Clinical trial NCT06080087: Implementation Toolkit to Enhance EBP Among Marginalized Families
Official title: Implementation Toolkit to Enhance EBP Among Marginalized Families
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Autism
Early Intervention
Lead sponsor: Seattle Children's Hospital
Sponsor class: OTHER
Collaborators: name: University of Washington
First posted: 2023-10-12
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Coaching Fidelity Scale (CFS)
timeFrame: Change from baseline at 8 weeks
measure: Cultural Self-Efficacy Scale for Early Interventionists (CSES-EI)
timeFrame: Change from baseline at 8 weeks
measure: Social Validity
timeFrame: Change from baseline at 8 weeks
Secondary outcomes:
measure: Measure of NDBI Strategy Implementation: Caregiver Change (MONSI-CC)
timeFrame: Change from baseline at 8 weeks
measure: Autism-specific parenting self-efficacy
timeFrame: Change from baseline at 8 weeks
measure: Social validity
timeFrame: Change from baseline at 8 weeks
Other outcomes:
Locations:
city: Seattle
country: United States
facility: Seattle Children's Research Institute
state: Washington
Study officials:
References: