral interventions

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Area of Science:

  • Developmental Psychology
  • Behavioral Science
  • Early Intervention Services

Background:

  • Evidence supports naturalistic developmental behavioral interventions (NDBIs) in community systems for autistic children.
  • Naturalistic developmental behavioral interventions (NDBIs) aim to improve developmental and behavioral outcomes.
  • Early Intervention (EI) systems are crucial for delivering services to young children.

Purpose of the Study:

  • To examine provider-reported use of NDBI strategies within a Part C Early Intervention (EI) system.
  • To identify factors predicting NDBI use, including provider background, attitudes, and organizational support.
  • To understand the current implementation of NDBIs in early intervention settings.

Main Methods:

  • A survey was administered to 100 early intervention (EI) providers across multiple disciplines.
  • Data collected included provider background, attitudes towards NDBIs, perceived organizational support, and reported NDBI use.
  • Statistical analyses were used to determine predictors of NDBI strategy implementation.

Main Results:

  • Providers reported using NDBI strategies, but competency with manualized NDBI programs was inconsistent.
  • Provider background and perceived organizational support did not predict NDBI strategy use.
  • Provider openness to new interventions was a significant predictor of reported NDBI strategy use.

Conclusions:

  • Provider openness is a key factor in the adoption of NDBI strategies within early intervention.
  • Despite reported use, inconsistent competency with manualized NDBI programs highlights a need for targeted training.
  • Future research should employ mixed methods to further elucidate NDBI implementation in EI systems.