Parent and professional perspectives on implementing the Pediatric Autism Communication Therapy: A mixed-methods analysis.

Researchers looked at what helps or hinders the use of PACT therapy worldwide. They found that parents' comfort with being filmed, their ability to reflect on their interactions, family stress levels, and available time were important factors. Most parents liked the therapy's methods (using videos, feeling supported, play-based activities). Professionals noted barriers like scheduling difficulties and needing more support from colleagues.

Better planning could help more families access this therapy.

This mixed-methods study examined implementation factors for Pediatric Autism Communication Therapy (PACT), a parent-mediated intervention, from both parent and professional perspectives globally. Key implementation factors included parent attitudes (self-reflection abilities, comfort with videotaping) and life circumstances (family stress levels, time availability). The therapy's video reflection, parent empowerment, and play-based methods were viewed as enablers by most parents. Professionals identified implementation process factors including planning, execution, reflection, and assessment.

Barriers included population characteristics, schedule flexibility, and support from colleagues and managers. The study suggests formal implementation plans addressing country-specific parent factors could improve therapy adoption.

Clinicians should assess parent readiness factors including comfort with videotaping and self-reflection before implementing PACT. Family stress levels and time availability require consideration. Organizations need formal implementation plans addressing scheduling flexibility and staff support to successfully adopt parent-mediated interventions.

Sample size not reported. Study type unclear, limiting assessment of methodological rigor. Implementation factors may vary significantly across different healthcare systems and cultures. No quantitative measures of implementation success provided.

Factors influencing the implementation of parent-mediated intervention are insufficiently studied. This study examines for the first-time factors of implementation into clinical practice across the world of Pediatric Autism Communication Therapy, an internationally disseminated, evidence-based, parent-mediated therapy. From both the parents' and the professionals' perspectives, parents attitudes (e.g. self-reflection abilities and videotaping management) and life-circumstances (e.g. stressed families condition and time) were central factors. In this type of therapy, the target is a child's development; still, this improvement is dependent on the parent's behavior when interacting with their child.

What's more, Pediatric Autism Communication Therapy method (video reflection, empowerment of parent, play-based) was enabler according to most of the parents. And more, most professionals report factors linked to the Implementation Process that is planning, execution, reflection and assessment in implementation of a new therapy. Indeed, the professionals underlined barriers related to the population seen in practice, flexibility of schedule, support from colleagues and manager. All these factors could be improved and addressed with a formal implementation plan including factors related to the parents of each country.