Implementation Toolkit to Enhance EBP Among Marginalized Families

NCT06080087 | Unknown

• 1 other identifier: STUDY00004246
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Although the efficacy of early intervention (EI) for autistic children and their families has been established, many marginalized families with diverse cultural and linguistic backgrounds still report inequitable access to evidence-based practices (EBP). There are several strategies to increase EBP implementation that are especially relevant to marginalized families who report inequitable access to coaching from EI providers, such as increasing the capacity of EI providers to coach families in a culturally responsive way. However, EI providers are provided with limited professional development in both family coaching and cultural responsiveness, which results in perpetuation of EBP implementation failure. Thus, it is crucial to develop and validate an implementation toolkit that comprises strategies to enhance cultural responsiveness in the uptake of EBPs among EI providers. Therefore, the overall purpose of this research is to identify facilitators and barriers of EBP implementation among marginalized families in EI to aid the development an implementation toolkit with a focus on capacity building of EI providers to implement EBP with cultural responsiveness. This will involve conducting individual interviews with EI providers.

Conditions

Autism; Early Intervention

Outcome Measures

Primary Outcomes (3)

• Coaching Fidelity Scale (CFS)

  CFS is an observational measure to assess coaching fidelity during an interaction between a coach and a learner

  Change from baseline at 8 weeks

• Cultural Self-Efficacy Scale for Early Interventionists (CSES-EI)

  CSES-EI is a 32-item, self-reported measure of cultural self-efficacy of early intervention providers

  Change from baseline at 8 weeks

• Social Validity

  We will measure acceptability and feasibility of I-TEAM

  Change from baseline at 8 weeks

Secondary Outcomes (3)

• Measure of NDBI Strategy Implementation: Caregiver Change (MONSI-CC)

  Change from baseline at 8 weeks

• Autism-specific parenting self-efficacy

  Change from baseline at 8 weeks

• Social validity

  Change from baseline at 8 weeks

Study Arms (2)

Intervention

EXPERIMENTAL

Intervention group will receive access to the I-TEAM

Behavioral: I-TEAM

Waitlist control

NO INTERVENTION

Waitlist control group will not receive access to the I-TEAM until the Intervention group has completed the 8-week intervention.

Interventions

I-TEAM BEHAVIORAL

I-TEAM is a web-based implementation toolkit that supports to enhance cultural responsiveness of EI providers in their EBP delivery with minoritized families of young autistic children

Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Currently working with minoritized families of young children within Part-C
• Willing to complete I-TEAM as instructed
• Over the age of 18

You may not qualify if:

• Not able to complete I-TEAM as instructed
• Having a minoritized backgrounds (e.g., migrant/refugee background, primarily speaks another language other than English at home)
• Having a young child eligible for early intervention services
• Not currently receiving early intervention services

Sponsors & Collaborators

• Seattle Children's Hospital: lead
• University of Washington: collaborator

Study Sites (1)

Seattle Children's Research Institute

Seattle, Washington, 98115, United States

Location

MeSH Terms

Conditions

Autistic Disorder

Condition Hierarchy (Ancestors)

Autism Spectrum Disorder; Child Development Disorders, Pervasive; Neurodevelopmental Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will not be blinded into which condition they were assigned into
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: July 9, 2023
• First Posted: October 12, 2023
• Study Start: September 30, 2023
• Primary Completion: February 1, 2024
• Study Completion: February 1, 2026
• Last Updated: October 12, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)