Addressing structural disparities for children with early communication disorders (ASCEND)

Active Project Grant Awarded Last action

Award ID
R01DC020402
Recipient
Awarding agency
Obligated
$8,373,896

Award facts

Completion date 75% complete
Originally
Place of performance
Portland, OR 97239, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Communication disorders (CDS), including primary developmental speech and language disorders, autism spectrum disorder, and hearing impairment, are the most prevalent disabilities in early childhood. Early identification and treatment of CDS supports children's short- and long-term social, emotional, behavioral, academic, mental, and physical health outcomes and reduces educational, criminal justice, and health care costs. Yet, children from racial, ethnic, and/or linguistic minority populations, including those living in rural areas and/or in poverty, do not receive timely access to high-quality CD care. While long-standing structural inequities in health and educational settings underlie these disparities, specific sources of SRD that impact children of color across the CD referral, identification, and treatment process, are unknown. In partnership with five US states and diverse stakeholders, we will undertake the first comprehensive multi-state analysis of structural racism and discrimination (SRD) in the primary system of early identification and treatment for CDS: the individuals with disabilities education act part C early intervention (EI) system. The goal of this study is to lay the foundation for evidence-based interventions that improve health equity for children of color with CDS age 0-3. To do so, this study applies a health disparities framework to precisely detect, understand, and develop solutions that address sources of SRD in EI at the individual, organizational, and community levels. In aim 1, we will leverage 5 states' EI data systems to identify distributional inequities in EI referral, evaluation, eligibility, and service allocation outcomes according to child intersecting identities, indicators of community resources and opportunities, and EI process features. In aim 2, we will contextualize distributional inequities identified in aim 1 through focus groups with parents of children of color with CDS, surveys of key professionals providing CD care in EI (i.e., pediatric primary care physicians, speech-language pathologists, EI developmental specialists), and interviews with EI administrative leadership. In aim 3, we will use nominal group technique, a stakeholder consensus process, to generate and prioritize practice and policy recommendations to disrupt SRD for children with CDS. Advisors, including parents of children of color with CDS, adults with disabilities, EI providers, parent disability advocates, EI administrators, and scholars of color and/or with disabilities, will inform all aspects of the study. This project will ultimately result in a set of comprehensive, stakeholder-informed, data-driven, and feasible recommendations to improve equity in early CD care for the 1 in 5 children of color affected by early CDS.

Transactions

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Original award $717,005
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Subawards

Subrecipient Amount Awarded
Minnesota State University Mankato Addressing Structural Disparities for Children with Early Communication Disorders (ASCEND) $49,932
Regents Of The University Of Minnesota $30,023
The Johns Hopkins University $285,400
Board Of Regents Of Nevada System Of Higher Education "Addressing Structural Disparities for Children with Early Communication Disorders (ASCEND) " $277,386
Sri International $507,208
University Of Oregon $1,170,366

Quick answers

Who received award R01DC020402?

R01DC020402 was awarded to Oregon Health & Science University by National Institute on Deafness and Other Communincation Disorders (National Institutes of Health) on April 15, 2022.

How much is award R01DC020402 worth?

$8,373,896 has been obligated on R01DC020402.

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