A Tangled Web: The Challenges of Implementing an Evidence-Based Social Engagement Intervention for Children With Autism in Urban Public School Settings. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Locke, Jill; Olsen, Anne; Wideman, Rukiya; Downey, Margaret Mary; Kretzmann, Mark; Kasari, Connie; Mandell, David S.
• Is Part Of: Behavior therapy. Volume 46:Issue 1(2015)
• Page Start: 54
• Page End: 67
• Publication Date: 2015-01
• Subjects: implementation -- social engagement -- intervention -- autism -- schools; Behavior therapy -- Periodicals; 616.8914205
• DOI: 10.1016/j.beth.2014.05.001
• Languages: English
• ISSNs: 0005-7894

Abstract

Abstract: There is growing evidence that efficacious autism-related interventions rarely are adopted or successfully implemented in public schools, in part because of the lack of fit between the intervention and the needs and capacities of the school setting. There is little systematic information available regarding the barriers to implementation of complex interventions such as those addressing social engagement for children with autism.The present study used fieldnotes from an implementation trial to explore barriers that emerged during the training of school personnel and subsequent implementation of a social engagement intervention. A number of barriers at the individual (training) and school levels (policies surrounding recess, staffing, prioritization of competing demands, level of respect and support, and availability of resources) interfered with the continued use and sustainment of the intervention. We offer potential strategies to overcome these barriers and provide directions for future research in this critical area. Highlights: A social engagement intervention was piloted for children with autism in schools. Qualitative fieldnotes were used to explore barriers to successful implementation. Several consistent school-level barriers to implementation and sustainability emerged. Potential school-level strategies to address these barriers are discussed.