Practitioner Development

Knowledge and use of intervention practices by community-based early intervention service providers.

Paynter et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Community early-intervention staff already favor EBPs, but paraprofessionals and rural teams need targeted coaching to turn knowledge into daily practice.

✓ Read this if BCBAs who supervise community early-intervention teams or train preschool staff.
✗ Skip if School-age clinicians whose caseloads are already steeped in well-supported practices.

01Research in Context

01

What this study did

Perez et al. (2015) sent a survey to community early-intervention teams. They asked what staff know and actually do with preschoolers with autism.

The survey listed evidence-based practices and unsupported ones. Staff rated how well they knew each item and how often they used it.

02

What they found

Overall, workers picked EBPs more than fad techniques. Professionals and city staff scored higher than paraprofessionals and rural staff.

The gap shows some staff still need extra training and support.

03

How this fits with other research

Laposa et al. (2017) asked the same questions in Australia and got the same pattern. EBP use stayed high when teams felt supported by their bosses.

Hatton et al. (2005) paints the earlier picture. Back then, staff mixed ABA and non-ABA with little training. The new survey shows knowledge has risen, but the same job roles still lag behind.

Locke et al. (2022) moved the lens to elementary schools. There, only reinforcement is common. Video modeling and peer-mediated instruction stay on the shelf, showing the knowledge-use gap widens outside preschool.

04

Why it matters

You can close the gap today. Pair each paraprofessional with a lead BCBA for weekly check-ins. Add a short EBP knowledge quiz at staff meetings. Share one video example of an under-used practice like pivotal response training. These small steps lift the whole team and give every child better intervention hours.

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Schedule a five-minute walk-through with one paraprofessional, model one EBP they rated low, and leave a visual prompt card at the workstation.

02At a glance

Intervention
not applicable
Design
survey
Sample size
99
Population
autism spectrum disorder
Finding
positive

03Original abstract

This study investigated staff attitudes, knowledge and use of evidence-based practices (EBP) and links to organisational culture in a community-based autism early intervention service. An EBP questionnaire was completed by 99 metropolitan and regionally-based professional and paraprofessional staff. Participants reported greater knowledge and use of EBPs compared to emerging and unsupported practices. Knowledge and use of EBPs were linked to each other independent of significant correlations with organisational culture and attitudes. Knowledge and use of EBPs was greater in metropolitan than regional locations and paraprofessionals reported greater use of unsupported practices and lower levels of knowledge and use of EBPs than professionals. The implications of these findings for the facilitation of knowledge transfer are discussed.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-014-2316-2