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Purpose: Despite group-level improvements in active engagement and related outcomes, significant individual variability in response to early intervention exists. The purpose of this preliminary study was to examine the effects of a group-based Naturalistic Developmental Behavioral Intervention (NDBI) on active engagement among a heterogeneous sample of young autistic children in a clinical setting.

Method: Sixty-three autistic children aged 24-60 months ( = 44.

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Autism spectrum disorder (ASD) occurs within all racial, ethnic, and demographic pediatric groups. However, Black children with ASD are diagnosed at later stages of their development, and as a result may not receive or may age out of early intervention services, and demonstrate poorer long-term outcomes, across a range of factors. African American parent's perceptions regarding access to and utilization of healthcare services for their autistic children vary.

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Being a "Lay Expert": A Choice for Chinese Parents of Young Autistic Children.

Intellect Dev Disabil

February 2025

Yumin Zhang, Ningbo University, China, Junting Chen, Nanchong Vocational College of Science and Technology, and Xiaoyan Li, Wenzhou University, China.

The lack of rehabilitation teachers for autistic children is common in lower-middle income countries. Designing programs to train parents to become "para-rehabilitators," that is, "lay experts," is one of the ways to solve this problem. The purpose of this study was to explore the feelings, problems, and hopes of Chinese parents participating in the parent-implemented rehabilitation model.

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Contextual differences in parent-child interactions: A study on toddlers at elevated likelihood of autism and their mothers.

Infant Behav Dev

January 2025

Parenting and Special Education Research Unit, Faculty of Educational Sciences, KU Leuven, Leuven, Belgium; Leuven Autism Research (LAuRes), KU Leuven, Leuven, Belgium.

Parent-child interactions are important for children's emotional and behavioral development. In autism research, parent-child interactions are typically observed during free play. Yet, studies outside the autism field underscored the importance of observing parent-child interactions during other contexts, as parents' behaviors may depend on the context, and different contexts may reveal different relationships between parents' and children's behaviors.

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Objective: The goal of this study is to construct a 16-week, two-stage, adaptive intervention consisting of DTT ([discrete trials training], largely considered usual care for children with autism), JASP-EMT (a blended, naturalistic, developmental behavioral intervention involving JASPER [joint attention, symbolic play, engagement and regulation] and EMT [enhanced milieu teaching]), and parent training (P) for improving spontaneous, communicative utterances in school-aged, minimally verbal autistic children. Intervention was delivered both at school (DTT, JASP-EMT) and home (P). This manuscript reports results for the study's primary aim and a closely related secondary aim.

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