使用因果学方法来确定系统层面的因素,推动在公共早期干预系统中采用和使用基于证据的实践
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
概括
早期干预 (EI) 的系统级因素影响自闭症基于证据的实践 (EBP) 的采用. 改善激励和协作可以增加EI提供商的EBP使用.
科学领域:
- 发展心理学 发展心理学
- 公共卫生系统 公共卫生系统
- 自闭症谱系障碍服务
背景情况:
- 早期干预 (EI) 系统是自闭症幼儿访问服务的关键入口.
- 关于EI系统基础设施如何影响采用和实施基于自闭症证据的实践 (EBP) 的研究有限.
- 了解系统层面的因素对于提高EBP在幼儿服务中的传播至关重要.
研究的目的:
- 检查影响在C部分EI系统内采用和实施自闭症EBP的系统级因素.
- 确定与基础设施相关的具体挑战和影响EI提供商使用EBP的促进者.
- 在早期干预环境中改进EBP实施的策略.
主要方法:
- 与36名EI提供商和9名EI管理员进行了半结构化访谈和重点小组.
- 使用定性分析,使用接地理论和因果编码.
- 通过通过圆桌会议和演讲,通过利益相关者的意见进行精细分析.
主要成果:
- 影响EBP实施的关键主题包括独立合同的成本,运营需求,劳动力稳定性,沟通一致性和实施支持的可用性.
- 因果编码揭示了激励结构,协作和支持EBP使用的冠军的重要性.
- 系统层面的因素对独立签约的EI提供商采用和实施自闭症EBP有重大影响.
结论:
- 在EI内部的系统级因素对自闭症EBP的实施产生了深刻的影响.
- 需要以激励和社交网络建设为重点的实施策略,以增加提供商采用EBP.
- 解决基础设施挑战对于最大限度地提高自闭症早期干预措施的覆盖范围和有效性至关重要.
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