Terri Beard

Executive Summary

In early intervention (EI), Individuals with Disabilities Education Act (IDEA, 2004) and No Child Left Behind (NCLB, 2001) emphasizes the importance of clinicians using rigorously researched evidenced-based data to drive decision-making processes. Occupational therapists (OT) are accountable under IDEA (2004) and NCLB (2001) to help families achieve Individual Family Service Plan (IFSP) outcomes. This is done using a parent coaching model of intervention; carryover is critical in building-family capacity and achieving outcomes. OT’s facilitate caregiver carryover, by embedding treatment intervention in natural settings. Using an online learning environment, the purpose of this capstone pilot study project is two-fold: 1) determine are web-based tutorials effective for caregivers of children in early intervention programs to reinforce general topic information and 2) examine caregiver attitudes towards using online training modules.

The scientific underpinnings used are the occupational therapy practice framework (OTPF) and the technological pedagogical and content knowledge (TPACK). The study was created on CourseSites website powered by Blackboard, using technology to reinforce occupation-based EI topics, through tutorial presentations and videos. Data was collected from caregivers using qualitative and quantitative questions. Phenomenological inquiry, using a paired t-test was used to determine changes in pre-test/post-test opinion ratings. Content knowledge was evaluated using frequencies and percentages comparing pre/post-test results.      

Eighteen participants enrolled in the capstone study; twelve completed all three web-based modules including: pre/post-tests and viewing content folders. Evidence revealed positive ratings in attitudes and perceptions of caregivers using technology to promote carryover and reinforce general EI topics. Further, the study ascertained success in caregivers improving content topic knowledge and sharing meaningfulness towards applying strategies to their child’s daily routines.

This study identified a convenient flexible platform supporting caregivers of children participating in EI programs. Future development of online modules can reinforce face-to-face individualized treatment sessions and provide evidenced-based supplemental instruction to improve communication and collaboration between therapists and multiple caregivers. By enabling carryover OT’s can help families achieve IFSP outcomes, positively impacting a child’s life at home, daycare, preschool, or other inclusive environments.