Efficacy of International Tele-Practice Parent Training for Chinese Children With Autism Spectrum Disorder

This study evaluated the efficacy of an international tele-practice parent training program that is culturally and linguistically adapted from Improving Parents as Communication Teachers (ImPACT), a Naturalistic Developmental Behavioral Intervention (NDBI) program, among Chinese families with children with autism spectrum disorder (ASD). Six parents of 3- to 6-year-old Mandarin-speaking children with ASD in China completed the adapted tele-practice training delivered by Chinese clinicians residing in the United States. A single-subject multiple-baseline design was employed. Outcomes were evaluated through analyzing weekly parent-child play samples and the social validity questionnaire. Parents demonstrated improved fidelity of intervention implementation, mitigated use of directives, and reported reduced stress and greater availability of resources. Children showed longer mean length of utterance and higher percentages of spontaneous communication acts. The findings support using tele-practice to disseminate language-facilitating intervention internationally to a country with limited resources. Cultural and linguistic adaptations are essential to enhance outcomes.