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Am J Community Psychol. 2016 Jun;57(3-4):391-403. doi: 10.1002/ajcp.12050. Epub 2016 May 19.

Using Community Partnerships to Better Understand the Barriers to Using an Evidence-Based, Parent-Mediated Intervention for Autism Spectrum Disorder in a Medicaid System.

Author information

1
Department of Psychology, Michigan State University, East Lansing, MI, USA. pickar11@msu.edu.
2
Department of Psychology, Michigan State University, East Lansing, MI, USA.

Abstract

Service use disparities have been noted to impede under-resourced families' ability to access high-quality services for their child with autism spectrum disorder (ASD). These disparities are particularly relevant for parent-mediated interventions and may suggest a lack of fit between these interventions and the needs of under-resourced community settings. This study used Roger's Diffusion of Innovations theory to guide community partnerships aimed at understanding the perceived compatibility, complexity, and relative advantage of using an evidence-based, parent-mediated intervention (Project ImPACT) within a Medicaid system. Three focus groups were conducted with 16 Medicaid-eligible parents, and three focus groups were conducted with 16 ASD providers operating within a Medicaid system. Across all groups, parents and providers reported general interest in using Project ImPACT. However, primary themes emerged regarding the need to (a) reduce the complexity of written materials; (b) allow for a more flexible program delivery; (c) ensure a strong parent-therapist alliance; (d) involve the extended family; and (e) help families practice the intervention within their preexisting routines. Results are discussed as they relate to the design and fit of evidence-based, parent-mediated interventions for under-resourced community settings.

KEYWORDS:

Autism spectrum disorder; Community partnerships; Dissemination science; Medicaid system; Parent-mediated intervention

PMID:
27216766
DOI:
10.1002/ajcp.12050
[Indexed for MEDLINE]

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