title: Hybrid implementation model of community-partnered early intervention for toddlers with autism: a randomized trial.
abstract: BACKGROUND
  Interventions found to be effective in research settings are often not as effective when implemented in community settings. Considering children with autism, studies have rarely examined the efficacy of laboratory-tested interventions on child outcomes in community settings using randomized controlled designs.
  
  
  METHODS
  One hundred and thirteen children with autism enrolled in public early intervention classrooms in low resource neighborhoods were randomized to Joint Attention, Symbolic Play, Engagement, and Regulation (JASPER) intervention or treatment as usual waitlist for 10 weeks with 1-month follow-up.
  
  
  RESULTS
  Teaching assistants delivered JASPER at adequate fidelity. Children randomized to JASPER demonstrated significant gains over treatment as usual in core developmental outcomes of joint engagement, joint attention, and play skills that were maintained at follow-up.
  
  
  CONCLUSIONS
  Supervised teaching assistants delivered JASPER intervention with a range of toddlers with autism leading to significant gains in developmental outcomes.
authors.affiliation: University of California Los Angeles, Los Angeles, CA, USA.
authors.forename: Stephanie Y
authors.initials: SY
authors.lastname: Shire
authors.affiliation: California State University Los Angeles, Los Angeles, CA, USA.
authors.forename: Ya-Chih
authors.initials: YC
authors.lastname: Chang
authors.affiliation: University of California Los Angeles, Los Angeles, CA, USA.
authors.forename: Wendy
authors.initials: W
authors.lastname: Shih
authors.affiliation: New York Center for Child Development, New York City, NY, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Bracaglia
authors.affiliation: New York Center for Child Development, New York City, NY, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Kodjoe
authors.affiliation: University of California Los Angeles, Los Angeles, CA, USA.
authors.forename: Connie
authors.initials: C
authors.lastname: Kasari
mesh_terms: D000067877:Autism Spectrum Disorder / Q000628:therapy*; D002675:Child, Preschool; D018479:Early Intervention, Educational / Q000379:methods* / Q000458:organization & administration; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care / Q000379:methods*; D012111:Residence Characteristics
keywords: Autism; JASPER; early intervention; implementation; joint attention; joint engagement; paraprofessionals; play