Title: 'The REACH Texas Pilot: Online Early Intervention Partnerships for Rural Families'
Track: 4 - Early Intervention
Keyword(s): Rural, Collaboration, Teleintervention, Training
Learning Objectives:
  1. Identify three primary challenges to early intervention services for rural families and describe aspects of the REACH model that address each of the challenges.
  2. Identify five features of productive family-provider partnerships, noting why these are particularly crucial for rural families.


This presentation describes a pilot project targeting the early intervention needs of underserved children with hearing loss in rural areas of Texas. A “practice-based research” approach is used in the development and field-testing of a service delivery model designed to address three primary challenges to providing services to children who are deaf and hard of hearing, particularly those that are in rural areas: 1) Intervention services are inaccessible; 2) Intervention services are not high quality; 3) Intervention services are not timely. The model leverages technology-based strategies, utilizes the resources and expertise of a university team in deaf education and speech language pathology, cultivates partnerships with out-of-field early interventionists in rural communities, and provides family-centered intervention directed by language and development measures of the individual child. Early intervention services are provided through teleintervention to rural families by skilled “high quality provider” in collaboration with a local “partner provider” who is new to the field of deafness. The local provider also completes home visits and engages in online coaching sessions connected directly to the service needs of a specific child and family. Eight families and partner professionals in rural Texas are engaged in the pilot. Preliminary data includes quantitative and qualitative analysis of feasibility, adaptability, parent change, and professional change. Building the capacity of local providers and facilitating partnerships with families are areas of primary focus.
Presentation: 1364SarahWainscott.pdf

Handouts: Handout is not Available
Sarah Wainscott - Primary Presenter
Texas Woman's University
     Credentials: Ph.D., CCC-A, CED
     Other Affiliations: Texas Hands & Voices and Texas Department of State Health Services
      Dr. Wainscott is Assistant Professor of Communication Sciences at Texas Woman’s University. With 20 years as an audiologist and early interventionist, she has focused on the accessibility and efficacy of early intervention services, valuing a family-centered perspective in practice and research.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.