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Designing for Dissemination: The Utility of the Deployment-Focused Model of Intervention Development and Testing for Parent-Mediated Intervention

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Handbook of Parent-Implemented Interventions for Very Young Children with Autism

Part of the book series: Autism and Child Psychopathology Series ((ACPS))

Abstract

There are many identified barriers to the dissemination and implementation of evidence-based care for individuals with autism spectrum disorder (ASD). Modifications to the way in which interventions are developed, studied, and implemented are necessary to facilitate fit between interventions and the community settings in which they will ultimately be delivered. Throughout this chapter, we will describe how the deployment-focused model of intervention development can be used in the development and evaluation of parent-mediated interventions for children with ASD to increase the likelihood of dissemination and implementation to ultimate practice settings. We will use our own experience with the development and evaluation of Project ImPACT (Improving Parents as Communication Teachers), a parent-mediated social communication intervention for young children with ASD, to illustrate a number of key points in the model. We will also address how other key concepts from the field of dissemination and implementation can be applied to the intervention development process, with the goal of facilitating treatment uptake and implementation.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Baio, J. (2014). Prevalence of autism spectrum disorder among children aged 8 years — Autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report, 63(2), 1–21.

    Google Scholar 

  • Beaudoin, A. J., Sebire, G., & Gouture, M. (2014). Parent training interventions for toddlers with autism spectrum disorder. Autism Research and Treatment, 2014, 1–15.

    Article  Google Scholar 

  • Bitterman, A., Daley, T. C., Misra, S., Carlson, E., & Markowitz, J. (2008). A national sample of preschoolers with autism spectrum disorders: Special education services and parent satisfaction. Journal of Autism and Developmental Disorders, 38(8), 1509–1517.

    Article  Google Scholar 

  • Boardman, A. G., Arguelles, M. E., Vaughn, S., Hughes, M. T., & Klingner, J. (2005). Special education teachers’ views of research-based practices. The Journal of Special Education, 39, 168–180.

    Article  Google Scholar 

  • Brown, A. H., Cohen, A. N., Chinman, M. J., Kessler, C., & Young, A. S. (2008). EQUIP: implementing chronic care principles and applying formative evaluation methods to improve care for schizophrenia: QUERI Series. Implementation Science, 3, 9.

    Article  Google Scholar 

  • Cabana, M. D., Rand, C. S., Powe, N. R., Wu, A. W., Wilson, M. H., Abboud, P. A. C., & Rubin, H. R. (1999). Why don’t physicians follow clinical practice guidelines?: A framework for improvement. JAMA, 282(15), 1458–1465.

    Article  Google Scholar 

  • Campbell, P. H., & Halbert, J. (2002). Between research and practice provider perspectives on early intervention. Topics in Early Childhood Special Education, 22(4), 213–226.

    Article  Google Scholar 

  • Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2. https://doi.org/10.1186/1748-5908-2-40

  • Carter, A. S., Messinger, D. S., Stone, W. L., Celimli, S., Nahmias, A. S., & Yoder, P. (2011). A randomized controlled trial of Hanen’s more than words’ in toddlers with early autism symptoms. Journal of Child Psychology and Psychiatry, 52, 741–752.

    Article  Google Scholar 

  • Curran, G. M., Bauer, M., Mittman, B., Pyne, J. M., & Stetler, C. (2012). Effectiveness-implementation hybrid designs: Combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical Care, 50(3), 217.

    Article  Google Scholar 

  • Davis, D. A., & Taylor-Vaisey, A. (1997). Translating guidelines into practice: A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. Canadian Medical Association Journal, 157(4), 408–416.

    PubMed  Google Scholar 

  • Dingfelder, H. E., & Mandell, D. S. (2011). Bridging the research-to-practice gap in autism intervention: An application of diffusion of innovation theory. Journal of Autism and Developmental Disorders, 41, 597–609.

    Article  Google Scholar 

  • Elliott, D. S., & Mihalic, S. (2004). Issues in dissemination and replicating effective prevention programs. Prevention Science, 5, 47–53.

    Article  Google Scholar 

  • Fagan, A. A., Hanson, K., Hawkins, J. D., & Arthur, M. W. (2008). Bridging science to practice: Achieving prevention program implementation fidelity in the community youth development study. American Journal of Community Psychology, 41, 235–249.

    Article  Google Scholar 

  • Fairburn, C. G., & Cooper, Z. (2011). Therapist competence, therapy quality, and therapist training. Behaviour Research and Therapy, 29, 373–378.

    Article  Google Scholar 

  • Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of south Florida, Louis de la Parte. Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication 231).

    Google Scholar 

  • Hanson, M. J., & Hanline, M. F. (1990). Parenting a child with a disability: A longitudinal study of parental stress and adaptation. Journal of Early Intervention, 14(3), 234–248.

    Article  Google Scholar 

  • Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (2009). Multisystemic therapy for antisocial behavior in children and adolescents. New York: Guilford Press.

    Google Scholar 

  • Hester, P. P., Kaiser, A. P., Alpert, C. L., & Whiteman, B. (1996). The generalized effects of training trainers to teach parents to implement milieu teaching. Journal of Early Intervention, 20(1), 30–51.

    Article  Google Scholar 

  • Hoagwood, K., Bums, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001). Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52, 1179–1189.

    Article  Google Scholar 

  • Hume, K., Bellini, S., & Pratt, C. (2005). The usage and perceived outcomes of early intervention and early childhood programs for young children with autism spectrum disorder. Topics in Early Childhood Special Education, 25(4), 195–207.

    Article  Google Scholar 

  • Ingersoll, B., & Dvortcsak, A. (2006). Including parent training in the early childhood special education curriculum for children with autism spectrum disorders. Journal of Positive Behavior Interventions, 8(2), 79–87.

    Article  Google Scholar 

  • Ingersoll, B., & Dvortcsak, A. (2010). Teaching social communication: A practitioner’s guide to parent training for children with autism. New York: Guilford Press.

    Google Scholar 

  • Ingersoll, B.R., Wainer, A.L., Berger, N.I., Walton, K.M. (2017). Efficacy of low intensity, thearpistimplemented Project ImPACT for increaseing social communicaiton skills in young children with ASD. Developmental Neurorehavilitation, 20(8), 502–510.

    Google Scholar 

  • Ingersoll, B., Walton, K., Bonter, N., & Jelinek, S. (2012). A comparison of naturalistic behavioral and developmental, social-pragmatic interventions on language use and social engagement in children with autism. Journal of Speech, Language, and Hearing Research, 55, 1301–1313.

    Article  Google Scholar 

  • Ingersoll, B. R. (2010). Teaching social communication a comparison of naturalistic behavioral and development, social pragmatic approaches for children with autism spectrum disorders. Journal of Positive Behavior Interventions, 12(1), 33–43.

    Article  Google Scholar 

  • Ingersoll, B. R., & Wainer, A. L. (2013a). Pilot study of a school-based parent training program for preschoolers with ASD. Autism : The International Journal of Research and Practice, 17(4), 434–448.

    Article  Google Scholar 

  • Ingersoll, B. R., & Wainer, A. L. (2013b). Initial efficacy of project ImPACT: A parent-mediated social communication intervention for young children with ASD. Journal of Autism and Developmental Disorders, 43(12), 2943–2952.

    Article  Google Scholar 

  • Kaiser, A. P., Yoder, P. J., & Keetz, A. (1992). Evaluating milieu teaching. In S. F. Warren & J. Reichle (Eds.), Causes and effects in communication and language intervention (pp. 9–48). Baltimore: Brookes.

    Google Scholar 

  • Kogan, M. D., Strickland, B. B., Blumberg, S. J., Singh, G. K., Perrin, J. M., & Van Dyck, P. C. (2008). A national profile of the health care experiences and family impact of autism spectrum disorder among children in the United States, 2005–2006. Pediatrics, 122(6), e1149–58. https://doi.org/10.1542/peds.2008-1057

  • Maglione, M., Gans, D., Das, L., Timbie, J., & Kasari, C. (2012). Non-medical interventions for children with ASD: Recommended guidelines and further research needs. Pediatrics, 130, S169–S178.

    Article  Google Scholar 

  • Mahoney, G. (2004a). Responsive teaching: Parent-mediated developmental intervention: Vol. 1. Intervention components and procedures. Cleveland, OH: Case Western Reserve University.

    Google Scholar 

  • Mahoney, G. (2004b). Responsive teaching: Parent-mediated developmental intervention: Vol. 2. Intervention tools. Cleveland, OH: Case Western Reserve University.

    Google Scholar 

  • Mahoney, G., & Filer, J. (1996). How responsive is early intervention to the priorities and needs of families? Topics in Early Childhood Special Education, 16(4), 437–457.

    Article  Google Scholar 

  • Mahoney, G., Kaiser, A., Girolametto, L., MacDonald, J., Robinson, C., Safford, P., & Spiker, D. (1999). Parent education in early intervention a call for a renewed focus. Topics in Early Childhood Special Education, 19(3), 131–140.

    Article  Google Scholar 

  • Mancini, A. D., Moser, L. I., Whitley, R., McHugo, G. J., Bond, G. R., Finnerty, M. T., & Burns, B. J. (2009). Assertive community treatment: Facilitators and barriers to implementation in routine mental health settings. Psychiatric Services, 60, 189–195.

    Article  Google Scholar 

  • McCollum, J. A. (1999). Parent education: What we mean and what that means. Topics in Early Childhood Special Education, 19(3), 147.

    Article  Google Scholar 

  • National Research Council. (2001). Educating children with autism. Washington, DC: National Academy Press.

    Google Scholar 

  • Oono, I. P., Honey, E. J., & McConachie, H. (2013). Parent-mediated early intervention for young children with autism spectrum disorders (ASD). Evidence-Based Child Health: A Cochrane Review Journal, 8(6), 2380–2479.

    Article  Google Scholar 

  • Oosterling, I., Visser, J., Swinkels, S., Rommelse, N., Donder, R., Woundenberg, T., … Buitelaar, J. (2010). Randomized controlled trial of the focus parent training for toddlers with autism: 1-year outcome. Journal of Autism and Developmental Disorders, 40, 1447–1458.

    Article  Google Scholar 

  • Patterson, S. Y., & Smith, V. (2011). The experience of parents of toddlers diagnosed with autism spectrum disorder in the More Than Words parent education program. Infants & Young Children, 24(4), 329–343.

    Article  Google Scholar 

  • Pickard, K. E., & Ingersoll, B. R. (2015). Quality versus quantity: The role of socioeconomic status on parent-reported service knowledge, service use, unmet service needs, and barriers to service use. Autism, 20(1), 106–115. https://doi.org/10.1177/1362361315569745

    Article  PubMed  Google Scholar 

  • Reichow, B., & Wolery, M. (2009). Comprehensive synthesis of early intensive behavioral interventions for young children with autism based on the UCLA young autism project model. Journal of Autism and Developmental Disorders, 39, 23–41.

    Article  Google Scholar 

  • Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.

    Google Scholar 

  • Rohrbach, L. A., Ringwalt, C. L., Ennett, S. T., & Vincus, A. A. (2005). Factors associated with adoption of evidence-based substance use prevention curricula in US school districts. Health Education Research, 20, 514–526.

    Article  Google Scholar 

  • Rosenberg, S. A., & Robinson, C. (1988). Interactions of parents with their young handicapped children. In Early intervention for infants and children with handicaps: An empirical base (pp. 159–177). Baltimore: Brookes.

    Google Scholar 

  • Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52(9), 1190–1197.

    Article  Google Scholar 

  • Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., … Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 2411–2428.

    Article  Google Scholar 

  • Siller, M., Morgan, L., Turner-Brown, L., Baggett, K. M., Baranek, G. T., Brian, J., … Zwaigenbaum, L. (2014). Designing studies to evaluate parent-mediated interventions for toddlers with autism spectrum disorder. Journal of Early Intervention, 35, 355–377.

    Article  Google Scholar 

  • Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., … Wagner, A. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37, 354–366.

    Article  Google Scholar 

  • Sperry, L. A., Whaley, K. T., Shaw, E., & Brame, K. (1999). Services for young children with autism spectrum disorder: Voices of parents and providers. Infants & Young Children, 11, 17–33.

    Article  Google Scholar 

  • Stahmer, A. C. (2007). The basic structure of community early intervention programs for children with autism: Provider descriptions. Journal of Autism and Developmental Disorders, 37, 1344–1354.

    Article  Google Scholar 

  • Stahmer, A. C., & Aarons, G. A. (2009). Attitudes toward adoption of evidence-based practices: A comparison of autism early intervention providers and children’s mental health providers. Psychological Services, 6, 223–234.

    Article  Google Scholar 

  • Stahmer, A. C., Brookman-Frazee, L., Lee, E., Searcy, M. K., & Reed, M. S. (2011). Parent and multidisciplinary provider perspectives on earliest intervention for children at risk for autism spectrum disorders. Infants and Young children, 24(4), 344.

    Article  Google Scholar 

  • Stahmer, A. C., Collings, N. M., & Palinkas, L. A. (2005). Early intervention practices for children with autism: Descriptions from community providers. Focus on Autism and Other Developmental Disabilities, 20, 66–79.

    Article  Google Scholar 

  • Stahmer, A. C., & Gist, K. (2001). The effects of an accelerated parent education program on technique mastery and child outcome. Journal of Positive Behavior Interventions, 3, 75–82. https://doi.org/10.1177/109830070100300203

    Article  Google Scholar 

  • Stewart, R. E., Stirman, S. W., & Chambless, D. L. (2012). A qualitative investigation of practicing psychologists’ attitudes toward research-informed practice: Implications for dissemination strategies. Professional Psychology: Research and Practice, 43(2), 100–109.

    Article  Google Scholar 

  • Symon, J. B. (2005). Expanding interventions for children with autism: Parents as trainers. Journal of Positive Behavior Interventions, 7, 159–173. https://doi.org/10.1177/10983007050070030501

    Article  Google Scholar 

  • Thomas, K. C., Ellis, A. R., McLaurin, C., Daniels, J., & Morrissey, J. P. (2007). Access to care for autism-related services. Journal of Autism and Developmental Disorders, 37(10), 1902–12. https://doi.org/10.1007/s10803-006-0323-7

  • Turnbull, A. P., & Turnbull, H. R. (1990). Families, professionals, and exceptionality: A special partnership. Columbus, OH: Merrill Publishing Company.

    Google Scholar 

  • Vincent, L. J., & Beckett, J. A. (1993). Family participation: DEC recommended practices.

    Google Scholar 

  • Vismara, L. A., & Rogers, S. J. (2010). Behavioral treatments in autism spectrum disorder: What do we know? Annual Review of Clinical Psychology, 6, 447–468.

    Article  Google Scholar 

  • Walker, H. M. (2004). Commentary: Use of evidence-based interventions in schools: Where we’ve been, where we are, and where we need to go. School Psychology Review, 33(3), 398–407.

    Google Scholar 

  • Waddell, C. (2001). So much research evidence, so little dissemination and uptake: Mixing the useful with the pleasing. Evidence-Based Mental Health, 4(1), 3–5.

    Article  Google Scholar 

  • Wainer, A.L., Pickard, J., Ingersoll, B.R. (2017). Using web-based instruction, brief workshops, and remote consultation to teach comunity-based providers a parent-mediated intervention. Journal of Child and Family Studies, 26(6), 1592–1602.

    Google Scholar 

  • Weisz, J. R., Chu, B. C., & Polo, A. J. (2004). Treatment dissemination and evidence-based practice: Strengthening intervention through clinician-researcher collaboration. Clinical Psychology: Science and Practice, 11, 300–307.

    Google Scholar 

  • Weisz, J. R., Jensen, A. L., & McLeod, B. D. (2005). Development and dissemination of child and adolescent psychotherapies: Milestones, methods, and a new deployment-focused model.

    Google Scholar 

  • Wilczynski, S., Green, G., Ricciardi, J., Boyd, B., Hume, A., Ladd, M., & Rue, H. (2009). National standards report: The national standards project: Addressing the need for evidence-based practice guidelines for autism spectrum disorders. Randolph, MA: The National Autism Center.

    Google Scholar 

  • Wong, C., Odom, S. L., Hume, K. A., Cox, C. W., Fettig, A., Kurcharczyk, S., et al. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of Autism and Developmental Disorders. Advance online publication. https://doi.org/10.1007/s10803-014-2351-z.

  • Zwaigenbaum, L., Bauman, M. L., Stone, W. L., Yirmiya, N., Estes, A., Hansen, R. L., … Wetherby, A. (2015). Early identification of autism spectrum disorder: Recommendations for practice and research. Pediatrics, 136(Suppl 1), S10–S40.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Rush University Medical Center, Chicago, IL, USA

    Allison L. Wainer

  2. Dvortcsak Speech and Language Services, Portland, OR, USA

    Anna Dvortcsak

  3. Michigan State University, East Lansing, MI, USA

    Brooke Ingersoll

Authors
  1. Allison L. Wainer
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  2. Anna Dvortcsak
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  3. Brooke Ingersoll
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Correspondence to Allison L. Wainer .

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Editors and Affiliations

  1. Division of Autism and Related Disorders, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA

    Michael Siller

  2. Division of Autism and Related Disorders, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA

    Lindee Morgan

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Wainer, A.L., Dvortcsak, A., Ingersoll, B. (2018). Designing for Dissemination: The Utility of the Deployment-Focused Model of Intervention Development and Testing for Parent-Mediated Intervention. In: Siller, M., Morgan, L. (eds) Handbook of Parent-Implemented Interventions for Very Young Children with Autism. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-319-90994-3_26

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