Jay Buzhardt

Expanding the Reach of Preventive Interventions Development of an Internet-Based Training for Parents of Infants

There are major obstacles to the effective delivery of mental health services to poor families, particularly for those families in rural areas. The rise of Internet use, however, has created potentially new avenues for service delivery, which, when paired with the many recent advances in computer networking and multimedia technology, is fueling a demand for Internet delivery of mental health services. The authors report on the adaptation of a parenting program for delivery via the Internet, enhanced with participant-created videos of parent-infant interactions and weekly staff contact, which enable distal treatment providers to give feedback and make decisions informed by direct behavioral assessment. This Internet-based, parent-education intervention has the potential to promote healthy and protective parent-infant interactions in families who might not otherwise receive needed mental health services.

Formative Evaluation of an ABA Outreach Training Program for Parents of Children with Autism in Remote Areas.

Families in rural or remote areas have limited access to evidence-based intervention for their children with autism. Using web-based training and telemedicine technology, the current study investigated the feasibility of training seven parents to implement Applied Behavior Analysis (ABA) strategies with their children with autism. In this exploratory formative evaluation, parents increased their knowledge of ABA strategies and concepts by an average of 39 percentage points, and improved their implementation of ABA strategies with their children by an average of 41 percentage points. A total of 9,052 driving miles were saved across the four families. Implications for families living in remote areas, improvements in the training program, and future research directions are discussed.

Assessing Children's Home Language Environments Using Automatic Speech Recognition Technology

The purpose of this research was to replicate and extend some of the findings of Hart and Risley using automatic speech processing instead of human transcription of language samples. The long-term goal of this work is to make the current approach to speech processing possible by researchers and clinicians working on a daily basis with families and young children. Twelve hour-long, digital audio recordings were obtained repeatedly in the homes of middle to upper SES families for a sample of typically developing infants and toddlers (N = 30). These recordings were processed automatically using a measurement framework based on the work of Hart and Risley. Like Hart and Risley, the current findings indicated vast differences in individual children’s home language environments (i.e., adult word count), children’s vocalizations, and conversational turns. Automated processing compared favorably to the original Hart and Risley estimates that were based on transcription. Adding to Hart and Risley’s findings were new descriptions of patterns of daily talk and relationships to widely used outcome measures, among others. Implications for research and practice are discussed.

The Early Communication Indicator for Infants and Toddlers Early Head Start Growth Norms From Two States

The Early Communication Indicator (ECI) is a measure relevant to intervention decision making and progress monitoring for infants and toddlers. With increasing recognition of the importance of quality early childhood education and intervention for all children, measurement plays an important role in documenting children’s progress and outcomes of early educational experiences. Screening and progress-monitoring measures used in a response-to-intervention approach require age-based benchmarks for decision-making support. The goal of this study was to create a normative sample of ECI data referenced to children served by Early Head Start, including children with Individualized Family Service Plans (IFSPs). In a large sample of children (N = 5,883), program staff in 27 Early Head Start programs in two states collected ECI data from 2002 to 2007. Results indicated that children’s ECI total communication growth was conditional on IFSP status but not on gender or home language (English versus Spanish). Children’s patterns of communication on the ECI key skill elements (i.e., gestures, vocalizations, single words, and multiple words) were also conditional on IFSP status. Children with IFSPs had (a) later ages of onset for vocalizations, single words, and multiple words; (b) generally slower growth over time; and (c) significantly lower mean levels in the most advanced key skill: multiple words at 36 months of age. Implications for early childhood researchers and service providers are discussed.

Effects of Web-Based Support on Early Head Start Home Visitors' Use of Evidence-Based Intervention Decision Making and Growth in Children's Expressive Communication.

We investigated Early Head Start home visitors’ use of evidence-based practices and the efficacy of a web-based system to support these practices. Home visitors learned to use 3 evidence-based practices: (a) frequent assessment of childrens early communication for screening and progress monitoring, (b) 2 home-based language-promoting interventions, and (c) data-based decision making in the use of the language-promoting intervention strategies. Two conditions were compared in a randomized control trial. Condition A involved the use of an online data collection system, training in data-based intervention decision making, and training in the evidenced-based language interventions. Condition B was the same as A plus additional web-based support (MOD: Making Online Decisions) linked to the childrens expressive communication data. Results indicated that the expressive communication of children receiving MOD support grew significantly more than for children whose home visitors did not receive MOD support. Home...

A Web-Based Tool to Support Data-Based Early Intervention Decision Making

Progress monitoring and data-based intervention decision making have become key components of providing evidence-based early childhood special education services. Unfortunately, there is a lack of tools to support early childhood service providers’ decision-making efforts. The authors describe a Web-based system that guides service providers through a decision-making process informed by child performance on Infant and Toddler IGDIs (Individual Growth and Development Indicators), the provider’s professional judgment, and information from the child’s primary caregiver. Using a case example, the authors describe how a service provider integrates the system into an existing service delivery model. Finally, they describe barriers and potential solutions to implementation within the context of a traditional early childhood service delivery model and implications for policy and practice.

Program-Level Influences on the Measurement of Early Communication for Infants and Toddlers in Early Head Start

Measurement in early childhood is an increasingly large-scale endeavor addressing purposes of accountability, program improvement, child outcomes, and intervention decision making for individual children. The Early Communication Indicator (ECI) is a measure relevant to intervention decision making for infants and toddlers, including response to intervention approaches. The widespread use of the ECI is growing in multiple programs and states. Local program staff members collect ECI data and, with their program directors, manage their own system of ECI measurement. Program-level implementations represent independent ECI measurement replications, and the success of each potentially influences the quality of data produced and, ultimately, the validity of the inferences made thereof. The purpose of this research was to examine program-level influences on child-level ECI total communication growth and 36-month outcomes in a large sample of children, including those with individual family service plans served by multiple Early Head Start programs in two states. Results indicated variation in programs’ sociodemographic composition, ECI implementation quality, ECI total communication growth, and 36-month outcomes. Program-level sociodemographic composition was found not to be an influence on ECI growth or 36-month outcomes, whereas state location and implementation quality were. Implications are discussed.

Integrating Online Instruction in a College Classroom to Improve Cost Effectiveness

We compared online study guides to pen-and-paper study guides in terms of academic performance, the amount of time instructors spent grading study guides, and student preferences. Students in 3 sections of a child psychology course used online study guides (n = 46), and students in 3 other sections used pen-and-paper study guides (n = 64). Instructors spent 14.3 hr during the semester grading the pen-and-paper study guides and no time grading the online study guides. Students who used the online study guides reported higher satisfaction than the students who used pen-and-paper study guides. Our results suggest that integrating online study guides saved labor costs and increased student satisfaction while maintaining student performance.

A Study of an Online Tool to Support Evidence-Based Practices with Infants and Toddlers.

We investigated Early Head Start home visitors’ use of evidence-based practices and the effectiveness of a web-based system to support these practices. Home visitors learned to use 3 evidence-based practices: (a) frequent assessment of childrens early communication for screening and progress monitoring, (b) 2 home-based language promoting interventions, and (c) data-based decision making in the use of the language promoting intervention strategies. We randomly assigned 1 group of home visitors to use an online data collection system and receive training in data-based intervention decision making and in the evidenced-based language interventions. The other home visitors had access to these tools and trainings, but in addition, they had web-based support (Making Online Decisions; MOD) linked to the childrens expressive communication data. We found that the expressive communication of children served by home visitors who used the MOD grew significantly more than children whose home visitors did not have MO...

Exploratory Evaluation and Initial Adaptation of a Parent Training Program for Hispanic Families of Children with Autism.

The present paper takes a translational approach in applying the themes of the current special section to prevention and intervention science in Latino families. The paper reviews the current literature on cultural processes in prevention and intervention research with Latino families. Overall, many prevention and intervention programs have either been developed specifically for Latino families or have been modified for Latino families with great attention paid to the socio-cultural needs of these families. Nevertheless, few studies have tested the role of cultural values or acculturation processes on outcomes. We make recommendations based on findings within basic science and in particular this special section on the incorporation of these values and processes into prevention and intervention science with Latino families.