Exploring Organizational Differences in Perceptions of Implementation Climate and Leadership in Schools: A Mixed Methods Study of Autism EBP Implementation / Melina MELGAREJO in Focus on Autism and Other Developmental Disabilities, 38-1 (March 2023)  

Public ISBD [article]  inFocus on Autism and Other Developmental Disabilities > 38-1 (March 2023) . - p.17-31 Titre : Exploring Organizational Differences in Perceptions of Implementation Climate and Leadership in Schools: A Mixed Methods Study of Autism EBP Implementation Type de document : Texte imprimé et/ou numérique Auteurs : Melina MELGAREJO, Auteur ; Allison S. NAHMIAS, Auteur ; Jessica SUHRHEINRICH, Auteur ; Patricia SCHETTER, Auteur ; Michelle DEAN, Auteur ; Tana HOLT, Auteur ; Jennica LI, Auteur ; Aubyn C. STAHMER, Auteur Article en page(s) : p.17-31 Langues : Anglais (eng) Mots-clés : autism,implementation climate,implementation leadership,evidence-based practices Index. décimale : PER Périodiques Résumé : Public programs have been charged with implementation of evidence-based practices (EBPs) to improve outcomes for children with autism. However, research indicates that scale-up of EBPs poses challenges. This study identifies perceived variables linked to effective statewide scale-up of EBPs in special education by exploring implementation climate and leadership across special education organization types (e.g., schools, districts, and regional consortiums). A simultaneous QUAL + QUAN mixed methods design was employed with the primary function of convergence and triangulation. Data were drawn from focus groups with 30 special educators and a statewide survey completed by 656 school personnel in one U.S. state. In general, perceptions of implementation climate and leadership are weak in special education organizations, with strengths at regional levels focused on special education and increased challenges at the school and district levels. Implications for practice and future research are identified. En ligne : https://doi.org/10.1177/10883576221140149 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500 [article] Exploring Organizational Differences in Perceptions of Implementation Climate and Leadership in Schools: A Mixed Methods Study of Autism EBP Implementation [Texte imprimé et/ou numérique] / Melina MELGAREJO, Auteur ; Allison S. NAHMIAS, Auteur ; Jessica SUHRHEINRICH, Auteur ; Patricia SCHETTER, Auteur ; Michelle DEAN, Auteur ; Tana HOLT, Auteur ; Jennica LI, Auteur ; Aubyn C. STAHMER, Auteur . - p.17-31. Langues : Anglais (eng) in Focus on Autism and Other Developmental Disabilities > 38-1 (March 2023) . - p.17-31 Mots-clés : autism,implementation climate,implementation leadership,evidence-based practices Index. décimale : PER Périodiques Résumé : Public programs have been charged with implementation of evidence-based practices (EBPs) to improve outcomes for children with autism. However, research indicates that scale-up of EBPs poses challenges. This study identifies perceived variables linked to effective statewide scale-up of EBPs in special education by exploring implementation climate and leadership across special education organization types (e.g., schools, districts, and regional consortiums). A simultaneous QUAL + QUAN mixed methods design was employed with the primary function of convergence and triangulation. Data were drawn from focus groups with 30 special educators and a statewide survey completed by 656 school personnel in one U.S. state. In general, perceptions of implementation climate and leadership are weak in special education organizations, with strengths at regional levels focused on special education and increased challenges at the school and district levels. Implications for practice and future research are identified. En ligne : https://doi.org/10.1177/10883576221140149 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500

Randomized Feasibility Pilot of an Executive Functioning Intervention Adapted for Children?s Mental Health Settings / Megan GALLIGAN ; Tana HOLT ; Lauren KENWORTHY ; Laura ANTHONY ; Scott ROESCH ; Lauren BROOKMAN-FRAZEE in Journal of Autism and Developmental Disorders, 55-7 (July 2025)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-7 (July 2025) . - p.2407-2421 Titre : Randomized Feasibility Pilot of an Executive Functioning Intervention Adapted for Children?s Mental Health Settings Type de document : Texte imprimé et/ou numérique Auteurs : Megan GALLIGAN, Auteur ; Tana HOLT, Auteur ; Lauren KENWORTHY, Auteur ; Laura ANTHONY, Auteur ; Scott ROESCH, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.2407-2421 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The critical role of executive functioning in autism as well as the co-occurring mental health challenges common among autistic youth support to the immense value of interventions targeting executive functioning for enhancing mental health services for autistic children. The goal of the present study was to conduct a randomized feasibility trial of Unstuck and On Target, an executive functioning intervention, adapted for delivery in children?s community mental health setting. Mental health therapists (n = 26) enrolled with participating autistic clients (n = 32) were randomized to receive training in and deliver the adapted Unstuck intervention or to deliver care as usual. We completed masked observational measures of Unstuck strategy use (fidelity) during recorded sessions of participating therapist-client dyads and collected measures of acceptability from participating clients and their caregivers. We also collected measures of pre-post changes in executive functioning and mental health symptoms. Therapists trained in Unstuck demonstrated significantly higher use of Unstuck strategies compared to usual care therapists. Caregivers and autistic clients perceive adapted Unstuck as highly acceptability and helpful. Autistic clients whose therapists were trained in adapted Unstuck demonstrated larger pre-post changes in executive functioning compared to usual care. Across all participating clients, changes in executive functioning were significantly related to changes in mental health symptoms. Finally, clients of therapists trained in adapted Unstuck demonstrated moderate improvements in overall mental health symptoms. The current study provides preliminary evidence of the feasibility and impact of Unstuck and On Target for children?s community mental health settings. En ligne : https://doi.org/10.1007/s10803-024-06365-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558 [article] Randomized Feasibility Pilot of an Executive Functioning Intervention Adapted for Children?s Mental Health Settings [Texte imprimé et/ou numérique] / Megan GALLIGAN, Auteur ; Tana HOLT, Auteur ; Lauren KENWORTHY, Auteur ; Laura ANTHONY, Auteur ; Scott ROESCH, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.2407-2421. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-7 (July 2025) . - p.2407-2421 Index. décimale : PER Périodiques Résumé : The critical role of executive functioning in autism as well as the co-occurring mental health challenges common among autistic youth support to the immense value of interventions targeting executive functioning for enhancing mental health services for autistic children. The goal of the present study was to conduct a randomized feasibility trial of Unstuck and On Target, an executive functioning intervention, adapted for delivery in children?s community mental health setting. Mental health therapists (n = 26) enrolled with participating autistic clients (n = 32) were randomized to receive training in and deliver the adapted Unstuck intervention or to deliver care as usual. We completed masked observational measures of Unstuck strategy use (fidelity) during recorded sessions of participating therapist-client dyads and collected measures of acceptability from participating clients and their caregivers. We also collected measures of pre-post changes in executive functioning and mental health symptoms. Therapists trained in Unstuck demonstrated significantly higher use of Unstuck strategies compared to usual care therapists. Caregivers and autistic clients perceive adapted Unstuck as highly acceptability and helpful. Autistic clients whose therapists were trained in adapted Unstuck demonstrated larger pre-post changes in executive functioning compared to usual care. Across all participating clients, changes in executive functioning were significantly related to changes in mental health symptoms. Finally, clients of therapists trained in adapted Unstuck demonstrated moderate improvements in overall mental health symptoms. The current study provides preliminary evidence of the feasibility and impact of Unstuck and On Target for children?s community mental health settings. En ligne : https://doi.org/10.1007/s10803-024-06365-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558

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