Examining Practice Patterns For Children with Autism

个人描述(申请人提供)：我申请这份工作的目标 发展奖是为了获得我成功所需要的高级培训 开发独立的R01应用程序，以评估 社区环境中自闭症儿童的研究性治疗。我的 到目前为止，研究、学术和临床培训都让我做好了继续 这一目标通过提供行为干预的实质性背景， 治疗策略的个别化和自闭症的具体问题。我的 目标是在此培训的基础上制定独立的翻译 旨在弥合行为干预之间差距的研究计划 自闭症的研究及服务中有效治疗的实施 传送系统。提出了严格的培训计划，包括(1) 培训将有效干预措施转化为有效性试验的方法； (2)适用于翻译研究的统计方法培训 包括荟萃分析、临床试验和抽样方法；(3)先进 与文化和经济上不同的人口打交道的培训； (4)继续进行研究道德方面的培训。培训将放在 通过开展一项试验性研究项目将其付诸实践 所有的训练区。拟议研究项目的具体目标 包括：(1)评估以研究为基础的治疗的发展程度 和研究环境中的测试已经传播并翻译成 服务系统和翻译可能存在的障碍；(2)研究 早期实施研究型编程的忠诚度 服务系统中的干预系统和对这些程序的适应； 以及(3)一项小规模研究，考察以研究为基础的使用效果 服务系统中的治疗和家庭因素对儿童结局的影响。这 该项目将为我提供文化和文化方面的工作经验 经济上不同的家庭，评估干预措施和结果 公共服务系统，并对大型数据库进行统计分析。 这种培训和研究的结合将为我提供必要的 为幼儿开展独立翻译研究的背景 患有自闭症。

DESCRIPTION (provided by applicant): My goal in applying for this career development award is to obtain the advanced training I need to successfully develop independent R01 applications that assess the effectiveness of research-based treatments for children with autism in community settings. My research, academic and clinical training to date have prepared me to pursue this goal by providing substantive background in behavioral interventions, individualization of treatment strategies and autism specific issues. My objective is to build on this training to develop an independent translational research program designed to bridge the gap between behavioral intervention research in autism and implementation of efficacious treatments in the service delivery system. A rigorous training program is proposed which includes (1) training in methods moving efficacious interventions into effectiveness trials; (2) training in statistical methods appropriate to translation research including meta-analysis, clinical trials and sampling methods; (3) advanced training in working with culturally and economically diverse populations; and (4) continued training in the ethical conduct of research. Training will be put into practice through the conduct of a pilot research project which addresses all of the training areas. The specific aims of the proposed research project include: (1) assessing the extent to which research-based treatment developed and testing in research settings have been disseminated and translated into service systems and possible barriers to translation; (2) examining the fidelity of implementation of research-based programming in an early intervention system and adaptations to these programs made in service systems; and (3) a small scale study examining the effect of the use of research-based treatments in the service system and family factors on child outcomes. This project will provide me with experience working with culturally and economically diverse families, assessing interventions and outcomes within a public service system and conducting statistical analyses on large data bases. This combination of training and research will provide me the necessary background to conduct independent translational research for young children with autism.