Evidence-based for whom? examining the cultural impact on treatment acceptability of parent-mediated interventions for autism spectrum disorder : a vignette study.

Parent-mediated interventions (PMIs) are a form of indirect intervention that support caregivers in managing challenging behavior in children with autism spectrum disorder (ASD). The effectiveness of PMIs may depend on treatment acceptability (TA), which can be shaped by cultural and sociodemographic factors. This study examined TA ratings of positive reinforcement, planned ignoring, and noncompliance training among 252 U.S. parents of autistic children. Nonparametric analyses revealed significant racial and ethnic differences in TA ratings, and regression analyses indicated that greater child behavior severity predicted more favorable TA ratings across strategies. Qualitative responses identified both strengths and limitations of each strategy, including perceived effectiveness, feasibility, and cultural alignment. Findings highlight the importance of culturally responsive intervention practices and underscore the need to consider demographic and cultural factors when recommending PMIs. In tandem with training culturally humble clinicians, continuing this line of research may help reduce delays in access to effective interventions for autistic children from racially and ethnically minoritized groups.

Name thesis:degree_name

Ph.D.

Level thesis:degree_level

Doctoral

Grantor

Baylor University.

Year dc:date.issued

2026

Author dc:creator

• Trites, Kayla N., 1997-

Advisor dc:contributor.advisor

• Robinson, Eric L.

• Challenging behavior.
• Autism spectrum disorder (ASD)
• Cultural acceptability.
• Parent-mediated intervention.

Statement dc:rights

• Baylor University works are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. Contact libraryquestions@baylor.edu for inquiries about permission.

Language dc:language.iso

en

Handle dc:identifier.uri

https://hdl.handle.net/2104/14636

OAI identifier oai:identifier

oai:baylor-ir.tdl.org:2104/14636