ACT SMART实施工具包的初步有效性:在社区自闭症组织中促进基于证据的实践实施
Aksheya Sridhar1, Amy Drahota1,2
1Department of Psychology, Michigan State University, East Lansing, MI, USA.
International journal of developmental disabilities
|October 27, 2023
概括
在ACT SMART实施工具包试点中,在自闭症谱系障碍社区组织 (ASD-CBOs) 中,基于证据的实践 (EBP) 使用量略有增加. 结果表明,该工具包可能会改善EBP采用和照顾自闭症患者.
科学领域:
- 实施科学 实施科学
- 自闭症谱系障碍服务
- 基于社区的干预措施.
背景情况:
- 基于证据的实践 (EBP) 在美国自闭症谱系障碍社区组织 (ASD-CBOs) 中是不一致的.
- 需要有效的策略来改善EBP在这种环境中的采用.
研究的目的:
- 试点测试ACT SMART实施工具包,这是一个多方面的战略,旨在指导ASD-CBOs通过实施阶段.
- 评估ACT SMART工具包在ASD-CBOs内增加EBP使用方面的初步有效性.
主要方法:
- 六个ASD-CBOs参与了试点测试,其中五个完成了所有工具包阶段.
- 监管机构和直接提供者完成了EBP使用的试点前和试点后评估.
- 计算了效应大小,以衡量报告EBP使用的变化.
主要成果:
- 对于监管机构报告的EBP使用,监管机构报告的直接提供商EBP使用和直接提供商报告的EBP使用,观察到的效果大小很小.
- 这些结果表明,在试点之后,报告的EBP利用率略有增加.
结论:
- 该ACT SMART工具包在增加报告的EBP使用和促进提供者报告的行为变化方面展示了潜在的有效性.
- 该工具包代表了第一个专门为ASD-CBOs开发的多方面的实施战略.
- 结果支持工具包在增强EBP采用方面发挥的作用,以改善社区为自闭症患者提供护理.
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