Table 2.
Measures for Multi-level Model of Navigator Fidelity
| Measure | Tools | Level |
|---|---|---|
| Provider Density | Publically available data on certified ASD providers | State |
| Diagnostic Availability | Publically available data on number of ASD diagnostic centers | State |
| Characteristics | Organization location, size, and type | Organizational |
| Organizational Readiness to Change | Organizational Readiness to Change Assessment tool [52] | Organizational |
| Demographics | Age, race, ethnicity, gender, education, language proficiency | Navigator |
| Experience with ASD | Question developed by study team | Navigator |
| Cultural competency | Dogra’s Cultural Awareness Questionnaire [53] | Navigator |
| Navigator proficiency | Measure developed from Navigator training manual | Navigator |
| Demographics | Age, race, ethnicity, child’s gender, comorbid conditions, parental education, nativity, English proficiency, access to transportation, insurance | Parent |
| Parental social support | MOS-Social Support Survey [54] | Parent |
| Global perceived stress | Perceived Stress Scale- Self Report 14 item [55] | Parent |
| Parenting stress | Parenting Stress Index 4th edition – Short Form [56] | Parent |
| Physical/emotional health | Veterans RAND 12 Item Health Survey [57] | Parent |
| Parental coping strategies | Brief COPE [58] | Parent |
| Child’s impact on the family | Family Impact Questionnaire [59] | Parent |
| Parenting stress from ASD | Autism Parenting Stress Index [60] | Parent |
| Parental perceived mastery | Pearlin Mastery Scale [61] | Parent |
| Child’s adaptive functioning | Adaptive Behavior Assessment System II [62] | Parent |