Parent perceived challenges to treatment utilization in a publicly funded early intensive behavioral intervention program for children with autism spectrum disorder.

Background: In recent years, the delivery of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder (ASD) in the United States has significantly changed. More children with ASD than ever before are eligible to use publicly funded EIBI. Yet, the challenges to large-...

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Publicado en:International Journal of Developmental Disabilities Vol. 64; no. 4/5; pp. 272 - 283
Autores principales: Yingling, Marissa E., Hock, Robert M., Cohen, Amy P., McCaslin, Erica M.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep-Nov2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep-Nov2018
      vid: 64
      iid: 4/5
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/20473869.2017.1324352
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        atl: Parent perceived challenges to treatment utilization in a publicly funded early intensive behavioral intervention program for children with autism spectrum disorder.
      aug:
        au:
          Yingling, Marissa E.
          Hock, Robert M.
          Cohen, Amy P.
          McCaslin, Erica M.
        affil: College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC, USA
      sug:
        subj:
          Autism Spectrum Disorder Therapy
          Early Intervention
          Behavior Therapy Utilization
          Program Implementation South Carolina
          Parent-Child Relations
          Parental Attitudes
          Human
          Child
          Cross Sectional Studies
          Surveys
          South Carolina
          Child Development Disorders, Pervasive
          Support, Psychosocial
          Multiple Linear Regression
          Schools
          Child: 6-12 years
      ab: Background: In recent years, the delivery of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder (ASD) in the United States has significantly changed. More children with ASD than ever before are eligible to use publicly funded EIBI. Yet, the challenges to large-scale implementation of EIBI remain unclear. Specific Aims: We examined parent perceived challenges to treatment utilization, predictors of increased challenges to treatment utilization, and parent recommendations for increasing utilization in a statewide EIBI program. Method: Using a cross-sectional design, we surveyed parents of children with ASD receiving EIBI through South Carolina’s Pervasive Developmental Disorder Program (N = 145). To examine the contributions of parent demographic characteristics, parent social support, and child challenging behaviors to perceived challenges to utilization, we used multiple linear regression. Parent recommendations were collected using a single open-ended question. Findings: The most frequently endorsed challenges included the child’s school schedule (62.1%) and the child being overburdened with other treatment demands (65.2%). Greater child challenging behaviors were associated with a greater degree of perceived challenges, and social support was associated with a lesser degree of perceived challenges. Discussion: Parents perceived various challenges to utilization, and child and family characteristics may increase the risk for experiencing challenges to utilization. As the delivery of EIBI continues to evolve in the United States and elsewhere, these findings have implications for policy, programming, and future research.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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