APR 2008-2009

Early Intervention Services in Natural Environments


Indicator 4: Family outcomes

Percent of families participating in Part C who report that early intervention services have helped the family:

  1. Know their rights;
  2. Effectively communicate their children's needs; and
  3. Help their children develop and learn.

20 U.S.C. 1416(a)(3)(A) and 1442


Measurement:

  1. Percent = [(# of respondent families participating in Part C who report that early intervention services have helped the family know their rights) divided by the (# of respondent families participating in Part C)] times 100.
  2. Percent = [(# of respondent families participating in Part C who report that early intervention services have helped the family effectively communicate their children's needs) divided by the (# of respondent families participating in Part C)] times 100.
  3. Percent = [(# of respondent families participating in Part C who report that early intervention services have helped the family help their children develop and learn) divided by the (# of respondent families participating in Part C)] times 100.

FFY

Measurable and Rigorous Target

2008
('08-'09)

A. Know their rights: 74% *
B. Effectively communicate their children?s needs: 71% *
C. Help their children develop and learn: 84% *
* Targets are based on revised baselines determined in FFY2006 APR.

Actual Target Data for 2008-2009

Indicator 4A: 77.2%--target met
Indicator 4B: 73.4%--target met
Indicator 4C: 88.1%--target met

For the FFY2008 APR, statewide family survey was conducted in the spring of 2009 of all the families in the state who had received early intervention services from July 1, 2008 to June 30, 2009.

Out of 1408 hand-delivered Part C family surveys, 825 were returned, which was a 58.6% response rate. There were 817 usable responses to the Impact on Family Scale (IFS). Scale reliability estimated through the Rasch model was .94. The mean IFS measure for this sample was 690.65, with a standard deviation of 165.41.

The histogram below displays the distribution of measures on the IFS.

Histogram

Applying the standard adopted by Nebraska Part C, corresponding to measures of 538.9, 555.9, and 516.1 for sub-indicators 4a, 4b, and 4c, respectively results of the survey showed the percent of families participating in Part C who report that early intervention services have helped the family:

Know their rights
 
Indicator 4a: 631/817 = 77.2% 95% Confidence Interval: 74.20% - 79.95%
Effectively communicate their children's needs
Indicator 4b: 600/817 = 73.4% 95% Confidence Interval: 70.27% - 76.32%
Help their children develop and learn:
Indicator 4c: 720/817 = 88.1% 95% Confidence Interval: 85.70% - 90.14%
The percent is calculated by taking the number of valid responses that answered �strongly agree� or
�very strongly agree� and dividing it by the total number of valid surveys received. Therefore:
4A = 631 = 77.2%
        817
4B = 600 = 73.4%
        817
4C = 720 =88.1%
        817

Representativeness:

To improve response rate, Nebraska used a personalized introductory letter to families prior to survey delivery and a follow-up postcard to families and personal contacts by local representatives to remind families to return the survey.

Nebraska also attempted to ensure representativeness by hand-delivering the survey to every family enrolled in Part C. Families identified as Spanish-speaking received all survey materials translated into Spanish and a toll-free phone number that was answered by a Spanish-speaker who could answer questions or read the survey to the family. A separate toll-free phone number was provided through PTI-Nebraska for families who speak other languages or those needing special assistance in reading and/or understanding the survey questions.

The Nebraska survey asks families to identify their race/ethnicity, child�s age, length of time in program, and if the family had selected to use a Services Coordinator. This information is used for comparison of responses in the data analysis. Data analysis for 2008-2009 again compared response rates in these categories and did not find any significant differences except in the area of services coordination.

Note: The only variable for which the result was statistically significant was Services Coordinator: respondents who reported that they had a Services Coordinator had significantly higher measures on the IFS (M=702) than respondents who reported that they did not have a Services Coordinator (M=637), F(1,798) = 12.84, p<.001. The difference in means on the IFS, related to having or not having a Services Coordinator, translated into a difference of approximately 10 percentage points on each of the OSEP indicators.

Discussion of Improvement Activities Completed and Explanation of Progress or Slippage that occurred for 2007-2008:

Nebraska family survey responses as reported in FFY2007 are compared to responses for FFY2008 in the following table:

Survey Results:

Value
Indicator A

Value
Indicator B

Value
Indicator C

Mean Measure

Measurement SD

Nebraska
(2007-2008)

74.8%

69.9%

88.3%

682

176.5

Nebraska
(2008-2009)

77.2%
73.4%
88.1%
690.65
165.41

Indicators 4A and 4B show improvement from FFY 2007, while 4C shows a statistically insignificant decrease

The improvement activities outlined for 2008-2009 were implemented as follows:

1.

Conduct NCSEAM Part C Family Survey, compile and analyze results, and disseminate data.

  • Completed and continuing.
    • The results of the survey were collected by the Co-Leads and analyzed by Dr. Batya Elbaum, Ph.D. to be reported in the FFY2008 APR (due 2/1/10).
    • Dr. Batya Elbaum prepared an analysis of the data for the 29 Planning Region Teams.

2.

Report NCSEAM Part C Family Survey results in the Part C-APR.

  • Completed and continuing.

Revisions, with Justification, to Proposed Targets/Improvement Activities /Timelines/ Resources for 2008-2009:

The were no revisions in FFY 2008.

Performance Plans

Public Reporting

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