Positive Behavior Support for Children with Autism Spectrum Disorder in Saudi Arabia: Insights and Expectations

Objectives: In this study, we investigate the implementation of positive behavior support (PBS) for children with autism spectrum disorder (ASD) in Saudi Arabia, focusing on the current practices and expectations of specialists. With a prevalence rate of 1 in 40 children diagnosed with ASD in Riyadh, the research highlights the critical need for effective behavior support strategies. Methods: Utilizing a qualitative approach, we conducted semi-structured interviews with 12 ASD specialists at the Prince Mohammed bin Salman Center for Autism and Developmental Disorders. To achieve data saturation, we applied a purposive sample of 12 child specialists with ASD. We analyzed data using thematic analysis. Results: Practitioners lack formal knowledge of PBS despite applying its principles. Participants emphasized the importance of proactive measures, individualized interventions, and collaboration among families and professionals. Conclusion: Enhanced training and community awareness of PBS are essential for improving outcomes for children with ASD, alongside recommendations for further research to better understand and implement PBS in the region. Greater awareness of PBS among families who have children with ASD is needed. We recommend drawing the attention of directors of centers handling ASD to advocate for further research on the use of PBS for children with ASD.