Implementation Toolkit to Enhance EBP Among Marginalized Families

Not Applicable

Active, not recruiting

• Conditions: Autism; Early Intervention
• Interventions: Behavioral: I-TEAM

• Registration Number: NCT06080087
• Lead Sponsor: Seattle Children's Hospital

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-07-09
• Study Start: 2023-09-30
• Status Verified: 2023-10
• Study First Submitted QC: 2023-10-05
• Last Update Submitted: 2023-10-05
• Study First Posted: 2023-10-12
• Last Update Posted: 2023-10-12
• Primary Completion: 2024-02-01
• Study Completion: 2026-02-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	I-TEAM	Intervention group will receive access to the I-TEAM

Primary Outcome Measures

Name	Time	Method
Cultural Self-Efficacy Scale for Early Interventionists (CSES-EI)	Change from baseline at 8 weeks	CSES-EI is a 32-item, self-reported measure of cultural self-efficacy of early intervention providers
Coaching Fidelity Scale (CFS)	Change from baseline at 8 weeks	CFS is an observational measure to assess coaching fidelity during an interaction between a coach and a learner
Social Validity	Change from baseline at 8 weeks	We will measure acceptability and feasibility of I-TEAM

Secondary Outcome Measures

Name	Time	Method
Autism-specific parenting self-efficacy	Change from baseline at 8 weeks	We will use this self-reported tool to assess self-efficacy of parents of young autistic children
Measure of NDBI Strategy Implementation: Caregiver Change (MONSI-CC)	Change from baseline at 8 weeks	MONSI-CC is an observational measure that detects changes in caregivers' use of NDBI strategies in early intervention
Social validity	Change from baseline at 8 weeks	We will assess social validity, including satisfaction with their services, reports of cultural responsiveness of their providers, acceptability of early intervention among intervention recipients

Trial Locations

Locations (1)

Seattle Children's Research Institute; 🇺🇸 Seattle, Washington, United States