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Being a "Lay Expert": A Choice for Chinese Parents of Young Autistic Children.

Intellectual and developmental disabilities2025

Zhang Yumin, Chen Junting, Li Xiaoyan

What this study means for families

This study looked at Chinese parents who were trained to help their autistic children at home when professional therapists weren't available. Researchers interviewed 19 parents to understand their experiences. The parents showed better understanding of autism and improved responses to their children after the training. The study suggests parent training programs can be helpful when there aren't enough professionals available.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This qualitative study explored the experiences of 19 Chinese parents participating in a parent-implemented rehabilitation model for their autistic children. The research addressed the shortage of rehabilitation teachers in lower-middle income countries by investigating parents' roles as 'para-rehabilitators' or 'lay experts.' Through semi-structured interviews and thematic analysis, the study found positive changes in parental understanding of and responses to autism disorders. The findings suggest that training parents as para-rehabilitators is useful for addressing rehabilitator shortages, though improvements in training methods are needed.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Training parents as para-rehabilitators led to positive changes in parental understanding of autism disorders

    Confidence: limitedRelevance: moderate
  • 2

    Training parents as para-rehabilitators led to improved parental responses to autism disorders

    Confidence: limitedRelevance: moderate
  • 3

    Parent-implemented rehabilitation models may be useful for addressing shortage of rehabilitation teachers

    Confidence: limitedRelevance: high

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Parent training programs may help address therapist shortages in resource-limited settings. Training should focus on improving parent understanding and responses to autism. Programs need refinement based on parent feedback. Cultural context should be considered when implementing parent-mediated interventions.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Small sample size of 19 parents limits generalizability. Qualitative design provides limited quantitative evidence. Study focused on Chinese context may not apply to other cultural settings. No comparison group or objective outcome measures reported. Training method improvements needed but not specified.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

The lack of rehabilitation teachers for autistic children is common in lower-middle income countries. Designing programs to train parents to become "para-rehabilitators," that is, "lay experts," is one of the ways to solve this problem. The purpose of this study was to explore the feelings, problems, and hopes of Chinese parents participating in the parent-implemented rehabilitation model. Semi-structured qualitative interviews with 19 parents of autistic children were conducted and analyzed thematically.

The study found positive changes in the parental understanding of and response to autism disorders, suggesting that training parents to become para-rehabilitators to address the shortage of rehabilitators is useful, and that improvements in training methods are needed.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Intellectual and developmental disabilities
Year
2025
PMID
39874983
DOI
10.1352/1934-9556-63.1.1

MeSH Terms

HumansMaleFemaleParentsAdultChinaAutistic DisorderQualitative ResearchChild, PreschoolChildAutism Spectrum DisorderEast Asian People