"Press On, Continue On": Rural Parents' Experiences of Transitions Within Early Intervention.

Although all families experience a variety of transitions over time, families of children with exceptionalities tend to encounter more transitions during their children's earliest years. Transitions can be stressful and often include changes as part of early intervention or special education services. It is important to understand these transitions because the support families receive can influence child and family well-being. Therefore, we interviewed parents (N = 28) across a rural state about their experiences of transition over time. Using thematic analysis, three common themes emerged: (a) change is constant, (b) positive relationships support changing needs and priorities, and (c) parents need more support, information, or access to services or providers. Parents reported relationships and collaboration with providers to be important, yet insufficient, in supporting transitions. Rurality added some challenges to parents' experiences with transition. Recommendations include empowering families, providing more access and/or removing barriers to services, and building family efficacy through family-focused services.

Parents' Part C Experiences in Rural Areas: Alignment With Recommended Practices.

The Division for Early Childhood (DEC) clearly outlined recommended practices for the provision of Part C services. However, there may be challenges in rural areas associated with services aligning with these recommended practices. Therefore, this study focuses on how families experience Part C services and the extent to which services align with specific areas the DEC recommended practices in the large, rural state of Montana. We interviewed parents (N = 30) about their children's Part C services. Deductive qualitative content analysis was used. Parents' reports suggest that while some aspects of their Part C services align with specific recommended practices, others do not. There were some meaningful differences regarding alignment with these recommended practices depending on type of provider being described. The environments in which services take place are discussed, as these may influence aspects of collaboration and building family capacity.

Development of the Narrative Assessment Protocol-2: A Tool for Examining Young Children's Narrative Skill.

Purpose Narrative skill, a child's ability to create a temporally sequenced account of an experience or event, is considered an important domain of children's language development. Narrative skill is strongly predictive of later language and literacy and is emphasized in curricula and educational standards. However, the need to transcribe a child's narrative and the lack of psychometrically justified scoring methods have precluded broad consideration of narrative skill among practitioners. We describe the development and validation of the Narrative Assessment Protocol-2 (NAP-2), an assessment of narrative skill for children ages 3-6 years, which uses event-based frequency scoring directly from a video recording of a child's narrative. Method The NAP-2 underwent a rigorous development process involving creation of four wordless picture books and associated scripts and identification of a broad item pool, including aspects of narrative microstructure and macrostructure. We collected two narratives from each of 470 children using the NAP-2 elicitation materials and scored each with the 60 items in the initial item pool. Results Cross-validated exploratory factor analyses indicated a single narrative skill factor. Rasch measurement analysis led to selection of 20 items that maintained high reliability while having good fit to the model and no evidence of differential item functioning across books and gender. Conclusions The NAP-2 offers a psychometrically sound and easy-to-use assessment of narrative skill for children ages 3-6 years. The NAP-2 is available freely online for use by speech-language pathologists, educational practitioners, and researchers. Supplemental Material https://doi.org/10.23641/asha.11800779.

How early intervention practitioners describe family-centred practice: A collective broadening of the definition.

BACKGROUND: Given the importance of families in supporting the health and developmental outcomes of young children, current recommended practices for early intervention services advocate for a family-centred practice (FCP) approach that recognizes the importance of children's family systems. Though there is consensus in the field on the importance of this approach, there often remains a disconnection between these values and the everyday practice of early intervention practitioners. This study focuses on understanding the ways in which practitioners define FCP as this can provide valuable insight into why these belief-practice disconnections may exist. METHODS: Early intervention practitioners (n = 203; e.g., special education or child development teachers, therapists, audiologists, etc) were surveyed at a statewide early intervention conference. Qualitative content analyses procedures were used to analyse participants' open-ended responses. RESULTS: Three themes emerged in the analysis, including the following: (a) FCP is a distinct approach to providing early intervention services; (b) there are specific practices for best implementing FCP; and (b) there are provider qualities that are essential in order to use FCP. CONCLUSIONS: Practitioners' definitions of FCP were primarily in line with recommended practices; however, they extend beyond the current definition of FCP in the early intervention literature, suggesting that the way this approach is conceptualized may be collectively broadening within the field. Opportunities, difficulties, and practical implications of this broadening definition are discussed.