The impact of classroom climate on autism intervention fidelity and outcomes

课堂气氛对自闭症干预保真度和结果的影响

• 批准号: 7991367
• 负责人: Hilary E Dingfelder
• 金额: $ 3.96万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7991367
• 关键词: Address; Adopted; Affect; Area; Autistic Disorder; Businesses; Child; Climate; Clinic; Clinical Trials Design; Communities; Complex; Developmental Disabilities; Diffusion; Education; Educational Curriculum; Effectiveness; Enrollment; Environment; Evidence based intervention; Foundations; Goals; Health; Human; Incentives; Individual; Intervention; Intervention Studies; Laboratories; Lead; Learning; Literature; Measures; Mediator of activation protein; Mental Health; Methods; Modeling; Motivation; Outcome; Perception; Philadelphia; Policies; Randomized; Reporting; Research; Rewards; Role; Schools; Services; Special Education; Students; Testing; Time; Work; autism spectrum disorder; base; community setting; design; developmental disease; experience; implementation research; improved; innovation; meetings; organizational climate; programs; randomized trial; research study; skills; skills training; teacher; tool

DESCRIPTION (provided by applicant):. Interventions for children with autism spectrum disorders (ASD) that have proven efficacious in research settings generally have not been effectively implemented in community settings. Challenges to successful implementation of interventions are apparent in AIMS (Autism Instructional Methods Study), an ongoing, randomized trial designed to test the effectiveness of an efficacious, teacher-delivered, curriculum-based intervention for children enrolled in autism support classrooms in a large, urban school district. Early observations suggest that a key reason for this variability is the extent to which the teachers perceive that their use of the intervention is expected, supported, and rewarded by their supervisors and other classroom staff. This shared perception is referred to as the organization's implementation climate. While a rich literature examines the role of the implementation climate in business settings, there is little study of the unique implementation climate in health and human services in general, and special education settings specifically. The proposed study will examine the impact of 1) administrative and education support staffs acceptance of the intervention and 2) the climate of autism support classrooms on the ongoing implementation of an evidence-based intervention and subsequent student outcomes. To address these aims, school principals and classroom assistants will report their acceptance of and support for the intervention, teachers will report on classroom implementation climate, and direct measures of program fidelity and child outcomes from the ongoing trial will be used. If successful, this project will advance our understanding of the best ways to support the implementation of efficacious interventions in special education settings. It will apply, for the first time, conceptual models and tools developed in business contexts to special education settings, with the goal of quantifying the extent to which the school and classroom environment supports or impedes intervention implementation. This study provides a strong foundation for intervention research targeting organizational climate as a way to support the implementation of evidence-based interventions, with the goal of improving services and outcomes for children.

描述（由申请人提供）：对自闭症谱系障碍（ASD）儿童的干预措施在研究环境中被证明是有效的，但在社区环境中通常没有得到有效实施。成功实施干预措施的挑战在AIMS（自闭症教学方法研究）中显而易见，AIMS是一项正在进行的随机试验，旨在测试一种有效的，教师提供的，基于教师的干预措施对在大型城市学区自闭症支持教室就读的儿童的有效性。早期的观察表明，这种变化的一个关键原因是教师认为他们使用干预的程度是期望，支持和奖励他们的主管和其他教室工作人员。这种共同的看法被称为组织的执行气候。虽然丰富的文献研究的实施气候在商业环境中的作用，很少有研究的独特的实施气候在卫生和人类服务的一般，特别是特殊教育环境。拟议的研究将检查1）行政和教育支持人员接受干预的影响，2）自闭症支持教室的气氛对正在实施的循证干预和随后的学生成果的影响。为了实现这些目标，学校校长和课堂助理将报告他们对干预措施的接受和支持，教师将报告课堂实施气氛，并将使用正在进行的试验中的计划保真度和儿童结果的直接措施。如果成功，该项目将促进我们对支持在特殊教育环境中实施有效干预措施的最佳方法的理解。它将首次将商业环境中开发的概念模型和工具应用于特殊教育环境，目标是量化学校和课堂环境支持或阻碍干预措施实施的程度。这项研究为针对组织气候的干预研究提供了坚实的基础，以支持实施循证干预措施，其目标是改善儿童的服务和成果。