Feasibility and acceptability of Hanen^® More Than Words program for migrant Australian families

Early supports are provided to promote outcomes for autistic children and children with social communication differences. For migrant families, early supports may be especially vital due to additional challenges they can face.

In this mixed-method participatory study, we investigated feasibility and acceptability of Hanen^® More Than Words for migrant families with autistic children and those showing social communication differences. Australian-based Chinese and South Asian families (n = 15) were offered Hanen^® More Than Words delivered in Mandarin/Cantonese and English respectively. Data were collected about participants' experiences via interviews and questionnaires. This study was registered with the Australian New Zealand Clinical Trials Registry [#ACTRN12624000312549p].

Attendance rates were high (86.7%) with only two families withdrawing due to competing commitments. Overall, participants were satisfied with Hanen^® More Than Words but some program aspects were challenging for Chinese participants especially-including communication strategies (i.e. following their child's lead) and role playing. Participants reported logistical challenges to attending face-to-face sessions but valued group-based learning with peers who had similar backgrounds and experiences. Although participants described more understanding and acceptance of their children after Hanen^® More Than Words, different program elements shaped individuals' learnings.

Findings provide evidence of feasibility and acceptability of Hanen^® More Than Words for migrant Chinese and South Asian families living in Australia.