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Intervention adherence and its predictors among parents of children with autism spectrum disorder

Mengyu Cai1, Yushen Dai2, Mengqi Duan3

  • 1School of Nursing, Sun Yat-sen University, Guangzhou 510080, China.

Journal of Pediatric Nursing
|September 26, 2025
PubMed

Insights

Parental intervention adherence for children with Autism Spectrum Disorder (ASD) was moderate. Predictors included parental confidence, fathers' education, mothers' time with children, and child sensory issues.

Area of Science:

  • Child Psychology
  • Developmental Disorders
  • Behavioral Science

Background:

  • Autism Spectrum Disorder (ASD) presents unique challenges for families.
  • Understanding intervention adherence is crucial for effective ASD management.
  • Parental factors significantly influence treatment outcomes in children with ASD.

Purpose of the Study:

  • To assess intervention adherence in parents of children with ASD.
  • To identify key predictors of intervention adherence in this population.

Main Methods:

  • A cross-sectional study involving 209 parents of children with ASD in Guangzhou, China.
  • Utilized Treatment Compliance Scale (TCS), Autism Behavior Checklist (ABC), Parenting Sense of Competence Scale (PSOC), and Parenting Stress Index-Short Form (PSI-SF).
  • Multiple linear regression analysis was employed to determine predictors of adherence.

Main Results:

  • Overall intervention adherence (TCS) was moderate (60.18 ± 12.81).
  • Significant predictors included fathers' education level (β=0.272), mothers' daily time with children (β=0.257), sensory domain of ABC (β=0.146), parenting self-efficacy (β=0.229), and parenting satisfaction (β=0.152).
  • These factors explained 24.7% of the variance in adherence.

Conclusions:

  • Intervention adherence among parents of children with ASD is at a moderate level.
  • Parental confidence, educational background, time spent with the child, and sensory processing issues in the child are significant predictors.
  • Targeted interventions to boost parental confidence and tailored family support are recommended to enhance adherence.
Abstract

Keywords:
Autism Spectrum disorderIntervention adherenceParenting confidenceParenting stressParentsSymptom severity

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