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Feasibility of a Home-Based Developmental Behavioral Intervention for Children With Autism Spectrum Disorder in

Pou-Leng Cheong1, Yen-Tzu Wu, Chia-Wei Lin

  • 1Department of Pediatrics, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan (Dr Cheong); Department of Biological Science and Technology, National Yang Ming Chiao Tung University, Hsinchu, Taiwan (Dr Cheong); School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan (Drs Wu and Kuo, Ms Sun, and Mr Huang); Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (Drs Wu and Lin, Ms Huang, and Ms Pan); Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan (Dr Lin).

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|October 28, 2024
PubMed

Insights

Home-based Naturalistic Developmental Behavioral Interventions (HB-NDBI) are feasible for underserved families with children with Autism Spectrum Disorder (ASD) in Taiwan. The intervention improved children

Area of Science:

  • Developmental Psychology
  • Clinical Psychology
  • Pediatrics

Background:

  • Autism Spectrum Disorder (ASD) presents unique challenges for families, particularly those in underserved communities.
  • Parent-mediated interventions are crucial for supporting early development in children with ASD.
  • Access to effective interventions can be limited for underserved populations.

Purpose of the Study:

  • To assess the feasibility of a home-based parent-mediated intervention, Naturalistic Developmental Behavioral Intervention (HB-NDBI), for underserved Taiwanese families of children with ASD.
  • To evaluate the impact of HB-NDBI on children's developmental skills.
  • To examine the effects of HB-NDBI on parental stress levels.

Main Methods:

  • A 12-week HB-NDBI program was delivered to 24 underserved Taiwanese families with children diagnosed with ASD (mean age: 46.5 months).
  • Standardized assessments including the Social Responsiveness Scale (SRS-2), Mullen Scales of Early Learning (MSEL), Child Behavior Checklist (CBCL/1.5-5), and Parenting Stress Index (PSI) were administered pre- and post-intervention.

Main Results:

  • Significant improvements were observed in children's social cognition and social communication skills.
  • Children showed enhancements in receptive language and reductions in internalizing, externalizing, and total behavioral problems.
  • Parents reported a significant decrease in parenting stress levels post-intervention.

Conclusions:

  • Home-based parent-mediated interventions like HB-NDBI are feasible and effective for underserved families in Taiwan.
  • The findings support the potential for wider implementation of such programs to benefit children with ASD and their families.
  • This study highlights a promising avenue for developing accessible, evidence-based support for underserved populations.
Abstract

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