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Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Using Capacity-Building Practices inCaregiver Coaching for Early Intervention
Juliann Woods, PhD, CCC-SLP
Florida State University
Disclosures
• Financial:• Employed as Associate Dean of Research and Professor at Florida State
University
• Director of Communication and Early Childhood Research and Practice Center(CEC-RAP)
• Developer of Family Guided Routine Based Intervention (FGRBI) described inthis presentation
• Received financial compensation from ASHA for this presentation
• Nonfinancial:• Member of ASHA and DEC
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Outcomes
• Review practices you already use and identify additional practices thatpromote collaborative, family-centered, and capacity-buildinginteractions
• Identify strategies to integrate into your current work to enhance family-centered and capacity-building practices
• Use a home-visiting checklist to support integration of practices that arefamily-centered and capacity-building
Foundations of Family Guided RoutinesBased Intervention
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Family Guided PracticesEmbrace Diversity and Family Beliefs
Family Guided PracticesGive the Family a Leading Role
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Family Guided PracticesPromote Relationships and Participation
What Families Tell UsThat Matters…
• Not just what we do but how we do it
• Relevancy to what they want and need
• Individualization for their child andfamily
• Respect for their beliefs, experiences,and expectations
• Working together as partners
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
RelationalPractices
Building Family Capacity
ParticipatoryPractices
ParentCompetence and
Confidence
Child Engagementand
Outcomes
(Trivette, Dunst, Hamby, & O’Herin, 2009)
Our Goal is Building Family Capacity
Competence andConfidence• The beliefs that parents develop about
their ability to understand, care for, andenhance the development of their childAND their ability to do it
• Research has shown links betweensense of competence and positiveparenting and engagement
• Competence linked to everyday copingstrategies can be used to deal with stressand parenting problems
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
We Use Adult Learning Principles
Learning is sequential and situational inauthentic frameworks to facilitate retrieval
Clear, measureable, and value-drivenindicators assessed to ensure consistency ofperformance
Active participation with increasingindependence and ownership is essential
Systematic approach with repetition in a varietyof contexts supports generalization
Establish Relationship Based on SharedUnderstanding
• Listen and learn from the family
• Reciprocal exchange of information
• Connect to priorities & EI IFSP(individualized family service plan)
• Support caregiver as partner inteaching and learning
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Identify Routines That Support FamilyCapacity Building• Build on strengths
• Focus on immediate relevance
• Promote caregiver as leader
• Make caregiver-implementedintervention easy enough
• Strengthen caregiver self-efficacy
FGRBI is a project of Florida State UniversityUpdated: 2012
Child’s Name: ________________________________ ________________________________ ____ Date: ___________________________
Family Routine Categories
Play Routines Caregiver RoutinesPlay with objects/constructive
playPretend play Comfort/disability related
routinesDressing related routines
Physical play Social games (roles) Hygiene related routines Food related routines
Pre-academic Literacyand Activities
Community andFamily Routines
Reading with books Songs and rhymes Community and family errands Family chores
Computer, TV, video Writing/drawing Socialization activities Recreation
Embedding includes:
Interventiontarget(s)
Interventioncontext(s)
Interventionstrategies
Opportunities toembed
What targets? Where/When? How/Strategies? How many/often?
Demonstrate What Families Need to KnowAbout Embedding in Routines
Why?
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Tyree’s Learning Targets in HandwashingContext
IdentifiedRoutine
Handwashing
Learning Targets
Joint attention; Request water, soap,towel; Wash hands independently; Take
turns vocalizing and imitating actions; Initiateand imitate words
Place
Bathroom
Responsive EBPs:Predictable routine;
Face-to-face; Attention;Interesting activity andObjects; Talking about
what is happening;Repetition; Turn taking;Roles; Follow his lead
Waiting;Sabotage;
Contingentimitation
Handwashing RoutineEBP Intervention Supports & Strategies
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Tyree Before Tyree After
SS-OO-PP-RR Coaching Framework
SS – Setting the StageOO – Observation and
Opportunities to EmbedPP – Problem Solving
and PlanningRR – Reflection and
Review
Gathering updates & sharinginformation
•Encouraging family priorities
for session plan
Observe caregiver-childinteraction in routines
•Use coaching strategies
matched to caregiver-child•
Provide general and specificfeedback
Problem solve interventionstrategies
•Expand
opportunities and contexts topractice
Promote caregiver reflectionto identify how it is working
•Review session and plans for
next steps
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
FGRBI Key Indicators
• Observable, measureable, meaningful,and learnable skills and practices
• Integral to each core value;complementary across values
• Appropriate for all disciplines andgeneric to allow individualization forfamilies and children
• Guide for competency development
• Feasible as a measurement of fidelity ofimplementation
We Engage CaregiversWhen We…
• Exchange information and prioritize - SS
• Coach in everyday routines and activities- OO
• Problem solve and plan- PP
• Reflect and review together- RR
• How and how much we do of each determines if we build relationships,participation, AND leadership capacity in caregivers
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Capacity-Building Principles Supporting theSS-OO-PP-RR Practices
SS-OO-PP-RR
Listen
Encourage
Inform
Plantogether
Observe
Practice
Reinforce
Reflect
Problemsolve
Review &plan
Strategies You Use to Promote CapacityBuilding…
• Encourage priority setting
• Share information that facilitatesinformed decision-making
• Do you:• Review and remind caregivers, or• Support them to identify and decide?
• Do you:• Dump data and expertise, or• Set the stage for caregiver integrating
relevant information into theirworldview?
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Kris and Kiyah
Strategies You Use to Promote CapacityBuilding…• Observe and promote current
strengths
• Jointly identify individualizedinterventions and contexts
• Do you:• Suggest next steps, or• Step back and observe what is
working?
• Do you:• Propose and demonstrate
evidence-based strategies, or• Reflect on options for caregiver to
choose?
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Kris and Kiyah
Strategies You Use to Promote CapacityBuilding…
• Engage in caregiver practice • Do you:• Demonstrate and explain for
caregivers, or• Guide them to practice and give
feedback?
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Kelsey
Strategies You Use to Promote CapacityBuilding…
• Encourage reflection andproblem solving
• Do you:• Ask questions to engage caregivers,
or• Help them learn to problem solve
and generate new opportunities?
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Elias
Reflection
• Intentional
• Purposeful
• Systematic
• Integrated
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Building CapacityThrough Reflection
Is it the moment to:• Seek information? More information?
• Initiate problem solving about options?
• Clarify and confirm?
• Increase caregivers’ understanding throughtheir own reflection?
• Seek to build confidence in caregiver?
• Interpret data to help make decisions?
• Celebrate?
Integrating Principles and Practices forCapacity Building: Summary of How-ToStrategies
• Listen and learn from the caregiver
• Start with a joint reference identified by the caregiver as important
• Comment on a child or caregiver interest or strength
• Encourage caregiver to reflect and share ideas and insights
• Discuss, problem solve, practice, plan – repeat
• Encourage and respect decisions
Using Capacity-Building Practices in Caregiver Coachingfor Early Intervention
ASHA Online ConferenceBirth to Three: Working Together to Serve Children and Their Families
Resources
• Center on the Developing Child, Harvard UniversityExcessive Stress Disrupts the Architecture of the Developing Brain [pdf]
• Baby Navigatorhttps://babynavigator.com/
• Family Guided Routines Based Intervention (FGRBI)http://fgrbi.fsu.edu
• First Words Projecthttps://firstwords.fsu.edu/
• Early Childhood Technical Assistance Centerectacenter.org
• National Child Traumatic Stress NetworkEarly Childhood Trauma
Using Capacity-Building Practices in Caregiver Coaching for Early Intervention, by Juliann Woods
ASHA Online Conference Birth to Three: Working Together to Serve Children and Their Families
References
Brown, J. A., & Woods, J. J. (2016). Parent-implemented communication intervention: Sequential analysis
of triadic relationships. Topics in Early Childhood Special Education, 36(2), 115-124.
Friedman, M., Woods, J., & Salisbury, C. (2012). Caregiver coaching strategies for early intervention
providers: Moving toward operational definitions. Infants & Young Children, 25(1), 62-82.
Roberts, M. Y., & Kaiser, A. P. (2011). The effectiveness of parent-implemented language interventions: A
meta-analysis. American Journal of Speech-Language Pathology, 20(3), 180-199.
Rush, D. D., & Sheldon, M. L. (2011). The early childhood coaching handbook. Baltimore, MD. Paul. H.
Brookes.
Salisbury, C., Woods, J., Snyder, P., Moddelmog, K., Mawdsley, H., Romano, M., & Windsor, K. (2018).
Caregiver and provider experiences with coaching and embedded intervention. Topics in Early Childhood
Special Education, 38(1), 17-29.
Trivette, C. M., Dunst, C. J., Hamby, D. H., & O’Herin, C. E. (2009). Characteristics and consequences of
adult learning methods and strategies. Winterberry Research Syntheses, 2, 1–31.
Windsor, K. S., Woods, J., Kaiser, A. P., Snyder, P., & Salisbury, C. (2019). Caregiver-Implemented
Intervention for Communication and Motor Outcomes for Infants and Toddlers. Topics in Early Childhood
Special Education, 0271121418815250.
Woods, J., Kashinath, S., & Goldstein, H. (2004). Effects of embedding caregiver-implemented teaching
strategies in daily routines on children's communication outcomes. Journal of Early Intervention, 26(3),
175-193.
Woods, J., Snyder, P., & Salisbury, C. (2018). Embedding Practices and Intervention with Caregivers
(EPIC): Linking instruction and family capacity-building recommended practices. In Snyder, P.A.
& Hemmetter, M.L (Eds.), Instruction: Effective Strategies to Support Engagement, Learning, and
Outcomes (DEC Recommended Practices Monograph Series No. 4). (pp.145-157). Washington, DC:
Division of Early Childhood.
Woods, J. J., Wilcox, M. J., Friedman, M., & Murch, T. (2011). Collaborative consultation in natural
environments: Strategies to enhance family-centered supports and services. Language, Speech, and
Hearing Services in Schools, 42(3), 379-392.