Changing developmental trajectories of toddlers with autism spectrum disorder: Strategies for bridging research to community practice



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Journal Article

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Journal of Speech, Language, and Hearing Research





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Purpose: The need for community-viable, evidence-based social communication, developmental level, and adaptive intervention strategies for toddlers with autism spectrum behavior. A new measure of active engagement in the disorder (ASD) is a national priority. The purpose of this natural environment was found to be sensitive to change research forum article is to identify gaps in intervention in 3 months for young toddlers with ASD and to predict research and needs in community practice for toddlers with outcomes on the standardized measures of child outcomes. ASD, incorporate published findings from a randomized Strategies for utilizing the Autism Navigator collection of controlled trial (RCT) of the Early Social Interaction (ESI) model web-based courses and tools using extensive video footage (Wetherby et al., 2014) to illustrate community-based for families and professional development are offered for intervention, report new findings on child active engagement scaling up in community settings to change developmental from the ESI RCT, and offer solutions to bridge the research-to-community trajectories of toddlers with ASD. practice gap. Conclusions: Current health care and education systems Method: Research findings were reviewed to identify gaps in are challenged to provide intervention of adequate intensity the evidence base for toddlers with ASD. Published and new for toddlers with ASD. The use of innovative technology can findings from the multisite ESI RCT compared the effects of increase acceleration of access to evidence-based early two different ESI conditions for 82 toddlers with ASD to teach intervention for toddlers with ASD that addresses health parents how to support active engagement in natural environments. disparities, enables immediate response as soon as ASD is Results: The RCT of the ESI model was the only parent-implemented suspected, and rapidly bridges the research-to-practice gap. intervention that reported differential treatment Presentation Video: https://doi.org/10.23641/asha. effects on standardized measures of child outcomes, including 7297817

Open Access