Evidence map›Paper›PMID 30866976›Full record

Observational studyImplementation science : IS2019

Individual and organizational factors that affect implementation of evidence-based practices for children with autism in public schools: a cross-sectional observational study.

Jill Locke, Gwendolyn M Lawson, Rinad S Beidas, Gregory A Aarons, Ming Xie, Aaron R Lyon, Aubyn Stahmer, Max Seidman, Lindsay Frederick, Cristine Oh and 3 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
25.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 134 citations in OpenAlex.

  1. Pooled it
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  5. Examining the Effects of a Brief, Group-Based Motivational Implementation Strategy on Mechanisms of Teacher Behavior Change.Prevention science : the official journal of the Society for Prevention Research · 2021
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  9. Improving the Fit of Interventions for Autism in Schools: Lessons Learned Following Paraeducator Coaching on the RUBIES Program.Journal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2025
    Article
  10. Observational
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Jill LockeDepartment of Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St, Seattle, WA, 98105, USA. jjlocke@uw.edu.ORCID 0000-0003-1445-8509
Gwendolyn M LawsonDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.
Rinad S BeidasDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.
Gregory A AaronsDepartment of Psychiatry, University of California San Diego, San Diego, CA, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Ming XieDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.
Aaron R LyonDepartment of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St, Bldg. 29, St. 100, Seattle, WA, 98115, USA.
Aubyn StahmerDepartment of Psychiatry and Behavioral Sciences, University of California, Davis, 2825 50th Street, Sacramento, CA, 95817, USA.
Max SeidmanDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.
Lindsay FrederickDepartment of Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St, Seattle, WA, 98105, USA.
Cristine OhDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.
Christine SpauldingDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.
Shannon DorseyDepartment of Psychology, University of Washington, Guthrie Hall, Seattle, WA, 98195, USA.
David S MandellDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.
University of Pennsylvania · USUniversity of Washington · USUniversity of California, Davis · USUniversity of California San Diego · US

Funding

The academic-community experience (ACE): A postdoctoral training fellowship in implementation science to promote mental healthT32MH109433 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI David S Mandell · 2017 to 2026
$2.4M
Staff and School Factors Affecting Implementation of ASD Interventions in SchoolsK01MH100199 · NIMH · UNIVERSITY OF WASHINGTON · PI LOCKE, JILL J · 2014 to 2017
$698k
NIMH NIH HHS K01 MH100199NIMH NIH HHS T32 MH109433
6 · The paper itself

Abstract

backgroundChildren with autism receive most of their intervention services in public schools, but implementation of evidence-based practices (EBPs) for autism varies. Studies suggest that individual (attitudes) and organizational characteristics (implementation leadership and climate) may influence providers' use of EBPs, but research is relatively limited in this area. This study examined individual and organizational factors associated with implementation of three EBPs-discrete trial training, pivotal response training, and visual schedules-for children with autism in special education classrooms in public elementary schools.

methodsParticipants included 67 autism support teachers and 85 other classroom staff from 52 public elementary schools in the northeastern United States. Participants reported their attitudes toward EBPs (e.g., intuitive appeal, willingness if required, openness, and divergence), implementation leadership and climate of their school, and the frequency with which they deliver each of three EBPs. Linear regression was used to estimate the association of attitudes about EBPs with organizational characteristics and intensity of EBP use. Demographic covariates with a bivariate association with EBP use significant at p < .20 were entered into the adjusted models.

resultsThere were significant findings for only one EBP, discrete trial training. Teachers who reported higher perceived divergence (perceived difference of usual practice with academically developed or research-based practices) between EBPs and current practices used less discrete trial training (f

conclusionsAttitudes toward EBPs may affect teachers' decisions to use EBPs; however, implementation leadership and climate did not predict EBP use. Future implementation efforts ought to consider the type of EBP and its fit within the context in terms of the EBP's similarities to and differences from existing practices and programs in the setting. Implementation strategies that target individual attitudes about EBPs may be warranted in public schools.

Indexed as

AdultAttitude to HealthAutistic DisorderChildCross-Sectional StudiesEvidence-Based MedicineFemaleHumansImplementation ScienceLeadershipMaleNew EnglandOrganizational CultureOrganizational InnovationSchool Health ServicesSchool TeachersAttitudesAutismFidelityImplementationOrganizational factorsSchools

Identifiers

PMID30866976
PMCPMC6417160
OpenAlexW2942394195

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.