Training Coaches in Community Agencies to Support Parents of Children with Suspected Autism: Outcomes, Facilitators, and Barriers
Community agencies can train parent coaches to fidelity, but only when leaders lighten loads and fix tech hassles.
01Research in Context
What this study did
de Korte et al. (2021) taught staff at community agencies how to coach parents of toddlers with suspected autism.
The four-tier program moved trainees from reading about parent coaching to running full parent sessions.
Before and after scores showed whether each coach could hit the fidelity benchmark used in the field.
What they found
Most trainees reached the community-standard fidelity mark, but scores varied a lot from coach to coach.
Supportive bosses and a calm clinic climate helped people learn faster.
Heavy caseloads and tech glues slowed everyone down.
How this fits with other research
Rollins et al. (2016) already showed that weekly in-home parent coaching helps toddlers make eye contact and talk back. P et al. shift the spotlight from parents to the coaches themselves, asking if community staff can master the coaching skills.
Corona et al. (2021) ran a similar parent-training program through telehealth and saw only small drops in child gains. Together the two 2021 papers say the same coach-training model works face-to-face or on-screen.
Straiton et al. (2021) warn that Medicaid families face extra barriers; P et al. add that agency overload can block training even when money is not the issue.
Why it matters
If you supervise community clinicians, carve out protected time for coach training and keep caseloads realistic. A supported coach is more likely to hit fidelity and, in turn, help parents help their kids. Start small, check fidelity early, and fix tech or workload problems before they stall the whole program.
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02At a glance
03Original abstract
This study evaluated the fidelity and effectiveness of a parent coach training program for toddlers at risk for autism spectrum disorder and identified factors required for successful training implementation under real-world conditions. Training addressed four tiers of clinical competence and was delivered to early intervention providers across 23 partner agencies in a large Canadian province. Results indicated that mean trainee fidelity scores were within the range reported in previous community-based training studies but there was considerable variability across trainees. Implementation facilitators included agency learning climate, leadership support, and trainee readiness for change. Implementation barriers included time/caseload demands and challenges related to technology learning and infrastructure. Results have implications for parent coach training in community settings.
, 2021 · doi:10.1007/s10803-021-05363-4