Implementation Toolkit to Enhance EBP Among Marginalized Families

Study Overview
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Brief Summary
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Although the efficacy of early intervention (EI) for autistic children and their families has been established, many marginalized families with diverse cultural and linguistic backgrounds still report inequitable access to evidence-based practices (EBP). There are several strategies to increase EBP implementation that are especially relevant to marginalized families who report inequitable access to coaching from EI providers, such as increasing the capacity of EI providers to coach families in a culturally responsive way. However, EI providers are provided with limited professional development in both family coaching and cultural responsiveness, which results in perpetuation of EBP implementation failure. Thus, it is crucial to develop and validate an implementation toolkit that comprises strategies to enhance cultural responsiveness in the uptake of EBPs among EI providers. Therefore, the overall purpose of this research is to identify facilitators and barriers of EBP implementation among marginalized families in EI to aid the development an implementation toolkit with a focus on capacity building of EI providers to implement EBP with cultural responsiveness. This will involve conducting individual interviews with EI providers.

Official Title
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Implementation Toolkit to Enhance EBP Among Marginalized Families

Conditions
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Autism, Early Intervention

Intervention / Treatment
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* Behavioral: I-TEAM


Participation Criteria
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Eligibility Criteria
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There are two sets of inclusion criteria for both types of participants. Inclusion Criteria for EI providers: Currently working with minoritized families of young children within Part-C Willing to complete I-TEAM as instructed Over the age of 18 Exclusion Criteria for EI providers: Not able to complete I-TEAM as instructed Inclusion Criteria for families: Having a minoritized backgrounds (e.g., migrant/refugee background, primarily speaks another language other than English at home) Having a young child eligible for early intervention services Exclusion Criteria for EI providers: Not currently receiving early intervention services

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Intervention group will receive access to the I-TEAM | Behavioral: I-TEAM<br>* I-TEAM is a web-based implementation toolkit that supports to enhance cultural responsiveness of EI providers in their EBP delivery with minoritized families of young autistic children<br>|
| No Intervention: Waitlist control<br>Waitlist control group will not receive access to the I-TEAM until the Intervention group has completed the 8-week intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Coaching Fidelity Scale (CFS) | CFS is an observational measure to assess coaching fidelity during an interaction between a coach and a learner | Change from baseline at 8 weeks | 
| Cultural Self-Efficacy Scale for Early Interventionists (CSES-EI) | CSES-EI is a 32-item, self-reported measure of cultural self-efficacy of early intervention providers | Change from baseline at 8 weeks | 
| Social Validity | We will measure acceptability and feasibility of I-TEAM | Change from baseline at 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure of NDBI Strategy Implementation: Caregiver Change (MONSI-CC) | MONSI-CC is an observational measure that detects changes in caregivers' use of NDBI strategies in early intervention | Change from baseline at 8 weeks | 
| Autism-specific parenting self-efficacy | We will use this self-reported tool to assess self-efficacy of parents of young autistic children | Change from baseline at 8 weeks | 
| Social validity | We will assess social validity, including satisfaction with their services, reports of cultural responsiveness of their providers, acceptability of early intervention among intervention recipients | Change from baseline at 8 weeks |