Table 1.

Project ImPACT for Toddlers Adaptations

Area Adapted	Description
Parent Manual	Editing of language and examples to be developmentally appropriate for toddlers
	Re-formatting and re-ordering strategies to increase ease of use for parents
	Development of examples and tools to support caregiver use the strategies during daily routines
	Removal of the word autism in all materials due to the young age of the children and common provisional or “at risk” diagnoses
Provider Training	Enhancement of training in how to effectively coach parents
	Increased attention to physiological regulation and individual sensory and motor differences in children
	Embedding principles of reflective practice at all levels of the program
Parent Engagement Strategy Additions	Adding content promoting therapist use of evidence-informed engagement strategies to build Alliance, Collaboration, and Empowerment (e.g., seeking and incorporating parent input, using partnership language, giving suggestions rather than directions; Haine-Schlagel, Martinez, Roesch, Bustos, & Janicki, 2016).