Jeffrey D. Shahidullah, S. Forman, Amy M. Norton, Jill F Harris, Mohammed H. Palejwala, A. Chaudhuri
{"title":"Implementation of Developmental Screening by Childcare Providers","authors":"Jeffrey D. Shahidullah, S. Forman, Amy M. Norton, Jill F Harris, Mohammed H. Palejwala, A. Chaudhuri","doi":"10.1097/IYC.0000000000000158","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000158","url":null,"abstract":"Early identification of young children at developmental risk is important for linkage to needed services. Yet, despite guidelines for developmental screening, many pediatricians do not systematically use screening tools. Because many young children spend time in childcare settings, conducting screening in these settings may improve rates of early identification. Surveys were sent to 356 childcare providers who attended brief developmental screening training to determine practices and perceptions related to implementation of screening in the childcare setting. A 51.7% useable response rate was obtained. A majority of respondents strongly agreed that developmental screening should be conducted in childcare centers, that it is important for staff to discuss developmental concerns with parents and to link children with concerns to resources, and that their center director supported use of the screening tool. Several attitudes both about developmental screening and about organizational support had a positive and significant relationship with current use and intended future use of developmental screening tools. Findings suggest that even brief staff training may positively impact screening attitudes and practices, although follow-up technical assistance may result in fuller, more effective implementation.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"03 1","pages":"21 - 34"},"PeriodicalIF":1.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86349211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“The Constant by Our Side”—Mothers' Experiences of Early Intervention Therapy Services for Infants With Emerging Signs of Complex Neurodevelopmental Difficulties","authors":"D. Gibbs, P. Harniess, Siew-Lian Crossley","doi":"10.1097/IYC.0000000000000149","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000149","url":null,"abstract":"Infants who require admission to a neonatal unit and who ultimately present with complex neurodevelopmental difficulties often require more sustained engagement with early intervention services during admission and beyond. However, there is little research exploring families' experiences of early intervention (EI) therapy received throughout a neonatal unit admission and continuing through transition into the community setting. This study was designed to explore parents' perceptions of EI therapy for infants with complex emerging neurodevelopmental difficulties. Using a descriptive qualitative approach, interviews were conducted with 6 mothers whose infants had been admitted to a neonatal unit and were receiving EI therapy services for their child. Interviews were audio-recorded and transcribed and then thematically analyzed. Four key themes emerged articulating the parent experiences during their evolving relationship with therapy providers in the neonatal unit and following discharge: (a) a vulnerable start—adjusting to the unexpected; (b) becoming a mother—becoming a family; (c) the therapy journey; and (d) a new reality. Attributes that enhanced the developing parent–provider relationship were identified including the importance of developing collaborative communication styles, supporting families in developing their expectations of the parent–provider relationship, and ensuring clarity in the nature, scope, and contribution of EI therapy to their child and overall family development. Early introduction of EI therapists during an infant's admission to a neonatal unit can serve to strengthen the parent–provider relationship by offering a support continuum during a vulnerable time.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"98 1","pages":"255 - 269"},"PeriodicalIF":1.1,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84259427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preparing Occupational Therapists for Effective Family-Centered Best Practice in Early Intervention","authors":"Beth K. Elenko","doi":"10.1097/IYC.0000000000000150","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000150","url":null,"abstract":"The State University of New York (SUNY) Downstate's occupational therapy (OT) Program has worked over the last decade and a half providing advanced training in early intervention (EI) through 3 OT programs for practicing and preservice occupational therapists. There are many challenges in the preparation of entry-level practitioners to work effectively using family-centered best practices. This article describes a family partnership experience (FPE), which is part of SUNY Downstate's advanced training in EI. This article outlines the evolution of our FPE through 3 advanced training programs. In these FPEs, the OT students spend time with families who receive EI during their daily lives. Students complete assignments to identify the families' priorities and concerns, understand roles and routines, and assist families to access community resources. Through this FPE, students learn about the family's perspective. This article presents quantitative and qualitative data of the FPE through students' report in course evaluations, pre- and post–self-assessed competency, and informal interviews over the 3 higher education OT programs.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"36 1","pages":"270 - 279"},"PeriodicalIF":1.1,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86548474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Cosgrove, Linda Gilkerson, A. Leviton, M. Mueller, C. Norris-Shortle, Marcia Gouvêa
{"title":"Building Professional Capacity to Strengthen Parent/Professional Relationships in Early Intervention: The FAN Approach","authors":"K. Cosgrove, Linda Gilkerson, A. Leviton, M. Mueller, C. Norris-Shortle, Marcia Gouvêa","doi":"10.1097/IYC.0000000000000148","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000148","url":null,"abstract":"A strong relationship between parents and professionals is essential to successful early intervention. Yet, programs struggle to engage families in services. This article describes a successful pilot project to strengthen parent/professional relationships for families with children with disabilities living in a high-poverty urban area. Early intervention (EI) providers were trained to use the FAN (Facilitating Attuned Interactions) approach to increase their attunement to parent concerns and capacity to collaborate with parents during early intervention therapy sessions. Over the pilot project, the providers felt more empathic with parents, more collaborative, and more effective and satisfied in their roles. FAN is a promising approach and practical tool to strengthen relationships between parents and professionals in EI.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"25 1","pages":"245 - 254"},"PeriodicalIF":1.1,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74573572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alicia Azzano, Rebecca Ward, T. Vause, Maurice A. Feldman
{"title":"Parent-Mediated Targeted Intervention for Young Children at Risk for Autism Spectrum Disorder","authors":"Alicia Azzano, Rebecca Ward, T. Vause, Maurice A. Feldman","doi":"10.1097/IYC.0000000000000226","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000226","url":null,"abstract":"Interventions for young children at risk for autism spectrum disorder (ASD) may improve key developmental skills and remediate early ASD signs. Parents of 3 children (19, 23, and 26 months old) showing possible early signs of ASD participated. The Parent Observation of Early Markers Scale (POEMS) identified specific child concerns confirmed in baseline observations. Multiple baseline designs across parent and child behaviors evaluated a parent-mediated behavioral intervention, called Parent Intervention for Children At-Risk for Autism (PICARA), to increase targeted developmental skills (e.g., responding to name, imitation, requesting). Parents received individual behavioral skills training in their home 1 hr per week over 12, 18, and 29 sessions, respectively, based on the number of child skills trained and child performance. All parent and child skills improved and were maintained at the 46-, 12-, and 6-week follow-up periods, respectively. With training, parents of young children at risk for ASD may be able to improve child skills deficits often seen in children with ASD.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"50 1","pages":"320 - 338"},"PeriodicalIF":1.1,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77804639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Adams, Deb Keen, H. Heussler, Rachelle Wicks, Jacqueline Roberts
{"title":"Family Outcomes for Families of 4–5-Year-Old Children on the Autism Spectrum Who Have Received Early Childhood Intervention in Australia","authors":"D. Adams, Deb Keen, H. Heussler, Rachelle Wicks, Jacqueline Roberts","doi":"10.1097/IYC.0000000000000143","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000143","url":null,"abstract":"Early childhood intervention (ECI) services for children on the autism spectrum commonly espouse a family-centered approach but outcomes studies often focus solely upon the child. Mothers of 96 children on the spectrum (aged 4–5 years) completed a measure of access to ECI and the Family Outcomes Survey—Revised. Family outcomes after ECI were generally positive, although a notable proportion of mothers rated that their child still did not participate in social, recreational, or religious activities that they would want to (15.6%) and that as parents, they did not know about post-ECI options (14.6%). Family outcomes and perceived helpfulness of ECI did not differ with demographic data with the exception of Accessing the community subscale, which was significantly higher in families with incomes above AUD$80,000.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"14 1","pages":"186 - 200"},"PeriodicalIF":1.1,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81797609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yi-Ling Pan, A. Hwang, R. Simeonsson, Lu Lu, H. Liao
{"title":"Utility of the Early Delay and Disabilities Code Set for Exploring the Linkage Between ICF-CY and Assessment Reports for Children With Developmental Delay","authors":"Yi-Ling Pan, A. Hwang, R. Simeonsson, Lu Lu, H. Liao","doi":"10.1097/IYC.0000000000000144","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000144","url":null,"abstract":"Supplemental Digital Content is Available in the Text. The International Classification of Functioning, Disability and Health (ICF) offers a universal language of codes to document childhood functioning. The ICF-CY Code Set for Infants with Early Delay and Disabilities (EDD Code Set) has been developed to facilitate the practical application of the ICF for children. The purpose of this study was to examine the utility of the EDD Code Set by exploring the linkage between ICF and children's assessment reports. We reviewed 30 Comprehensive Assessment Reports (CAR) for children with developmental delay (DD), aged 9–34 months in a joint evaluation center. Meaningful concepts in compulsory and supplementary sections of the CAR were identified and linked to the EDD Code Set. Linkage was measured by (a) number of linked codes and (b) average of code-only and code-with-qualifier percentages. Content in the CAR was linked to 72 of the 82 EDD codes with more codes linked from the supplementary (71) than the compulsory section (58). The largest proportion of linked codes was activities and participation (85%). The EDD Code Set can be used to examine the ICF linkage of pediatric assessment reports and guide future development or revision of pediatric documentation and participation-based intervention.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"27 1","pages":"215 - 227"},"PeriodicalIF":1.1,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74610235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Construct, Convergent, and Discriminant Validity of the Beach Center Family Quality of Life Scale for Singapore","authors":"N. Waschl, Huichao Xie, Mo Chen, K. Poon","doi":"10.1097/IYC.0000000000000145","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000145","url":null,"abstract":"Family quality of life (FQoL) constitutes an important aspect of early intervention. However, the culture bound nature of this construct necessitates validation of FQoL measures when being used in a culture different from the one in which they were developed. This study sought to understand the psychometric properties and construct validity of the Beach Center FQoL (BCFQoL) scale in Singapore. Data from 307 caregivers of children in an early intervention program were used. These caregivers completed the BCFQoL scale and external validity measures of family outcomes, psychological distress, and life situation. Confirmatory factor analysis and correlations were used to examine the factor structure and convergent and discriminant validity of the BCFQoL scale. Results indicated support for 5 FQoL dimensions and a higher-order FQoL factor. External convergent and discriminant validity, as well as internal statistical discriminant validity of the individual BCFQoL dimensions were supported. Despite evidence of internal statistical discriminant validity, there was little variation in the strength of the relationships between individual BCFQoL dimensions and the various external validity measures. Overall, the results of this study support the use of the BCFQoL scale as a valid measure of FQoL in Singapore.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"5 1","pages":"201 - 214"},"PeriodicalIF":1.1,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84187595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Use of Peer Mediation and Educator Facilitation to Promote Turn Taking in Young Children With Autism Spectrum Disorder in Inclusive Childcare","authors":"Coral Kemp, J. Stephenson, M. Cooper, K. Hodge","doi":"10.1097/IYC.0000000000000146","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000146","url":null,"abstract":"A multiple-probe design across participants was used to investigate the effect of a peer-mediated intervention on the turn-taking behavior of 3 children with autism spectrum disorder (ASD) attending inclusive childcare centers. An educator trained peers to support the child with a disability to take turns playing a game on an iPad. The educator was also available to provide coaching for the peer when needed. An intervention effect was demonstrated for each of the children, and 2 were able to demonstrate maintenance of the skill when the training and coaching procedures were not implemented by the educator. Although some elements of the treatment procedures were not consistently applied by the educators or typical peers, the intervention was sufficiently robust to enable the children with ASD to improve their turn-taking skills.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"43 1","pages":"151 - 171"},"PeriodicalIF":1.1,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81444896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing Toddlers and Preschool Children Using the Checklist for Autism Spectrum Disorder","authors":"S. Mayes","doi":"10.1097/IYC.0000000000000136","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000136","url":null,"abstract":"Brief, clinically feasible instruments are needed to assess autism spectrum disorder (ASD) in toddlers and preschoolers so that children can access early evidence-based intervention. Study purposes were to (1) compare scores on the 30-item Checklist for Autism Spectrum Disorder (CASD) and 6-item CASD-Short Form (CASD-SF) for toddlers and preschoolers and older children with ASD to determine whether scores differed by age and (2) establish sensitivity and specificity for the CASD and CASD-SF for toddlers and preschoolers. Samples were 1,266 children with ASD 1–17 years of age, 97 toddlers and preschoolers with diagnoses other than ASD, and 65 typical toddlers and preschoolers. CASD and CASD-SF scores were somewhat higher for toddlers and preschoolers than for older children with ASD, indicating that young children were not at increased risk for being missed. All toddlers and preschoolers with ASD had CASD scores in the autism range, and 99.7% had CASD-SF scores in the autism range. CASD and CASD-SF scores correctly identified 100% and 96.9% of typical toddlers and preschoolers and 100% and 96.2% of toddlers and preschoolers with disorders other than ASD, respectively, as not having ASD. Results demonstrate high CASD and CASD-SF sensitivity and specificity for toddlers and preschoolers.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"34 1","pages":"99–106"},"PeriodicalIF":1.1,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82498721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}