Rationale: Few communication interventions for Latino Spanish-speaking (LSS) families with young children with language impairments and autism have been experimentally tested. "EMT en Espanol" is a culturally and linguistically adapted language intervention that has been effectively implemented by LSS caregivers of children with…

The purpose of the current study was to examine the dosage and fidelity of EMT en Español strategies that are posited to drive change in child outcomes. The study is a re-analysis of data collected during the National Institutes of Health (NIH) R21 grant "Teaching Spanish-speaking Caregivers to Implement EMT en Español: A Small Randomized…

Capacity-building family-centered practices are a fundamental component of Early Intervention (EI) service delivery, yet their adoption by EI practitioners remains inconsistent. Lack of sufficient practitioner training and overly broad recommended practices for practitioners are cited as potential barriers to their implementation. The triadic…

For early intervention services, DEC (2014) recommends the Primary Service Provider (PSP) model, in which one provider serves as primary liaison between the family and other team members. The model focuses on the role of families and caregivers in child development, interventions aligned with natural learning environment practices, and…

There is an identified problem with patients receiving suboptimal pain management at a hospice agency in the northwestern United States. At this agency, undertreatment of pain is prevalent. Evidence indicates that this may be a result of a lack of guidelines, education, and knowledge of appropriate prescribing. Known barriers to the correct…

Self-determination is the freedom to make choices that impact an individual's life. Many people would agree that self-determination leads to an enhanced quality of life, and choice making is considered a central element in self-determination. Most learn choice making through a gradual release of responsibility by caregivers throughout their…

The purpose of this study was to investigate the efficacy of function-based interventions on the challenging behavior of three young boys with autism in rural Tennessee. Tennessee preschool teachers serve primarily rural communities, marked by high poverty rates and lack of access to ongoing teacher training and consultation. Positive Behavior…

This doctoral research work explores the quality of educational experiences and access to opportunities for girls with disabilities in selected rural primary schools in Malawi. The context for this study lies within four of the six goals contained within the World Declaration on Education for All doctrine, a document which lays out a framework for…