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

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.