Department of Psychology, San Diego State University, San Diego, CA, USA.
Implement Sci. 2012 Sep 10;7:85. doi: 10.1186/1748-5908-7-85.
Currently, 1 out of 88 children are diagnosed with an autism spectrum disorder (ASD), and the estimated cost for treatment services is $126 billion annually. Typically, ASD community providers (ASD-CPs) provide services to children with any severity of ASD symptoms using a combination of various treatment paradigms, some with an evidence-base and some without. When evidence-based practices (EBPs) are successfully implemented by ASD-CPs, they can result in positive outcomes. Despite this promise, EBPs are often implemented unsuccessfully and other treatments used by ASD-CPs lack supportive evidence, especially for school-age children with ASD. While it is not well understood why ASD-CPs are not implementing EBPs, organizational and individual characteristics likely play a role. As a response to this need and to improve the lives of children with ASD and their families, this study aims to develop and test the feasibility and acceptability of the Autism Model of Implementation (AMI) to support the implementation of EBPs by ASD-CPs.
METHODS/DESIGN: An academic-community collaboration developed to partner with ASD-CPs will facilitate the development of the AMI, a process specifically for use by ASD community-based agencies. Using a mixed methods approach, the project will assess agency and individual factors likely to facilitate or hinder implementing EBPs in this context; develop the AMI to address identified barriers and facilitators; and pilot test the AMI to examine its feasibility and acceptability using a specific EBP to treat anxiety disorders in school-age children with ASD.
The AMI will represent a data-informed approach to facilitate implementation of EBPs by ASD-CPs by providing an implementation model specifically developed for this context. This study is designed to address the real-world implications of EBP implementation in ASD community-based agencies. In doing so, the AMI will help to provide children with ASD the best and most effective services in their own community. Moreover, the proposed study will positively impact the field of implementation science by providing an empirically supported and tested model of implementation to facilitate the identification, adoption, and use of EBPs.
目前，每 88 名儿童中就有 1 名被诊断出患有自闭症谱系障碍（ASD），每年用于治疗服务的估计费用为 1260 亿美元。通常，自闭症社区提供者（ASD-CP）使用各种治疗模式的组合为任何严重程度的 ASD 症状的儿童提供服务，其中一些有证据基础，而另一些则没有。当 ASD-CP 成功实施基于证据的实践（EBP）时，它们可以带来积极的结果。尽管有这样的承诺，但 EBP 经常实施不成功，而且 ASD-CP 使用的其他治疗方法缺乏支持性证据，尤其是对于患有 ASD 的学龄儿童。虽然尚不清楚为什么 ASD-CP 不实施 EBP，但组织和个人特征可能起作用。为了满足这一需求并改善 ASD 儿童及其家庭的生活，本研究旨在开发和测试自闭症实施模型（AMI）的可行性和可接受性，以支持 ASD 社区为基础的机构实施 EBP。
方法/设计：与 ASD-CP 合作的学术-社区合作将促进 AMI 的开发，这是一种专门为 ASD 社区机构使用的过程。该项目将使用混合方法评估可能促进或阻碍在这种情况下实施 EBP 的机构和个人因素；开发 AMI 以解决确定的障碍和促进因素；并使用特定的 EBP 试点测试 AMI，以考察其在治疗 ASD 学龄儿童焦虑障碍方面的可行性和可接受性。
AMI 将代表一种数据驱动的方法，通过提供专门为这种情况开发的实施模型，为 ASD-CP 实施 EBP 提供便利。本研究旨在解决 ASD 社区机构中实施 EBP 的实际影响。通过这样做，AMI 将帮助为 ASD 儿童在自己的社区中提供最好和最有效的服务。此外，拟议的研究将通过提供一个经验支持和测试的实施模型来促进 EBP 的识别、采用和使用，对实施科学领域产生积极影响。
Zotero 插件