{"title":"Investigating a “Wait and See” Mindset Among Pediatric Health Care Providers","authors":"N. Edwards, Eileen Kaiser, Jennifer Stapel-Wax","doi":"10.1097/IYC.0000000000000201","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000201","url":null,"abstract":"In the United States, there is a widespread concern with not referring more infants and toddlers with a risk of or identified autism spectrum disorder (ASD) to Early Intervention (EI) under Part C of the Individuals with Disabilities Education Act (IDEA, 2004). Despite early signs and screening initiatives, most children with ASD are not referred for services covered by IDEA until after the age of 4 years. To explore the prevalence of and factors correlated with a potential “wait and see” mindset among one group of stakeholders influencing referral decisions, we disseminated an expert-reviewed survey to pediatric health care providers in a southeastern metro area (n = 99). They self-reported views on waiting to refer, perceived roadblocks to screening and referral, and viable recommendations. Most participants reported using a “wait and evaluate further” approach instead of “wait and see,” and the large majority were not very comfortable discussing suspected ASD with parents of young children (birth to 5 years of age). Those with more years of experience reported being less likely to wait to refer an infant/toddler and more comfortable speaking with parents about suspected signs of ASD. We discuss findings and implications for a comprehensive, multisector approach to outreach and referral.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"43 4","pages":"284 - 305"},"PeriodicalIF":1.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72478255","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":"Early Interventionists' Ratings of Family-Centered Practices in Natural Environments","authors":"Kimberly R. Tomeny, Pau García-Grau, R. McWilliam","doi":"10.1097/IYC.0000000000000203","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000203","url":null,"abstract":"Part C early intervention services should be family centered and occur in the context of families' natural environments and daily routines; yet research suggests that many early interventionists continue to work directly with the child and lack a full understanding of how they can implement best practices in the community. To help improve this implementation gap, discrepancy tools can be used to identify early interventionists' perspectives of their typical and ideal practices and gain knowledge of early interventionists' understanding of family-centered practices. The purpose of this study was to examine early interventionists' typical practices, ideal practices, and family consultation beliefs prior to one state's adoption of a family-centered early intervention model. Ninety-nine early interventionists completed a questionnaire examining their practices and beliefs. Results demonstrated that ratings of typical practices, ideal practices, and family consultation beliefs were relatively high overall, and early interventionists rated their typical practices only slightly lower than ideal practices. Item-level analysis, however, revealed a large discrepancy between typical and ideal ratings for the item related to working with the child versus the caregiver. Implications of our findings and recommended future directions are discussed.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"20 1","pages":"266 - 283"},"PeriodicalIF":1.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90803571","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":"Georgetown University Certificate in Early Intervention","authors":"Sharice K. Lane,Rachel Brady,Toby Long","doi":"10.1097/iyc.0000000000000195","DOIUrl":"https://doi.org/10.1097/iyc.0000000000000195","url":null,"abstract":"","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"53 1","pages":"306-323"},"PeriodicalIF":1.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138532230","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":"Practices and Reflections of Experienced, Expert Early Childhood Coaches","authors":"P. Thompson, Christine A. Marvin, L. Knoche","doi":"10.1097/IYC.0000000000000200","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000200","url":null,"abstract":"The qualities and practices of two experienced, expert early childhood (EC) coaches, working with Early Head Start teachers, were explored through analyses of 24 audio-recorded EC coach–teacher conversations and coach interview data. Audio-recordings from 2 years of coaching sessions were reviewed, identifying the coaches' use of specific conversation behaviors, modified from Early Childhood Coaching Conversations (ECCC; Knoche & Bainter, 2012). Coaches used all 12 ECCC behaviors. Conversational behaviors associated with establishing relationships and sharing observations were used at similar rates in beginning (first year) and established (second year) coaching relationships. Coaches in established relationships however used higher rates of behaviors associated with acknowledging and affirming teachers' feelings and behaviors, and planning next steps. EC coaches' reflections on behaviors they used in coaching sessions with the teachers provided an opportunity to further examine EC coaching principles and practices. Interviews revealed coaches' perceived benefits of coaching, as well as a value in advancing relationships, and using key conversation behaviors, documentation, and a structured coaching approach. A focus on evidenced-based strategies teachers have been previously trained to use in their work with at-risk infants, toddlers, and their families was important in the coaches' work with teachers.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"18 1","pages":"337 - 355"},"PeriodicalIF":1.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83983147","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}
Heidi L. Hollingsworth, Mary Knight-McKenna, Judy Esposito, Caroline Redd
{"title":"Family and Coach Responses to a Program for Fostering Infant Language","authors":"Heidi L. Hollingsworth, Mary Knight-McKenna, Judy Esposito, Caroline Redd","doi":"10.1097/IYC.0000000000000193","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000193","url":null,"abstract":"This study investigated family and coach responses to a two-year community-based research program, Strong Beginnings for Babies (SBB), designed to support families in fostering infant language development. The study focused on families of infants from low-income backgrounds, as these children may be at risk for delayed language development. The majority of participants self-identified as Hispanic, Latino, or of Spanish origin. Three coaches were hired to work closely with participating families during a series of group sessions where they modeled language promotion practices, provided feedback on families' implementation of practices, and reviewed measures of infants' home language environments with families. Analyses of surveys, interviews, and documents indicated that SBB proffered a number of benefits for both families and coaches. Benefits for families included increased knowledge about the importance of and practices for engaging in language interactions with their infants, as well as a sense of community with other families. Benefits for coaches included personal and professional opportunities for growth and positive relationships with participating families. Challenges and areas for improvement were also noted. Although families expressed a desire for more frequent and longer coaching sessions, coaches reported concerns about inconsistent program attendance and acknowledged the complexities of families' lives.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"17 1","pages":"204 - 224"},"PeriodicalIF":1.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85391996","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":"Social Validity of an Early Intervention Online Professional Development Program","authors":"Sarah J. Sexton, Li-Hong Yang, Deborah W. Hamby","doi":"10.1097/IYC.0000000000000198","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000198","url":null,"abstract":"This article presents findings from an online early intervention orientation program developed to provide one state with an economical and systematic means for onboarding new early intervention providers, administrators, and service coordinators. The quantitative findings suggest the courses were a successful method of delivering training to participants, the courses were perceived to achieve their intended objectives, and the courses had high social validity in terms of ease of use and content of the courses. The qualitative findings revealed participants' plans for putting course content into practice. Findings suggest that online course delivery could be a viable and efficient means of providing early intervention orientation to a statewide network. The design of the courses and alignment with adult learning characteristics is discussed. Potential limitations and contributions to the field of early intervention are included.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"65 1","pages":"241 - 261"},"PeriodicalIF":1.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89606832","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":"Caregiver Navigation Through Early Hearing Detection and Intervention Programs in South Africa","authors":"A. Kanji, Wasifah Noorbhai","doi":"10.1097/IYC.0000000000000197","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000197","url":null,"abstract":"This research study aimed to explore the experiences of caregivers of children through the early hearing detection and intervention (EHDI) process in the public health care sector in South Africa. A qualitative research design was employed. Semistructured interviews were conducted with 8 caregivers from 3 different levels of service delivery in the public health care sector who had children aged 5 months and 3 years. Data were analyzed using inductive thematic analysis, which resulted in 6 interrelated themes. Most participants reported a positive experience in terms of service provision with professionals. Accessibility to services and long waiting periods, however, remain challenges within the EHDI process. Continuity of care and care coordination was found to need attention in South Africa, particularly for high-risk infants who require ongoing follow-up.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"592 1","pages":"190 - 203"},"PeriodicalIF":1.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77320857","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":"From Emotional Crisis to Empowerment","authors":"Melissa Cain, Melissa Fanshawe","doi":"10.1097/IYC.0000000000000194","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000194","url":null,"abstract":"This article presents the experiences of 2 mothers whose children were born blind. It relates their journey moving from the grief experienced when presented with the unexpected challenges of supporting a child with special needs to a position of empowerment after gaining the necessary knowledge and skills to integrate into their new and reimagined lives. This research addresses the following question: “What is the role of Early Intervention Specialists (EISs) in supporting parents of children with unexpected congenital blindness?” Using case study methodology, the authors interviewed 2 mothers in Australia, when their children were aged 5 years and again 5 years later to gather a longitudinal understanding of their interactions with EISs. These narratives underscore the critical importance of the specialized knowledge EISs provide in empowering caregivers to take control of their child's therapy needs and advocate for their full participation within educational contexts and the community.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"39 1","pages":"225 - 240"},"PeriodicalIF":1.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74379641","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":"A Scoping Review of the Knowledge Base, Landscape, and Trends in Leadership Literature in Early Intervention, Early Childhood, and Early Childhood Special Education","authors":"Sara Movahedazarhouligh","doi":"10.1097/IYC.0000000000000196","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000196","url":null,"abstract":"Effective leadership is regarded as pivotal to the vitality of organizations. In early childhood programs, strong leadership is particularly critical because program leaders are the gatekeepers of quality. However, the fields of early intervention, early childhood, and early childhood special education (EI/EC/ECSE) continue to struggle with the challenges of being overlooked regarding leadership research, potentials, qualities, and abilities. This scoping review aimed to identify and synthesize the available evidence by understanding the nature and extent of leadership literature in EI/EC/ECSE between 2000 and 2018. Collectively, 1,416 articles were reviewed. A total of 106 articles that met the inclusion criteria were summarized using a number of variables. The review confirmed the long existing paucity of leadership research in EC and more specifically in EI and ECSE with specific findings in terms of research scopes and approaches. Presentation and discussion of findings along with implications for future research are provided.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"69 1","pages":"159 - 177"},"PeriodicalIF":1.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89811232","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":"Is Coaching Home Visitors an Evidence-Based Professional Development Approach? A Review of the Literature","authors":"R. McLeod, Yusuf Akemoğlu, Kimberly R. Tomeny","doi":"10.1097/IYC.0000000000000186","DOIUrl":"https://doi.org/10.1097/IYC.0000000000000186","url":null,"abstract":"Coaching is becoming a common professional development strategy to support early childhood (EC) professionals to use evidence-based practices. However, most of the research on coaching professionals in EC settings has been conducted in classroom or center-based EC settings. The authors of this review sought to summarize the current empirical literature on coaching of EC home visitors. Seven studies were identified and coded to determine common factors. Additional research is greatly needed to identify whether coaching home visitors is an evidence-based professional development strategy and the effective components of coaching in home-based programs.","PeriodicalId":47099,"journal":{"name":"Infants & Young Children","volume":"52 1","pages":"95 - 108"},"PeriodicalIF":1.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82318511","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}