Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.)
BackgroundSocial ABCs is a caregiver-mediated Naturalistic Developmental Behavioral Intervention for toddlers with confirmed/suspected Autism Spectrum Disorder (ASD), with evidence in controlled research settings. Information is lacking on implementation in community settings. We reported on the tre...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1295294/full |
| _version_ | 1797348580429660160 |
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| author | Irene Drmic Jessica Brian Jessica Brian Caroline Roncadin Chantelle Shaver Marlene Pase Natalie Rugajs Kristina Tofano Erin Dowds Lonnie Zwaigenbaum Isabel M. Smith Susan E. Bryson |
| author_facet | Irene Drmic Jessica Brian Jessica Brian Caroline Roncadin Chantelle Shaver Marlene Pase Natalie Rugajs Kristina Tofano Erin Dowds Lonnie Zwaigenbaum Isabel M. Smith Susan E. Bryson |
| author_sort | Irene Drmic |
| collection | DOAJ |
| description | BackgroundSocial ABCs is a caregiver-mediated Naturalistic Developmental Behavioral Intervention for toddlers with confirmed/suspected Autism Spectrum Disorder (ASD), with evidence in controlled research settings. Information is lacking on implementation in community settings. We reported on the treatment effectiveness of this program within a community setting, and the current paper describes the implementation phase of this work. Distinguishing between treatment and implementation effectiveness is critical for transporting interventions from laboratory to community.ObjectivesDescribe the implementation of Social ABCs through a large public autism service, supported by a research-community partnership.MethodsWe describe this project through the Exploration, Preparation, Implementation, Sustainment (EPIS) framework as it focuses on implementation of evidence-based practices in publicly funded services. We apply this framework to the reporting stage. This project took place in the context of a 3-year government-funded pilot at a hospital-based publicly funded autism service. Participants: Program developers; Autism Service team; toddlers with suspected/confirmed ASD aged 14–34 months (M = 25.18 months) and their caregivers. Training/supervision: Provided by program developers at tapering intensity. Evaluation: Caregivers completed the Caregiver Diary and satisfaction surveys. We explored training processes, intervention uptake, acceptability, adaptations to fit community context, appropriateness, perceived impact, and facilitators/barriers.ResultsSix coaches were trained to fidelity, and three of these were further trained as Site Trainers. 183 clinically referred families enrolled and 89.4% completed the 12-week program. Caregivers reported increases in adherence and competence, high satisfaction and perceived benefits for their children. Coaches reported high satisfaction. Toddlers were appropriately identified to receive the intervention. Referral processes improved, including decreased referral age, and increased family readiness for diagnostic assessment and subsequent services.ConclusionsSocial ABCs was successfully implemented in a community service through a research-community partnership. The program was feasible, acceptable, and appropriate within a community context. Drivers of success included funding, institutional support, shared decision-making, adaptations to fit context, leadership support, perceived positive impact, and commitment to evaluation. |
| first_indexed | 2024-03-08T12:08:04Z |
| format | Article |
| id | doaj.art-cbcc7d324a4e4e18b04054678d20a6bf |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-08T12:08:04Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-cbcc7d324a4e4e18b04054678d20a6bf2024-01-23T04:33:35ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-01-011110.3389/fped.2023.12952941295294Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.)Irene Drmic0Jessica Brian1Jessica Brian2Caroline Roncadin3Chantelle Shaver4Marlene Pase5Natalie Rugajs6Kristina Tofano7Erin Dowds8Lonnie Zwaigenbaum9Isabel M. Smith10Susan E. Bryson11McMaster Children’s Hospital, Autism Program, Hamilton, ON, CanadaAutism Research Centre, Bloorview Research Institute, Toronto, ON, CanadaDepartment of Paediatrics, University of Toronto, Toronto, ON, CanadaMcMaster Children’s Hospital, Autism Program, Hamilton, ON, CanadaMcMaster Children’s Hospital, Autism Program, Hamilton, ON, CanadaMcMaster Children’s Hospital, Autism Program, Hamilton, ON, CanadaMcMaster Children’s Hospital, Autism Program, Hamilton, ON, CanadaMcMaster Children’s Hospital, Autism Program, Hamilton, ON, CanadaMcMaster Children’s Hospital, Autism Program, Hamilton, ON, CanadaAutism Research Centre, University of Alberta, Edmonton, AB, CanadaDepartment of Pediatrics and Department of Psychology & Neuroscience, Autism Research Centre, IWK Health Centre, Dalhousie University, Halifax, NS, CanadaDepartment of Pediatrics and Department of Psychology & Neuroscience, Autism Research Centre, IWK Health Centre, Dalhousie University, Halifax, NS, CanadaBackgroundSocial ABCs is a caregiver-mediated Naturalistic Developmental Behavioral Intervention for toddlers with confirmed/suspected Autism Spectrum Disorder (ASD), with evidence in controlled research settings. Information is lacking on implementation in community settings. We reported on the treatment effectiveness of this program within a community setting, and the current paper describes the implementation phase of this work. Distinguishing between treatment and implementation effectiveness is critical for transporting interventions from laboratory to community.ObjectivesDescribe the implementation of Social ABCs through a large public autism service, supported by a research-community partnership.MethodsWe describe this project through the Exploration, Preparation, Implementation, Sustainment (EPIS) framework as it focuses on implementation of evidence-based practices in publicly funded services. We apply this framework to the reporting stage. This project took place in the context of a 3-year government-funded pilot at a hospital-based publicly funded autism service. Participants: Program developers; Autism Service team; toddlers with suspected/confirmed ASD aged 14–34 months (M = 25.18 months) and their caregivers. Training/supervision: Provided by program developers at tapering intensity. Evaluation: Caregivers completed the Caregiver Diary and satisfaction surveys. We explored training processes, intervention uptake, acceptability, adaptations to fit community context, appropriateness, perceived impact, and facilitators/barriers.ResultsSix coaches were trained to fidelity, and three of these were further trained as Site Trainers. 183 clinically referred families enrolled and 89.4% completed the 12-week program. Caregivers reported increases in adherence and competence, high satisfaction and perceived benefits for their children. Coaches reported high satisfaction. Toddlers were appropriately identified to receive the intervention. Referral processes improved, including decreased referral age, and increased family readiness for diagnostic assessment and subsequent services.ConclusionsSocial ABCs was successfully implemented in a community service through a research-community partnership. The program was feasible, acceptable, and appropriate within a community context. Drivers of success included funding, institutional support, shared decision-making, adaptations to fit context, leadership support, perceived positive impact, and commitment to evaluation.https://www.frontiersin.org/articles/10.3389/fped.2023.1295294/fullcommunity implementationimplementation effectivenessExploration Preparation Implementation Sustainment (EPIS) frameworknaturalistic developmental behavioral intervention (NDBI)Social ABCsautism |
| spellingShingle | Irene Drmic Jessica Brian Jessica Brian Caroline Roncadin Chantelle Shaver Marlene Pase Natalie Rugajs Kristina Tofano Erin Dowds Lonnie Zwaigenbaum Isabel M. Smith Susan E. Bryson Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.) Frontiers in Pediatrics community implementation implementation effectiveness Exploration Preparation Implementation Sustainment (EPIS) framework naturalistic developmental behavioral intervention (NDBI) Social ABCs autism |
| title | Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.) |
| title_full | Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.) |
| title_fullStr | Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.) |
| title_full_unstemmed | Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.) |
| title_short | Community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder: feasibility, acceptability, and drivers of success (IE Drmic et al.) |
| title_sort | community implementation of a brief parent mediated intervention for toddlers with probable or confirmed autism spectrum disorder feasibility acceptability and drivers of success ie drmic et al |
| topic | community implementation implementation effectiveness Exploration Preparation Implementation Sustainment (EPIS) framework naturalistic developmental behavioral intervention (NDBI) Social ABCs autism |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1295294/full |
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