Who Gets Coached? A Qualitative Inquiry into Community Clinicians' Decisions to Use Caregiver Coaching
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| Title: | Who Gets Coached? A Qualitative Inquiry into Community Clinicians' Decisions to Use Caregiver Coaching |
|---|---|
| Language: | English |
| Authors: | Tomczuk, Liza (ORCID |
| Source: | Autism: The International Journal of Research and Practice. Apr 2022 26(3):575-585. |
| Availability: | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com |
| Peer Reviewed: | Y |
| Page Count: | 11 |
| Publication Date: | 2022 |
| Sponsoring Agency: | Institute of Education Sciences (ED) National Institute of Mental Health (NIMH) (DHHS/NIH) |
| Contract Number: | R324B180017 MH118489 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Caregiver Training, Family Influence, Evidence Based Practice, Autism, Pervasive Developmental Disorders, Early Intervention, Minority Groups, Family Characteristics, Beliefs, Social Bias, Young Children, Coaching (Performance), Socioeconomic Background, Low Income |
| Geographic Terms: | Pennsylvania, California, Delaware |
| DOI: | 10.1177/13623613211059499 |
| ISSN: | 1362-3613 1461-7005 |
| Abstract: | Clinicians' beliefs about an intervention's fit with an individual family influence whether they use it with that family. The factors that influence clinicians' decisions to implement evidence-based practices for young autistic children have yet to be evaluated systematically. These factors may partially account for the significant disparities in quality of and access to early intervention. We examined disparities in clinicians' reported use of caregiver coaching, an evidence-based practice, with families from minoritized or structurally marginalized groups, and the perceived reasons for those disparities, to assess the factors that influence clinicians' use of caregiver coaching. We conducted semi-structured interviews with 36 early intervention clinicians from publicly funded early intervention agencies in two distinct geographic regions in the United States. Clinicians identified social and structural factors, including perceived family characteristics and stigma, that influenced their beliefs about the fit of coaching with families from minoritized or structurally marginalized groups. These findings point to the presence of beliefs that likely exacerbate disparities in access to evidence-based practices and reduce the quality of care for minoritized families of young autistic children. These findings highlight the need to develop and deploy equity-focused implementation strategies to improve both access to and quality of evidence-based practices for young autistic children from minoritized groups. [For the corresponding grantee submission, see ED618068.] |
| Abstractor: | As Provided |
| IES Funded: | Yes |
| Entry Date: | 2022 |
| Accession Number: | EJ1333631 |
| Database: | ERIC |
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| Abstract: | Clinicians' beliefs about an intervention's fit with an individual family influence whether they use it with that family. The factors that influence clinicians' decisions to implement evidence-based practices for young autistic children have yet to be evaluated systematically. These factors may partially account for the significant disparities in quality of and access to early intervention. We examined disparities in clinicians' reported use of caregiver coaching, an evidence-based practice, with families from minoritized or structurally marginalized groups, and the perceived reasons for those disparities, to assess the factors that influence clinicians' use of caregiver coaching. We conducted semi-structured interviews with 36 early intervention clinicians from publicly funded early intervention agencies in two distinct geographic regions in the United States. Clinicians identified social and structural factors, including perceived family characteristics and stigma, that influenced their beliefs about the fit of coaching with families from minoritized or structurally marginalized groups. These findings point to the presence of beliefs that likely exacerbate disparities in access to evidence-based practices and reduce the quality of care for minoritized families of young autistic children. These findings highlight the need to develop and deploy equity-focused implementation strategies to improve both access to and quality of evidence-based practices for young autistic children from minoritized groups. [For the corresponding grantee submission, see ED618068.] |
|---|---|
| ISSN: | 1362-3613 1461-7005 |
| DOI: | 10.1177/13623613211059499 |
