A Theoretical Framework for the Systematic Pathway of Early Intervention Relational OUTcomes (SPROUT) Development and Application of SPROUT

Abstract

Prioritizing methods to enhance infants and toddlers’ quality of life becomes imperative due to the profound impact during the critical phase that will shape their adolescence and adult years. The purpose of this study was to develop and apply a new theoretical framework, the Systematic Pathway of Early Intervention Relational OUTcomes (SPROUT), to evaluate the factors related to accessibility and usability within Early Intervention Services (EIS). This framework captures an array of individualized aspects, through a comprehensive approach, based on the interconnection of access and use implied by policy. Examining disparities can offer perspective from service providers and families/caregivers with infants and toddlers with developmental delay to highlight areas of improvement. The clinical application of SPROUT evaluated and assessed EIS through the lens of EIS Seeking and EIS Enrollment. This analysis examined the accessibility and usability of EIS at the national, state, and local levels specifically for the United States, Alabama, and Georgia. Data extracted from external sources emphasized significant variances amongst the state and local levels that highlighted disparities such as systemic and service provider inconsistencies, lack of family and caregiver involvement, and geographical challenges. Potential strategies for improving EIS consist of addressing inconsistencies with data collection and advocacy for policy change that could standardized criteria.