ERIC Number: EJ1086122
Record Type: Journal
Publication Date: 2015-Dec
Pages: 13
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1092-4388
EISSN: N/A
Designing Caregiver-Implemented Shared-Reading Interventions to Overcome Implementation Barriers
Justice, Laura M.; Logan, Jessica R.; Damschroder, Laura
Journal of Speech, Language, and Hearing Research, v58 n6 pS1851-S1863
Purpose: This study presents an application of the theoretical domains framework (TDF; Michie et al., 2005), an integrative framework drawing on behavior-change theories, to speech-language pathology. Methods: A multistep procedure was used to identify barriers affecting caregivers' implementation of shared-reading interventions with their children with language impairment (LI). The authors examined caregiver-level data corresponding to implementation issues from two randomized controlled trials and mapped these to domains in the TDF as well as empirically validated behavior-change techniques. Results: Four barriers to implementation were identified as potentially affecting caregivers' implementation: time pressures, reading difficulties, discomfort with reading, and lack of awareness of benefits. These were mapped to 3 TDF domains: intentions, beliefs about capabilities, and skills. In turn, 4 behavior-change techniques were identified as potential vehicles for affecting these domains: reward, feedback, model, and encourage. An ongoing study is described that is determining the effects of these techniques for improving caregivers' implementation of a shared-reading intervention. Conclusions: A description of the steps to identifying barriers to implementation, in conjunction with an ongoing experiment that will explicitly determine whether behavior-change techniques affect these barriers, provides a model for how implementation science can be used to identify and overcome implementation barriers in the treatment of communication disorders.
Descriptors: Speech Language Pathology, Children, Reading Instruction, Intervention, Child Caregivers, Barriers, Program Implementation, Reading Aloud to Others, Language Impairments, Randomized Controlled Trials, Behavior Change, Behavior Modification, Time, Reading Difficulties, Reading Attitudes, Educational Benefits, Intention, Beliefs, Self Efficacy, Rewards, Feedback (Response), Models, Positive Reinforcement, Communication Disorders
American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail: subscribe@asha.org; Web site: http://jslhr.asha.org
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute on Deafness and Other Communication Disorders (NIDCD); Institute of Education Sciences (ED)
Authoring Institution: N/A
IES Funded: Yes
Grant or Contract Numbers: DC04933; DC013599; R324A080037