Exploring and Developing Implementation Strategies to Support Parent Coaching
Exploring and Developing Implementation Strategies to Support Parent Coaching
批准号:
9979976
负责人:
David S Mandell
金额:
$24.3万
依托单位国家:
美国
项目类别:
财政年份:
2019
资助国家:
美国
项目状态:
已结题
起止时间:
2019-07-17 至 2023-04-30
关键词:
AddressAdultAffectApplication procedureAttentionAttitudeBehaviorBehavioralBeliefChildCommunitiesCommunity TrialConflict (Psychology)DevelopmentEarly InterventionEffectivenessEnvironmental Risk FactorExhibitsFamilyFeedbackFoundationsFundingGoalsGrantGuidelinesInterventionInterviewLeadershipLearningMeasurementMeasuresMediatingMethodsModelingMotivationOrganizational CultureOutcomeParentsPhiladelphiaPlanning TheoryPlayPrincipal InvestigatorProceduresProcessProviderQualitative MethodsRandomizedRequest for ApplicationsResearch DesignResearch InstituteResearch MethodologyRiskRoleSamplingSelf EfficacyServicesStructureSurveysSystemTechniquesTestingTimeTrainingautism spectrum disorderautistic childrenbasebehavior changecommunity settingdesigneffectiveness evaluationevidence baseexpectationfield studyimplementation strategyimprovedinnovationinterestnovelnovel strategiesorganizational climatepatient orientedpedagogyprogramsprototypeprovider interventionpsychologicrandomized trialsymptom treatmenttheories
中文摘要
项目主管/首席研究员(最后,第一,中):Pellecchia, Melanie & Mandell, David Samuel
英文摘要
Program Director/Principal Investigator (Last, First, Middle): Pellecchia, Melanie & Mandell, David Samuel
PROJECT SUMMARY
The purpose of this R21 is to develop a toolkit of implementation strategies that increase early intervention (EI)
providers' use of parent coaching for families of young children with or at risk for autism spectrum disorder (ASD).
Many evidence-based parent-mediated interventions have been developed in recent years and share interven-
tion components designed to 1) treat the symptoms of ASD, and 2) coach parents in the use of these treatments.
While the intervention components used to treat children with ASD have received considerable attention with
regard to their implementation in community settings, the strategies used to coach parents have not. Coaching
is the active mechanism through which therapists change parent behavior, but comprises an understudied set
of targets for implementation. Preliminary evidence shows that community-based EI providers spend most of
their time working directly with the child, rather than coaching parents, despite calls from EI leaders to move from
a model of direct service to one that incorporates coaching parents. Small studies suggest that this implementa-
tion gap relates to providers' poor self-efficacy, conflicting pedagogical attitudes, and lack of clarity regarding
expectations about using parent coaching. Organizational and systemic barriers also may inhibit the use of par-
ent coaching by affecting clinicians' beliefs about its use or creating barriers that stop clinicians from acting on
their intentions to coach parents. Implementation strategies that address barriers related to both psychological
and organizational variables affecting the use of parent coaching are most likely to be effective. Using commu-
nity-partnered participatory research (CPPR) methods offers a novel approach to developing strategies to sup-
port the use of parent coaching. A new initiative in Philadelphia's EI system, through which EI providers will be
trained in Project ImPACT, an evidence-based, parent-mediated treatment for young children with ASD, presents
a rare opportunity to develop and pilot test these implementation strategies. Through this study, we will measure
psychological and organizational constructs that influence EI providers' use of parent coaching through direct
observations, quantitative surveys, and qualitative interviews. We then will partner with community stakeholders
to iteratively develop and test implementation strategies to increase EI providers' use of parent coaching. We
will rely on our recently funded ALACRITY center grant to support the use of innovative methods to rapidly
develop and pilot test these implementation strategies. Successful completion of this project will result in a novel,
easy-to-use toolkit of implementation strategies to help EI providers coach parents of children with ASD. These
activities will lay the foundation for an R01 to evaluate the implementation and effectiveness of this toolkit in a
later randomized community trial.
PHS 398/2590 (Rev. 06/09) Page Continuation Format Page
期刊论文(2)
专著(0)
科研奖励(0)
会议论文
Parent Coaching in Early Intervention for Autism Spectrum Disorder: A Brief Report.
自闭症谱系障碍早期干预的家长指导:简要报告。
DOI:
10.1177/10538151221095860
发表时间:
2023
期刊:
Journal of early intervention
影响因子:
1.4
作者:
[Pellecchia,Melanie, Mandell,DavidS, Beidas,RinadS, Dunst,CarlJ, Tomczuk,Liza, Newman,Jeannette, Zeigler,Lisa, Stahmer,AubynC]
通讯作者:
Stahmer,AubynC
DOI:
10.1177/13623613211059499
发表时间:
2022-04
期刊:
Autism : the international journal of research and practice
影响因子:
--
作者:
[Tomczuk L, Stewart RE, Beidas RS, Mandell DS, Pellecchia M]
通讯作者:
Pellecchia M
Methods Core
-
批准号:10294752
-
项目类别:
-
资助金额:$85.21万
-
财政年份:2021
-
负责人:David S Mandell
-
依托单位:
Methods Core
-
批准号:10487437
-
项目类别:
-
资助金额:$63.78万
-
财政年份:2021
-
负责人:David S Mandell
-
依托单位:
Methods Core
-
批准号:10675039
-
项目类别:
-
资助金额:$63.25万
-
财政年份:2021
-
负责人:David S Mandell
-
依托单位:
The academic-community experience (ACE): A postdoctoral training fellowship in implementation science to promote mental health
-
批准号:10409866
-
项目类别:
-
资助金额:$14.45万
-
财政年份:2017
-
负责人:David S Mandell
-
依托单位:
The academic-community experience (ACE): A postdoctoral training fellowship in implementation science to promote mental health
-
批准号:10657449
-
项目类别:
-
资助金额:$31.53万
-
财政年份:2017
-
负责人:David S Mandell
-
依托单位:
RCT of TeachTown in Autism Support Classrooms: Innovation and Exnovation
-
批准号:9242701
-
项目类别:
-
资助金额:$69.21万
-
财政年份:2015
-
负责人:David S Mandell
-
依托单位:
Clinical algorithm for identifying adult autism
-
批准号:8493123
-
项目类别:
-
资助金额:$24.0万
-
财政年份:2013
-
负责人:David S Mandell
-
依托单位:
Clinical algorithm for identifying adult autism
-
批准号:8683250
-
项目类别:
-
资助金额:$24.0万
-
财政年份:2013
-
负责人:David S Mandell
-
依托单位:
Interstate Variation in Healthcare Utilization Among Children with ASD
-
批准号:7871015
-
项目类别:
-
资助金额:$17.19万
-
财政年份:2009
-
负责人:David S Mandell
-
依托单位:
A Randomized Trial of the STAR Program for Children with Autism Spectrum Disorder
-
批准号:7645602
-
项目类别:
-
资助金额:$65.12万
-
财政年份:2008
-
负责人:David S Mandell
-
依托单位:
Interstate Variation in Healthcare Utilization Among Children with ASD
-
批准号:7199379
-
项目类别:
-
资助金额:$57.86万
-
财政年份:2007
-
负责人:David S Mandell
-
依托单位:
Interstate Variation in Healthcare Utilization Among Children with ASD
-
批准号:8051554
-
项目类别:
-
资助金额:$49.28万
-
财政年份:2007
-
负责人:David S Mandell
-
依托单位:
Interstate Variation in Healthcare Utilization Among Children with ASD
-
批准号:7793518
-
项目类别:
-
资助金额:$48.94万
-
财政年份:2007
-
负责人:David S Mandell
-
依托单位:
Interstate Variation in Healthcare Utilization Among Children with ASD
-
批准号:7591181
-
项目类别:
-
资助金额:$54.75万
-
财政年份:2007
-
负责人:David S Mandell
-
依托单位:
Understanding the Delay in the Diagnosis of Autism
-
批准号:6874605
-
项目类别:
-
资助金额:$12.97万
-
财政年份:2005
-
负责人:David S Mandell
-
依托单位:
Understanding the Delay in the Diagnosis of Autism
-
批准号:7048699
-
项目类别:
-
资助金额:$13.19万
-
财政年份:2005
-
负责人:David S Mandell
-
依托单位:
Understanding the Delay in the Diagnosis of Autism
-
批准号:7585804
-
项目类别:
-
资助金额:$13.91万
-
财政年份:2005
-
负责人:David S Mandell
-
依托单位:
Understanding the Delay in the Diagnosis of Autism
-
批准号:7382516
-
项目类别:
-
资助金额:$13.65万
-
财政年份:2005
-
负责人:David S Mandell
-
依托单位:
Understanding the Delay in the Diagnosis of Autism
-
批准号:7221922
-
项目类别:
-
资助金额:$13.43万
-
财政年份:2005
-
负责人:David S Mandell
-
依托单位:
EFFECTS OF CHILDREN'S SERVICE USE ON WELFARE TRANSITIONS
-
批准号:6135869
-
项目类别:
-
资助金额:$2.22万
-
财政年份:2000
-
负责人:David S Mandell
-
依托单位:
海外基金