Barriers Perceived by Professionals in Family-Centered Early Intervention Services: A Systematic Review of the Current Evidence.
Saved in:
| Title: | Barriers Perceived by Professionals in Family-Centered Early Intervention Services: A Systematic Review of the Current Evidence. |
|---|---|
| Authors: | Pacheco-Molero, Manuel1 (AUTHOR) manuel.pacheco@unir.net, Morales-Murillo, Catalina1 (AUTHOR) catalina.morales@unir.net, León-Estrada, Irene1 (AUTHOR) irene.leon@unir.net, Gutiérrez-Ortega, Mónica2 (AUTHOR) monica.gutierrez.ortega@uva.es |
| Source: | International Journal of Early Childhood. Aug2025, Vol. 57 Issue 2, p357-377. 21p. |
| Subject Terms: | *Family services, *Children with disabilities, Sociology, Policy analysis, Professionalism, Professional employees, Early medical intervention |
| Abstract (English): | Family-centered services are the recommended early intervention approach to develop and deliver services for children with disabilities and their families. This systematic review aims to identify and highlight what barriers service providers in family-centered early intervention perceive that prevent them from providing high-quality services focused on the family and the child's overall well-being. We identified 37 articles that met the selection criteria of the first initial search of 1858 articles. These studies provided insights from both service providers and families. The identified barriers were categorized into eight dimensions: family, child, knowledge, and application of the approach/model, professional beliefs, natural environment, service coordination, working conditions, and current legislation. The main barriers identified were family barriers, insecurities perceived by professionals and difficulties in their ability to provide services, changes in their attitudes and behaviors when they perceive that they are losing their role as experts, lack of knowledge and application of specific practices, and lack of skills needed to engage primary caregivers in natural settings. These findings should inform policy implementation at local and state levels in countries where family-centered service is established in early childhood programs. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Spanish: Los servicios centrados en la familia son el enfoque de intervención temprana recomendado para desarrollar y prestar servicios a niños con discapacidad y a sus familias. Esta revisión sistemática pretende identificar y destacar qué barreras perciben los proveedores de servicios en la intervención temprana centrada en la familia que les impiden prestar servicios de alta calidad centrados en la familia y en el bienestar general del niño. Se identificaron 37 artículos que cumplían loscriterios de selección de la primera búsqueda inicial de 1858 artículos. Estos estudios proporcionaron información tantode los proveedores de servicios como de las familias. Las barreras identificadas se clasificaron en ocho dimensiones:familia, niño, conocimiento y aplicación del enfoque/modelo, creencias profesionales, entorno natural, coordinación deservicios, condiciones de trabajo y legislación vigente. Las principales barreras identificadas fueron las familiares, lasinseguridades percibidas por los profesionales y las dificultades en su capacidad para prestar servicios, los cambios en susactitudes y comportamientos al percibir que están perdiendo su papel de expertos, la falta de conocimientos y de aplicación de prácticas específicas, y la falta de habilidades necesarias para implicar a los cuidadores principales en entornos naturales. Estas conclusiones deberían servir de base para la aplicación de políticas a nivel local y estatal en los países en los que se ha establecido un servicio centrado en la familia en los programas para la primera infancia. [ABSTRACT FROM AUTHOR] |
| Abstract (French): | Résumé: Les services centrés sur la famille sont l'approche d'intervention précoce recommandée pour développer et fournir des services aux enfants handicapés et à leurs familles. Cette revue systématique vise à identifier et à mettre en évidence les obstacles que les prestataires de services d'intervention précoce centrés sur la famille perçoivent et qui les empêchent de fournir des services de haute qualité axés sur la famille et le bien-être général de l'enfant. Nous avons identifié 37 articles qui répondaient aux critères de sélection de la première recherche initiale de 1858 articles. Ces études ont permis de recueillir les points de vue des prestataires de services et des familles. Les obstacles identifiés ont été classés en huit catégories : famille, enfant, connaissance et application de l'approche/du modèle, croyances professionnelles, environnement naturel, coordination des services, conditions de travail et législation en vigueur. Les principales barrières identifiées sont les barrières familiales, l'insécurité perçue par les professionnels et les difficultés dans leur capacité à fournir des services, les changements dans leurs attitudes et comportements lorsqu'ils perçoivent qu'ils perdent leur rôle d'experts, le manque de connaissances et d'application de pratiques spécifiques, et le manque de compétences nécessaires pour impliquer les soignants primaires dans les environnements naturels. Ces résultats devraient éclairer la mise en oeuvre des politiques au niveau local et au niveau de l'État dans les pays où les services centrés sur la famille sont mis en place dans les programmes pour la petite enfance. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Early Childhood is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Family-centered services are the recommended early intervention approach to develop and deliver services for children with disabilities and their families. This systematic review aims to identify and highlight what barriers service providers in family-centered early intervention perceive that prevent them from providing high-quality services focused on the family and the child's overall well-being. We identified 37 articles that met the selection criteria of the first initial search of 1858 articles. These studies provided insights from both service providers and families. The identified barriers were categorized into eight dimensions: family, child, knowledge, and application of the approach/model, professional beliefs, natural environment, service coordination, working conditions, and current legislation. The main barriers identified were family barriers, insecurities perceived by professionals and difficulties in their ability to provide services, changes in their attitudes and behaviors when they perceive that they are losing their role as experts, lack of knowledge and application of specific practices, and lack of skills needed to engage primary caregivers in natural settings. These findings should inform policy implementation at local and state levels in countries where family-centered service is established in early childhood programs. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 00207187 |
| DOI: | 10.1007/s13158-024-00401-5 |
