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Agreement Between Parental Reports of Part C Early Intervention Service Utilization and Part C Early Intervention

Michelle L Stransky1, Jocelyn Kuhn2, Emily Feinberg2,3

  • 1Center for the Urban Child and Healthy Family, Boston Medical Center, 801 Albany St., Boston, MA 02119, USA.

Child & Youth Care Forum
|June 29, 2026
PubMed

Insights

Parent reports of early intervention (EI) services generally align with official records, though agreement varies by service type. This suggests parents can provide reliable information to help increase EI participation for young children.

Area of Science:

  • Pediatrics
  • Public Health
  • Developmental Psychology

Background:

  • Part C of the Individuals with Disabilities Education Act mandates early intervention (EI) services for eligible children under three.
  • Despite established systems, EI enrollment is lower than anticipated.
  • Accurate assessment of EI service utilization is crucial for improving access and participation.

Purpose of the Study:

  • To evaluate the concordance between parental reports and state-based service records for Part C early intervention (EI) services.
  • To understand the reliability of parent-reported EI utilization data.

Main Methods:

  • 162 children from marginalized communities in Boston and New Haven, identified as high-risk for autism, participated.
  • Parents reported their child's EI service receipt at four time points.
  • Children's EI service records were obtained from state agencies for comparison.

Main Results:

  • Overall agreement between parent reports and service records was 70%, with fair to moderate concordance.
  • Service-specific agreement ranged from 46% to 81.6%, indicating variability.
  • Agreement was higher for services delivered at home, with no significant differences based on sociodemographic factors.

Conclusions:

  • Parental reports offer a generally reliable method for assessing early intervention (EI) service use, particularly for overall participation and specific therapies like physical and occupational therapy.
  • Findings support the use of parent-elicited information by professionals to gauge EI service utilization.
  • Strategies to enhance EI participation can be informed by understanding the nuances of parent-reported data.
Abstract

Keywords:
AgreementParent-reportPart C early interventionService record

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