Related Experiment Video
Updated: Jul 1, 2025
06:16
Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
3.7K
Using Causative Methods to Determine System-Level Factors Driving the Uptake and Use of Evidence-Based Practices in a
Katherine E Pickard1,2, Nicole M Hendrix3,4, Elizabeth S Greenfield3,4
1Department of Pediatrics, Division of Autism and Related Disabilities, Emory University School of Medicine, Atlanta, USA. katherine.e.pickard@emory.edu.
Administration and Policy in Mental Health
|March 3, 2024
Summary
System-level factors in Early Intervention (EI) impact autism evidence-based practices (EBPs) adoption. Improving incentivization and collaboration can increase EBP use by EI providers.
Area of Science:
- Developmental Psychology
- Public Health Systems
- Autism Spectrum Disorder Services
Background:
- Early Intervention (EI) systems are critical entry points for autistic toddlers accessing services.
- Limited research exists on how EI system infrastructure affects the adoption and implementation of autism evidence-based practices (EBPs).
- Understanding system-level factors is crucial for enhancing EBP dissemination in early childhood services.
Purpose of the Study:
- To examine system-level factors influencing the adoption and implementation of autism EBPs within Part C EI systems.
- To identify specific infrastructure-related challenges and facilitators impacting EBP use by EI providers.
- To inform strategies for improving EBP implementation in early intervention settings.
Main Methods:
- Conducted semi-structured interviews and focus groups with 36 EI providers and 9 EI administrators.
- Employed qualitative analysis using grounded theory and causative coding.
- Refined analyses through stakeholder input via round tables and presentations.
Main Results:
- Key themes impacting EBP implementation included costs of independent contracting, operational demands, workforce stability, communication consistency, and availability of implementation supports.
- Causative coding revealed the importance of incentivization structures, collaboration, and champions in supporting EBP use.
- System-level factors significantly influence the adoption and implementation of autism EBPs by independently contracted EI providers.
Conclusions:
- System-level factors within EI profoundly affect the implementation of autism EBPs.
- Implementation strategies focusing on incentivization and social network building are needed to increase provider adoption of EBPs.
- Addressing infrastructure challenges is essential for maximizing the reach and effectiveness of autism interventions in early intervention.
More Related Videos
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.3K
11:29Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
9.1K
Related Concept Videos
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
01:30Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
01:19Autism Spectrum Disorder
90
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
90
01:26Introduction to Epidemiology
723
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
723
01:21Causality in Epidemiology
412
Causality or causation is a fundamental concept in epidemiology, vital for understanding the relationships between various factors and health outcomes. Despite its importance, there's no single, universally accepted definition of causality within the discipline. Drawing from a systematic review, causality in epidemiology encompasses several definitions, including production, necessary and sufficient, sufficient-component, counterfactual, and probabilistic models. Each has its strengths and...
412
01:28Criteria for Causality: Bradford Hill Criteria - II
310
The Bradford Hill criteria serve as guidelines for establishing causative links in epidemiological research. Beyond Strength, Consistency, Specificity, and Temporality, key criteria also include Biological Gradient, Plausibility, Coherence, Experiment, and Analogy. These principles assist scientists in assessing the likelihood of causation in complex biological contexts. Below is a summary of these concepts:
310