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Parent and professional perspectives on implementing the Pediatric Autism Communication Therapy: A mixed-methods

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Implementing parent-mediated interventions like Pediatric Autism Communication Therapy requires addressing parent attitudes and life circumstances. Professionals also face implementation barriers, highlighting the need for tailored plans for global clinical practice.

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Area of Science:

  • Pediatric Psychology
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Parent-mediated interventions are crucial for child development, particularly in autism spectrum disorder (ASD).
  • Implementation factors for these therapies in diverse clinical settings remain under-researched.
  • Pediatric Autism Communication Therapy (PACT) is an evidence-based, internationally disseminated parent-mediated intervention.

Purpose of the Study:

  • To investigate factors influencing the global implementation of PACT from both parent and professional viewpoints.
  • To identify parental attitudes, life circumstances, and therapeutic method aspects that enable or hinder implementation.
  • To explore professional perspectives on implementation processes and barriers in clinical practice.

Main Methods:

  • Qualitative study examining implementation factors of PACT.
  • Data collected from parents and professionals involved in PACT delivery worldwide.
  • Analysis focused on parental attitudes, life circumstances, and professional implementation process factors.

Main Results:

  • Parental attitudes (self-reflection, video management) and life circumstances (stress, time availability) were key for parents.
  • The PACT method (video reflection, parent empowerment, play-based) was generally enabling for parents.
  • Professionals identified barriers in planning, execution, and assessment, including practice population, scheduling, and support.

Conclusions:

  • Successful PACT implementation hinges on addressing parental factors and providing adequate professional support.
  • Tailored implementation plans considering country-specific parental circumstances are essential for global success.
  • Addressing professional-identified barriers can optimize the integration of PACT into clinical practice worldwide.