Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.
The purpose of this study was to: (1) confirm the factor structure of a therapist-report measure of adaptations to an autism evidence-based intervention (EBI), (2) identify predictors of adaptation types, and (3) examine associations of adaptation types with observed therapist fidelity. Participants...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 56; no. 3; pp. 933 - 945 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191886351&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191886351 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: Mar2026 vid: 56 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191886351 180515087 191886351 191886351 10.1007/s10803-024-06603-z 191886351 ppf: 933 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity. aug: au: Caplan, Barbara Chlebowski, Colby Lind, Teresa Rangel, Elizabeth Brookman-Frazee, Lauren affil: https://ror.org/0080fxk18 Department of Psychology, California State University Long Beach, 1250 Bellflower Blvd, 90840, Long Beach, CA, USA sug: subj: Autism Spectrum Disorder Prevention and Control Adaptation, Occupational Evaluation Attitude of Health Personnel Evaluation Mental Health Personnel Professional Practice, Evidence-Based Human Child, Preschool Child Adolescence Male Female Funding Source Random Assignment Descriptive Statistics Psychosocial Intervention Family Attitudes Caregiver Burden Videorecording Psychotherapy Factor Analysis White Persons Questionnaires Univariate Statistics Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: The purpose of this study was to: (1) confirm the factor structure of a therapist-report measure of adaptations to an autism evidence-based intervention (EBI), (2) identify predictors of adaptation types, and (3) examine associations of adaptation types with observed therapist fidelity. Participants included a subset of therapists (N = 70; 31.4% Hispanic), autistic children (N = 79; ages 5–13 years; 57.0% Hispanic), and their caregivers (N = 77; 54.5% Hispanic), who participated in the training condition of a community effectiveness trial of An Individualized Mental Health Intervention for Autism (AIM HI). Families reported demographics and completed assessments of child functioning and caregiver strain at baseline. Therapists submitted video recordings of psychotherapy sessions during EBI training, which were later coded for fidelity by independent raters. Therapists completed the Adaptations to Evidence-Based Practices Scale at the end of the 6-month training period. Multi-level confirmatory factor analysis yielded two adaptation types consistent with prior research: Augmenting and Reducing/Reordering adaptations. In multi-level models, higher Augmenting adaptations were associated with lower child cognitive functioning (B= -0.01, p <.05), higher child autism characteristics (B = 0.01, p <.05), and Non-Hispanic White caregiver ethnicity (B = − 0.17, p <.01). Higher Reducing/Reordering adaptations were associated with Non-Hispanic White caregiver race/ethnicity only (B = − 0.33, p <.01). There were no significant associations between therapist-reported adaptations and observed fidelity. This study further supports Augmenting and Reducing/Reordering as distinct subtypes of adaptations with unique predictors. Therapists likely adapt AIM HI to tailor the EBI to individual client needs and do so in ways that do not appear to interfere with fidelity. Trial Registration ClinicalTrials.gov identifier NCT02416323. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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