Who gets coached? A qualitative inquiry into community clinicians' decisions to use caregiver coaching.
Who gets coached? A qualitative inquiry into community clinicians' decisions to use caregiver coaching.
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DOI：
10.1177/13623613211059499
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Pellecchia M
中科院分区：
文献类型：
--
作者：
Tomczuk L;Stewart RE;Beidas RS;Mandell DS;Pellecchia M
临床医生对干预措施是否适合单个家庭的信念会影响他们是否与该家庭一起使用。影响临床医生决定对年幼自闭症儿童实施循证实践（EBP）的因素尚未得到系统的评估。这些因素可能部分解释了早期干预（EI）的质量和可及性的显著差异。我们研究了临床医生报告的使用照顾者指导（EBP）的差异，来自少数民族或结构边缘化群体的家庭，以及这些差异的感知原因，以评估影响临床医生使用照顾者指导的因素。我们对来自美国两个不同地理区域的公共资助EI机构的36名早期干预临床医生进行了半结构化访谈。临床医生确定了社会和结构因素，包括感知的家庭特征和耻辱，影响他们的信念，教练与家庭的少数民族或结构上边缘化的群体。这些研究结果指出，存在的信念可能会加剧获得EBP的差距，并降低自闭症儿童的少数民族家庭的护理质量。这些研究结果强调，有必要制定和部署以公平为重点的实施战略，以改善获得和EBP的质量为年轻的自闭症儿童从少数群体。
Clinicians’ beliefs about an intervention’s fit with an individual family influence whether they use it with that family. The factors that influence clinicians’ decisions to implement evidence-based practices (EBPs) for young autistic children have yet to be evaluated systematically. These factors may partially account for the significant disparities in quality of and access to early intervention (EI). We examined disparities in clinicians’ reported use of caregiver coaching, an EBP, with families from minoritized or structurally marginalized groups, and the perceived reasons for those disparities, to assess the factors that influence clinicians’ use of caregiver coaching. We conducted semi-structured interviews with 36 early intervention clinicians from publicly funded EI agencies in two distinct geographic regions in the United States. Clinicians identified social and structural factors, including perceived family characteristics and stigma, that influenced their beliefs about the fit of coaching with families from minoritized or structurally marginalized groups. These findings point to the presence of beliefs that likely exacerbate disparities in access to EBPs and reduce the quality of care for minoritized families of young autistic children. These findings highlight the need to develop and deploy equity-focused implementation strategies to improve both access to and quality of EBPs for young autistic children from minoritized groups.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
1.1
作者：
Rush, DD;Shelden, ML;Hanft, BE
通讯作者：
Hanft, BE
DOI：
10.1111/j.1469-7610.2007.01756.x
发表时间：
2007-08-01
影响因子：
7.6
作者：
Magiati, Iliana;Charman, Tony;Howlin, Patricia
通讯作者：
Howlin, Patricia
影响因子：
12.7
作者：
Mandell, David S.;Wiggins, Lisa D.;Kirby, Russell S.
通讯作者：
Kirby, Russell S.