Pickard Katherine, Mellman Hannah, Frost Kyle, Reaven Judy, Ingersoll Brooke
JFK Partners, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Division of Autism and Related Disabilities, Department of Pediatrics, Emory School of Medicine, 1920 Briarcliff Road, Atlanta, GA, 30329, USA.
J Autism Dev Disord. 2023 Feb;53(2):656-668. doi: 10.1007/s10803-021-04882-4. Epub 2021 Jan 23.
Naturalistic developmental behavioral interventions (NDBIs) are evidence-based interventions for young children with autism spectrum disorder. There has been growing interest in implementing manualized NDBIs within the early intervention (EI) system without a clear understanding of how these programs and the broader strategies encompassed within them are already used by EI providers. This study examined the use of manualized NDBI programs and broader NDBI strategies within an EI system and factors that impacted their use. Eighty-eight EI providers completed a measure of NDBI program and strategy use. Thirty-three providers participated in a supplemental focus group or interview. Overall, providers described using broader NDBI strategies and the need to adapt manualized NDBI programs. Provider-, intervention-, and organization-level factors impacted their use of NDBI programs and strategies.
自然主义发展行为干预(NDBIs)是针对自闭症谱系障碍幼儿的循证干预措施。在早期干预(EI)系统中实施标准化的NDBIs越来越受到关注,但对于这些项目以及其中包含的更广泛策略如何被EI提供者使用,人们并没有清晰的认识。本研究调查了EI系统中标准化NDBI项目和更广泛的NDBI策略的使用情况以及影响其使用的因素。88名EI提供者完成了一项关于NDBI项目和策略使用情况的测评。33名提供者参与了补充焦点小组或访谈。总体而言,提供者描述了使用更广泛的NDBI策略以及调整标准化NDBI项目的必要性。提供者层面、干预层面和组织层面的因素影响了他们对NDBI项目和策略的使用。