Towards Implementation of an Early Intervention Model by a Paraguayan Organization




Family-centered, implementation science, routines-based, functioning


Implementation science has been developed to help understand why evidence-based practices are not adopted as rapidly as they might. We describe here the process a rehabilitation center in Paraguay is undergoing to transform itself into a state-of-the-art early intervention program. We describe the organization and its contextual strengths and barriers, the model it chose to implement, and the implementation procedures it has attempted. The implications for model fidelity are highlighted, as this organization needed to make adaptations to the model as designed, to fit the particular context of its mission and the Paraguayan culture. Features of the Routines-Based Model are described.

***Rumo à implementação de um modelo de intervenção precoce por uma Organização Paraguaia***

A ciência da implementação foi desenvolvida para ajudar a entender as razões que levam a que as práticas baseadas na evidência não sejam adotadas pelos profissionais tão rapidamente quanto deveriam ser. Descrevemos aqui o processo de transformação que um centro de reabilitação no Paraguai está a passar se tornar num programa de intervenção precoce de última geração. Descrevemos a sua organização, os seus pontos fortes e as barreiras contextuais, o modelo que escolheu implementar e os procedimentos de implementação que utilizou. As implicações para a fidelidade do modelo são destacadas, pois a organização necessitava fazer adaptações ao modelo conforme previsto, para se ajustar ao contexto específico da sua missão e da cultura paraguaia. São descritas as características do modelo baseado nas rotinas.

Palavras-chave: Ciência da implementação, centrado na família, baseada nas
rotinas, funcional.



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Biografia do Autor

R. A. McWilliam, The University of Alabama (UA), Tuscaloosa, AL

R. A. (“Robin”) McWilliam is a professor of early childhood special education at The University of Alabama, where he founded and directs the Evidence-based International Early Intervention Office (EIEIO), in the Department of Special Education and Multiple Abilities. With colleagues, he created the Routines-Based Model for Early Intervention (Birth to Five; RBM), a comprehensive system for supporting caregivers of young children with disabilities. This model is implemented in 10 countries. It includes practices for assessing needs and developing functional and family goals, using a primary service provider, consulting collaboratively with caregivers to build their capacity, and measuring progress on goals, child functioning, and family quality of life. Dr. McWilliam has written over 80 peer-reviewed articles and 8 books and has presented in over 20 countries. He is a visiting professor at the University of Silesia in Poland, where he has an implementation site.

Pau García-Grau, Catholic University of Valencia “San Vicente Mártir” (UCV), Valencia, Valencia.

Pau García-Grau is an assistant professor in the College of Educatiopn at the Catholic University of Valencia, Spain. He has worked at The University of Alabama as a posdoctoral fellow, where he conducted different studies and collaborated with the implementation of the Routines-Based Model in different countries through the Evidence-based International Early Intervention Office (EIEIO), in the Department of Special Education and Multiple Abilities. Dr. García-Grau has focused his research on the analysis of the quality of early intervetion services in different countries, and the impact of quality services on family quality of life (FQoL). He now serves as a leader of the RBM and has been involved in its implementation in Alabama, USA; Australia; Portland, Oregon, USA; and Spain.


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Como Citar

McWilliam, R. A., & García-Grau, P. (2020). Towards Implementation of an Early Intervention Model by a Paraguayan Organization. Educação, 43(1), e35700.



Dossiê - Intervenção Precoce na Infância centrada na Família: