Abstract
The current emphasis on accountability and delivery of quality early childhood intervention (ECI) programs calls for the examination of outcomes and associated factors. The aim of the present study was twofold: (1) to examine changes in child and family outcomes, parental self-efficacy and perceptions of family-centered practices following participation in an ECI; and (2) to examine relationships among these variables at pre- and post-intervention. Sixty-six families of children with developmental disabilities (M = 46 months) completed measures of family outcomes, parental self-efficacy, and perceptions of family-practices at pre- and post-intervention. ECI professionals provided child outcome ratings. Significant increases in all measurement variables from pre- to post-intervention were revealed. Relationships among some child characteristics, family and child outcomes were shown, as well as associations among family-practices, parental self-efficacy, and family outcomes at each pre- and post-intervention phases. The measurement and evaluation of the relationships among child and family outcomes and program factors are critical in demonstrating the quality of ECI service delivery.
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Notes
This term will be used broadly to include children with a range of developmental disabilities and delays.
References
Bailey, D. B., Bruder, M. B., Hebbeler, K., Carta, J., Defosset, M., Greenwood, C., … Barton, L. (2006a). Recommended outcomes for families of young children with disabilities. Journal of Early Intervention, 28, 227–251. https://doi.org/10.1177/105381510602800401
Bailey, D. B., Hebbeler, K., & Bruder, M. B. (2006b). Family outcomes survey. Retrieved from http://ectacenter.org/~pdfs/eco/FOS-PartC_11-16-06.pdf
Bailey, D. B., Hebbeler, K., Olmsted, M. G., Raspa, M., & Bruder, M. B. (2008). Measuring family outcomes: Considerations for large-scale data collection in early intervention. Infants and Young Children, 21, 194–206. https://doi.org/10.1097/01.IYC.0000324549.31822.c3.
Bailey, D. B., Raspa, M., & Fox, L. C. (2012). What is the future of family outcomes and family-centered services? Topics in Early Childhood Special Education, 31, 216–223. https://doi.org/10.1177/0271121411427077.
Barton, L., Taylor, C., Spiker, D., & Hebbeler, K. (2016). Validity of the data from the child outcomes summary process: Findings from the ENHANCE project. Menlo Park, CA: Center for IDEA Early Childhood Data Systems and Early Childhood Technical Assistance Center.
Brown, W. H., & Conroy, M. A. (2011). Social-emotional competence in young children with developmental delays: Our reflection and vision for the future. Journal of Early Intervention, 33, 310–320. https://doi.org/10.1177/1053815111429969.
Bruder, M. B. (2010). Early childhood intervention: A promise to children and families for their future. Exceptional Children, 76, 339–415. https://doi.org/10.1177/001440291007600306.
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlational analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Erlbaum.
Cunningham, B. J., & Rosenbaum, P. L. (2014). Measure of processes of care: A review of 20 years of research. Developmental Medicine and Child Neurology, 56, 445–452. https://doi.org/10.1111/dmcn.12347.
Davis, K., & Gavidia-Payne, S. (2009). The impact of child, family, and professional support characteristics on the quality of life in families of young children with disabilities. Journal of Intellectual & Developmental Disability, 34, 153–162. https://doi.org/10.1080/13668250902874608.
Dempsey, I., & Keen, D. (2008). A review of processes and outcomes in family-centered services for children with a disability. Topics in Early Childhood Special Education, 28, 42–52. https://doi.org/10.1177/0271121408316699.
Dunst, C. J. (1999). Placing parent education in conceptual and empirical context. Topics in Early Childhood Special Education, 19, 141–172. https://doi.org/10.1177/027112149901900302.
Dunst, C. J. (2016). Role of research synthesis for identifying evidence-based early childhood intervention practices. In B. Reichow, A. Boyd, E. E. Barton, & S. L. Odom (Eds.), Handbook of early childhood special education (pp. 541–563). Cham: Springer International Publishing: Imprint: Springer.
Dunst, C. J., & Trivette, C. M. (2009). Using research to inform and evaluate early childhood intervention practices. Topics in Early Childhood Special Education, 29, 40–52. https://doi.org/10.1177/0271121408329227.
Dunst, C. J., Trivette, C. M., & Hamby, D. W. (2006). Family support program quality and parent, family and child benefits (Winterberry Monograph Series). Asheville, NC: Winterberry Press.
Early Childhood Outcomes Center (ECO Center). (2006). Child outcomes summary form. Retrieved from http://ectacenter.org/~pdfs/eco/Child_Outcomes_Summary_Form_4-21-06-2.pdf
Early Childhood Outcomes Center (ECO Center). (2009). The child outcomes. Retrieved from http://ectacenter.org/eco/assets/pdfs/Child_Outcomes_handout.pdf
Early Childhood Outcomes Center (ECO Center). (2015). Overview of the child outcomes summary process. Retrieved from http://ectacenter.org/~pdfs/eco/COSF_overview.pdf
Early Childhood Technical Assistance Center & Center for IDEA Early Childhood Data Systems. (2018). IDEA child outcomes highlights for FFY2016. Retrieved from http://ectacenter.org/eco/pages/childoutcomeshighlights.asp
Epley, P. H., Summers, J. A., & Turnbull, A. P. (2011). Family outcomes of early intervention: Families’ perceptions of need, services, and outcomes. Journal of Early Intervention, 33, 201–219. https://doi.org/10.1177/1053815111425929.
Gavidia-Payne, S., Meddis, K., & Mahar, N. (2015). Correlates of child and family outcomes in an Australian community-based early childhood intervention program. Journal of Intellectual and Developmental Disability, 40, 57–67. https://doi.org/10.3109/13668250.2014.983056.
Gooding, J. S., Cooper, L. G., Blaine, A. I., Franck, L. S., Howse, J. L., & Berns, S. D. (2011). Family support and family-centered care in the neonatal intensive care unit: Origins, advances, impact. Seminars in Perinatology, 35, 20–28. https://doi.org/10.1053/j.semperi.2010.10.004.
Guimond, A. B., Wilcox, M. J., & Lamorey, S. G. (2008). The early intervention parenting self-efficacy scale (EIPSES): Scale construction and initial psychometric assessment. Journal of Early Intervention, 30, 295–320. https://doi.org/10.1177/1053815108320814.
Guralnick, M. J. (2011). Why early intervention works: A systems perspective. Infants and Young Children, 24, 6–28. https://doi.org/10.1097/IYC.0b013e3182002cfe.
Guralnick, M. (2017). Early intervention for children with intellectual disabilities: An update. Journal of Applied Research in Intellectual Disabilities, 30, 211–229. https://doi.org/10.1111/jar.12233.
Hebbeler, K., Barton, L. R., & Mallik, S. (2008). Assessment and accountability for programs serving young children with disabilities. Exceptionality, 16, 48–63. https://doi.org/10.1080/09362830701796792.
Hebbeler, K., Spiker, D., Bailey, D., Scarborough, A., & Mallik, S., Simeonsson, R. … Nelson, L. (2007). Early intervention for infants and toddlers with disabilities and their families: Participants, services, and outcomes: Final report of the National Early Intervention Longitudinal Study (NEILS). Menlo Park, CA: SRI International.
Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical Psychology Review, 25, 341–363. https://doi.org/10.1016/j.cpr.2004.12.004.
Kaiser, A. P. (2007). Addressing challenging behavior: Systematic problems, systematic solutions. Journal of Early Intervention, 29, 114–118. https://doi.org/10.1177/105381510702900204.
Keen, D., Couzensa, D., Muspratta, S., & Rodger, S. (2010). The effects of a parent-focused intervention for children with a recent diagnosis of autism spectrum disorder on parenting stress and competence. Research in Autism Spectrum Disorders, 4, 229–241. https://doi.org/10.1016/j.rasd.2009.09.009.
King, G., King, S., Rosenbaum, P., & Goffin, R. (1999). Family-centered caregiving and well-being of parents of children with disabilities: Linking process with outcome. Journal of Paediatric Psychology, 24, 41–53. https://doi.org/10.1093/jpepsy/24.1.41.
King, S., Rosenbaum, P., & King, G. (1995). The measure of processes of care: A means to assess family-centered behaviors of health care providers. Hamilton, ON: Neurodevelopmental Clinical Research Unit, McMaster University.
Mahoney, G., & Bella, J. M. (1998). An examination of the effects of family-centered early intervention on child and family outcomes. Topics in Early Childhood Special Education, 18, 83–94. https://doi.org/10.1177/027112149801800204.
Odom, S. L., Vitztum, J., Wolery, R., Lieber, J., Sandall, S., Hanson, M. J., et al. (2004). Preschool inclusion in the United States: A review of research from an ecological systems perspective. Journal of Research in Special Educational Needs, 4, 17–49. https://doi.org/10.1111/J.1471-3802.2004.00016.x.
Popp, T. K., & You, H.-K. (2016). Family involvement in early intervention service planning: Links to parental satisfaction and self-efficacy. Journal of Early Childhood Research, 14, 333–346. https://doi.org/10.1177/1476718X14552945.
Ramey, C. T., & Ramey, S. L. (1998). Early intervention and early experience. American Psychologist, 53, 109–120.
Raspa, M., Bailey, D. B., Jr., Olmsted, M. G., Nelson, R., Robinson, N., Simpson, M. E., … Houts, R. (2010). Measuring family outcomes in early intervention: Findings from a large-scale assessment. Exceptional Children, 76, 496–510. https://doi.org/10.1177/001440291007600407
Schindler, H. S., Fisher, P. A., & Shonkoff, J. P. (2017). From innovation to impact at scale: Lessons learned from a cluster of research–community partnerships. Child Development, 88, 1435–1446. https://doi.org/10.1111/cdev.12904.
Trivette, C. M., Dunst, C. J., & Hamby, D. W. (2010). Influences of family-systems intervention practices on parent-child interactions and child development. Topics in Early Childhood Special Education, 30, 3–19. https://doi.org/10.1177/0271121410364250.
Turnbull, A. P., Summers, J. A., Lee, S. H., & Kyzar, K. (2007). Conceptualization and measurement of family outcomes associated with families of individuals with intellectual disabilities. Mental Retardation and Developmental Disabilities Research Reviews, 13, 346–356. https://doi.org/10.1002/mrdd.20174.
Turnbull, A., Turbiville, V., & Turnbull, H. R. (2000). Evolution of family-professional relationships: Collective empowerment for the early 21st century. In J. P. Shonkoff & S. J. Meisels (Eds.), Handbook of early childhood intervention (2nd ed., pp. 630–650). New York: Cambridge University Press.
Acknowledgements
The authors thank all of the ECI professionals and families who participated in the study. We would also like to thank Ashlee Field and Ruth Lonie for their assistance with data entry.
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Hughes-Scholes, C.H., Gavidia-Payne, S. Early Childhood Intervention Program Quality: Examining Family-Centered Practice, Parental Self-Efficacy and Child and Family Outcomes. Early Childhood Educ J 47, 719–729 (2019). https://doi.org/10.1007/s10643-019-00961-5
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DOI: https://doi.org/10.1007/s10643-019-00961-5