Evaluating Georgia Part C Implementation Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Project ImPACT Coaching Fidelity
研究概览
简要总结
This study aims to answer the question: What is the best way to help Early Intervention (EI) providers deliver high-quality services to children with communication delays for autism?
The primary goal of this project is to examine the outcomes associated with delivering Project ImPACT, an evidence-based autism intervention that is delivered as part of routine training within Georgia's EI system. Providers in the study will receive one of two Project ImPACT training models to help us understand which training model helps providers learn Project ImPACT better. Specifically, this study will examine the: 1) the process and quality by which Project ImPACT is implemented and adapted by EI providers across the two training conditions; 2) factors that impact how well Project ImPACT is implemented; and 3) the child (i.e., social communication) and family (i.e., parent empowerment and fidelity) outcomes associated with receiving Project ImPACT.
详细描述
This study aims to determine the: 1) implementation outcomes; and 2) preliminary parent and child outcomes associated with Project ImPACT when implemented within the Georgia Early Intervention (EI) system. Twenty EI providers will be trained in one of two Project ImPACT training models. Training will include the option for group consultation. This training is part of standard training requirements, so it is not considered research.
Participating caregivers who receive Project ImPACT will receive the program as part of their routine EI services. They will have two options to participate in this research: 1) complete surveys before and after participation in Project ImPACT (each set will take 20-30 minutes), as well as an exit interview; or 2) complete a confidential survey only after participating in Project ImPACT, which will take 20-30 minutes. All research activities will be conducted at the Marcus Autism Center.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for Providers:
- •Currently employed or contracted by Georgia's EI system
- •Maintain an active therapy caseload
- •Fluent in English.
- •Inclusion Criteria for Caregivers:
- •Have a child under 36 months currently enrolled in services through Georgia's Early Intervention system
- •Are being seen by a provider participating in Project ImPACT training and research
- •Fluent in English.
排除标准
- •for both Providers and Caregivers:
- •Not meeting the eligibility criteria.
研究组 & 干预措施
Early Intervention (EI) providers
Early Intervention (EI) providers who serve young children with social communication delays and/or autism will report on their experiences delivering Project ImPACT via one of two training models. Providers will have the option of consenting to share videos of their Project ImPACT sessions to help us understand the quality of Project ImPACT delivery.
干预措施: Project ImPACT Training As Usual (Other)
Early Intervention (EI) providers
Early Intervention (EI) providers who serve young children with social communication delays and/or autism will report on their experiences delivering Project ImPACT via one of two training models. Providers will have the option of consenting to share videos of their Project ImPACT sessions to help us understand the quality of Project ImPACT delivery.
干预措施: Project ImPACT Training Plus Co-Production (Other)
Caregivers
Caregivers of children under 36 months of age in the Georgia EI system who are receiving services within the EI system will report on their experiences with the providers who have been trained in one of the two Project ImPACT models.
Caregivers will either: 1) complete surveys before and after they receive Project ImPACT, or 2) complete a confidential survey after receiving Project ImPACT from their provider. Caregivers will have the option of consenting to share videos of their Project ImPACT sessions to help us understand the quality of Project ImPACT delivery.
干预措施: Routine Project ImPACT (Behavioral)
结局指标
主要结局
Project ImPACT Coaching Fidelity
时间窗: Biweekly up to 20 weeks
Providers' Project ImPACT therapy sessions will be video recorded and will be scored retrospectively for use of core Project ImPACT strategies. The research team will measure the project fidelity by watching recorded videos of the sessions, which will allow the team to capture how effectively the adult implements a strategy. This will be scored using the Project ImPACT fidelity checklist. Provider fidelity for each intervention strategy will be rated by a trained coder using a 5-point Likert scale, with scores of 4 or greater indicating appropriate fidelity. An average score of 4 or higher on all of the strategies indicates that fidelity has been met for Project ImPACT.
Provider Co-Production Quality
时间窗: Baseline; Weekly up to 12 weeks, and 6-months
Following each therapy session, providers will complete a brief 20-item survey in which they will be asked what their session looked like and the rationale for any adaptations described. Providers will first indicate how long in minutes their Project ImPACT session was. They will also indicate which Project ImPACT coaching activities they completed in their session (yes/no). Providers will then be asked to indicate which of 10 additional non-Project ImPACT topics they covered in their session and subsequently how long in minutes they spent covering the additional topics. The following information will then be calculated for each session: 1) Percent of possible coaching elements delivered; 2) Percent of time spent covering additional topics; 3) Percent of time delivering other topics.
次要结局
- Project ImPACT Self-Efficacy.(Baseline, 1-month after baseline (post-Project ImPACT training), and 12 months)
- Perceived Characteristics of the Intervention Scale (Project ImPACT Perceptions)(Study completion (on average 12 months))
- The Family Outcome Survey (caregivers)(Baseline and study completion (on average 6 months))
- Parent Observation of Social Interaction(Baseline)
- Social Communication Checklist (caregivers)(Baseline and study completion (on average 6 months))
- Project ImPACT Fidelity for Parents.(Baseline and study completion (on average 6 months))
- Project ImPACT Satisfaction.(Study completion (on average 6 months))
- Project ImPACT Self-Efficacy.(Baseline, 1-month after baseline (post-Project ImPACT training), and 12 months)
- Perceived Characteristics of the Intervention Scale (Project ImPACT Perceptions)(Study completion (on average 12 months))
- The Family Outcome Survey (caregivers)(Baseline and study completion (on average 6 months))
- Parent Observation of Social Interaction(Baseline)
- Project ImPACT Fidelity for Parents.(Baseline and study completion (on average 6 months))
- Social Communication Checklist (caregivers)(Baseline and study completion (on average 6 months))
- Project ImPACT Satisfaction.(Study completion (on average 6 months))
研究者
Katherine E. Pickard
Assistant Professor
Emory University