The organizations' characteristics and choices are essential components of an action plan that favors quality program implementation, a prelude to effectiveness, especially in natural environment. The objectives of this study are to describe the choices made by rehabilitation centers (CRDITED) in the context of a universal community based on Early Intensive Behavioral Intervention program (EIBI) for 2 to 5 year-old children with autism spectrum disorder (ASD) in Québec (Canada). Based on a theoretical evaluation model, a questionnaire was filled out by 15 CRDITEDs, covering the large majority of the Quebec territory but also the Quebec population. Results show a great diversity between the different CRDITEDs. Factors that impact implementation quality are identified. Absence of evidence-based implementation practices and the diversity of the approaches to EIBI are discussed.
Les comportements-défis présents chez certains enfants
ayant un diagnostic du trouble du spectre de l’autisme (TSA)
engendrent des difficultés et se répercutent sur leur
famille. Un des moyens pouvant soutenir ces familles est la formation
parentale. Cette étude vise à évaluer les effets
d’une formation parentale francophone offerte à 49 parents
d’enfants ayant un TSA québécois et
français. Au terme de la formation, une réduction des
comportements-défis est observée cliniquement.
Parallèlement à cette réduction, les comportements
de communication et de socialisation s’améliorent. Les
résultats montrent qu’il est possible d’implanter le
programme avec des résultats équivalents dans des
contextes d’intervention distincts.
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