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Autor/inn/enStraiton, Diondra; Groom, Barb; Ingersoll, Brooke
TitelA Mixed Methods Exploration of Community Providers' Perceived Barriers and Facilitators to the Use of Parent Training with Medicaid-Enrolled Clients with Autism
QuelleIn: Autism: The International Journal of Research and Practice, 25 (2021) 5, S.1368-1381 (14 Seiten)
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ZusatzinformationORCID (Straiton, Diondra)
Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1362-3613
DOI10.1177/1362361321989911
SchlagwörterParent Education; Parent Child Relationship; Autism; Pervasive Developmental Disorders; Health Services; Federal Programs; Barriers; Family Involvement; Family Structure; Stress Variables; Low Income Groups; Community Programs; Agencies; Michigan
AbstractThis mixed methods analysis examined provider perspectives on barriers and facilitators to parent training use with Medicaid-enrolled clients. Provider survey data were analyzed using hierarchical linear regression models and thematic analysis was used to analyze follow-up interviews with providers. Qualitative themes were developed inductively from interview transcripts without preconceived hypotheses. Barriers and facilitators were identified at the family-, provider-, and organization-level. Family-level barriers were the only barriers to uniquely predict parent training extensiveness ([beta] = -0.27, p = 0.007), which is a composite measure of parent training frequency and quality. No facilitators uniquely predicted extensiveness, but provider skills and professional training experiences marginally predicted extensiveness (ps < 0.06). Five themes regarding barriers to parent training emerged as follows: logistical barriers, limited family engagement/interest, limited agency support/norms, limited professional training, and family stressors/family structures. Four themes about facilitators emerged as follows: logistical facilitators, agency support/norms, high family engagement/interest, and professional training. Recommendations are provided to increase the use of parent training in low-resourced community settings. (As Provided).
AnmerkungenSAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2024/1/01
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