Examining Practice Patterns For Children with Autism

描述（由申请人提供）：我申请这个职业的目标 发展奖是获得先进的培训，我需要成功地 开发独立的R 01应用程序，评估 在社区环境中为自闭症儿童提供基于研究的治疗。我 迄今为止的研究、学术和临床培训使我做好了追求 通过提供行为干预的实质性背景， 治疗策略和自闭症具体问题的个性化。我 目标是建立在这种培训，以发展一个独立的翻译 一项旨在弥合行为干预与行为干预之间差距的研究计划 自闭症研究和在服务中实施有效治疗 输送系统。提出了一个严格的培训计划，包括（1） 培训将有效干预措施转化为有效性试验的方法; (2)翻译研究统计方法培训 包括荟萃分析、临床试验和抽样方法;（3）先进的 在与文化和经济多样的人口合作方面进行培训; (4)继续进行研究道德行为方面的培训。培训将在 通过开展试点研究项目， 所有的训练领域。拟议研究项目的具体目标 包括：（1）评估基于研究的治疗发展的程度 在研究环境中的测试已经传播并转化为 服务系统和可能的翻译障碍;（2）审查 在早期实施基于研究的编程的保真度 服务系统中的干预系统和对这些方案的调整; 和（3）一个小规模的研究，检查使用基于研究的 服务系统中的治疗和家庭因素对儿童结局的影响。这 项目将为我提供与文化和 经济上多样化的家庭，评估干预措施和成果， 公共服务系统和大型数据库的统计分析。 这种培训和研究的结合将为我提供必要的 为幼儿进行独立的翻译研究的背景 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.