A qualitative study on the effectiveness of naturalistic developmental behavioral interventions for children with autism Spectrum disorder in Saudi Arabia

This qualitative study explored the implementation of Naturalistic Developmental Behavioral Interventions (NDBIs) as an early intervention strategy for children with autism spectrum disorder (ASD) in Saudi Arabia, drawing on the perspectives of certified Applied Behavior Analysis (ABA) specialists. Data were collected through semi-structured interviews with five licensed practitioners, four based in Riyadh and one in Jeddah, who hold credentials from the Behavior Analyst Certification Board (BACB). The findings illuminate participants' conceptual understanding of NDBIs, their motivations for adopting these interventions, and the mechanisms employed in their application. Additionally, the study identified several barriers impeding effective implementation, including insufficient specialist training, limited administrative support, logistical challenges, and family-related constraints. Based on these insights, the study recommends expanding practical training for ABA specialists, increasing community awareness of NDBIs, and ensuring ongoing supervision by experienced professionals. The findings underscore the need for further empirical studies on the application of NDBIs within culturally specific contexts, particularly in Arab settings, to promote more inclusive and effective early intervention services.