University of Pennsylvania, USA.
Autism. 2022 Apr;26(3):575-585. doi: 10.1177/13623613211059499. Epub 2021 Dec 5.
Providers' beliefs about an intervention's fit with a family can affect whether or not they use that intervention with a family. The factors that affect providers' decisions to use evidence-based practices for young autistic children have not been studied. These factors may play a role in the major differences we see in the quality of and access to early intervention services in the community. We looked at differences in providers' use of caregiver coaching, an evidence-based practice, with families from minority or vulnerable backgrounds, and the possible reasons for those differences. We did this to figure out what factors affect providers' use of caregiver coaching. We interviewed 36 early intervention providers from early intervention agencies in two different parts of the United States. Providers pointed out things like what they thought about a family's circumstances that affected their beliefs about how well coaching fits with minority and vulnerable families. Our findings bring attention to these beliefs that likely make accessing evidence-based practices for minority and vulnerable families harder and lessen the quality of care for these families of young autistic children. These findings highlight the need to come up with and use strategies to improve both access to and the quality of evidence-based practices for young autistic children from minority and vulnerable groups.
提供者对干预措施是否适合家庭的信念会影响他们是否会将该干预措施用于该家庭。影响提供者决定为自闭症儿童使用循证实践的因素尚未得到研究。这些因素可能在我们在社区中看到的早期干预服务的质量和可及性方面存在重大差异中发挥作用。我们研究了提供者在为少数族裔或弱势群体的家庭使用基于证据的护理教练方面的差异，以及造成这些差异的可能原因。我们这样做是为了了解哪些因素会影响提供者使用护理教练。我们采访了来自美国两个不同地区的早期干预机构的 36 名早期干预提供者。提供者指出了他们对家庭情况的看法，这些看法影响了他们对教练与少数族裔和弱势群体家庭的契合度的信念。我们的研究结果引起了对这些信念的关注，这些信念可能使少数族裔和弱势群体家庭更难以获得循证实践，并降低了这些家庭的护理质量。这些发现强调了需要制定和使用策略来提高少数族裔和弱势群体的自闭症儿童获得循证实践的机会和质量。
