Developing the Autism Model of Implementation for Autism spectrum disorder community providers: study protocol
Developing the Autism Model of Implementation for Autism spectrum disorder community providers: study protocol
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DOI：
10.1186/1748-5908-7-85
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发表时间：
2012-09-10
影响因子：
7.2
通讯作者：
Stahmer, Aubyn C.
中科院分区：
文献类型：
--
作者：
Drahota, Amy;Aarons, Gregory A.;Stahmer, Aubyn C.
背景：目前，每88名儿童中就有1名被诊断患有自闭症谱系障碍（ASD），每年用于治疗服务的费用估计为1260亿美元。通常情况下，ASD社区提供者（ASD- cps）为患有任何严重ASD症状的儿童提供服务，使用各种治疗模式的组合，有些有证据基础，有些没有。当ASD-CPs成功实施循证实践（ebp）时，它们可以产生积极的结果。尽管有这样的希望，EBPs的实施往往不成功，而且ASD- cps使用的其他治疗方法缺乏支持性证据，特别是对ASD学龄儿童。虽然不太清楚为什么ASD-CPs不实施ebp，但组织和个人特征可能起了作用。为响应这一需求，改善自闭症儿童及其家庭的生活，本研究旨在开发和测试自闭症实施模型（AMI）的可行性和可接受性，以支持自闭症儿童cps实施ebp。方法/设计：与ASD- cps合作开发的学术社区合作将促进AMI的开发，这是一个专门为ASD社区机构使用的过程。该项目将采用混合方法，评估在这种情况下可能促进或阻碍实施ebp的机构和个人因素；制定AMI，以解决已确定的障碍和促进因素；并对AMI进行试点测试，以检验其使用特定EBP治疗ASD学龄儿童焦虑症的可行性和可接受性。讨论：AMI将代表一种数据知情的方法，通过提供专门为这种情况开发的实现模型，促进asd - cp实施ebp。本研究旨在探讨在ASD社区机构中实施EBP的现实意义。这样做，AMI将有助于为自闭症儿童在他们自己的社区提供最好和最有效的服务。此外，拟议的研究将通过提供一个经验支持和测试的实施模型来促进ebp的识别、采用和使用，从而对实施科学领域产生积极影响。
Background: Currently, 1 out of 88 children are diagnosed with an autism spectrum disorder (ASD), and the estimated cost for treatment services is $126 billion annually. Typically, ASD community providers (ASD-CPs) provide services to children with any severity of ASD symptoms using a combination of various treatment paradigms, some with an evidence-base and some without. When evidence-based practices (EBPs) are successfully implemented by ASD-CPs, they can result in positive outcomes. Despite this promise, EBPs are often implemented unsuccessfully and other treatments used by ASD-CPs lack supportive evidence, especially for school-age children with ASD. While it is not well understood why ASD-CPs are not implementing EBPs, organizational and individual characteristics likely play a role. As a response to this need and to improve the lives of children with ASD and their families, this study aims to develop and test the feasibility and acceptability of the Autism Model of Implementation (AMI) to support the implementation of EBPs by ASD-CPs.Methods/design: An academic-community collaboration developed to partner with ASD-CPs will facilitate the development of the AMI, a process specifically for use by ASD community-based agencies. Using a mixed methods approach, the project will assess agency and individual factors likely to facilitate or hinder implementing EBPs in this context; develop the AMI to address identified barriers and facilitators; and pilot test the AMI to examine its feasibility and acceptability using a specific EBP to treat anxiety disorders in school-age children with ASD.Discussion: The AMI will represent a data-informed approach to facilitate implementation of EBPs by ASD-CPs by providing an implementation model specifically developed for this context. This study is designed to address the real-world implications of EBP implementation in ASD community-based agencies. In doing so, the AMI will help to provide children with ASD the best and most effective services in their own community. Moreover, the proposed study will positively impact the field of implementation science by providing an empirically supported and tested model of implementation to facilitate the identification, adoption, and use of EBPs.