ARTICLE

Volume 10,Issue 4

Cite this article
1
Download
3
Citations
12
Views
20 December 2025

Effectiveness of An Early Intervention Model for Children with Autism and Family Outcomes: A Repeated Measurement Study

Qinghua Li1 Chang Liu1 Tingting Zhang1 Zhiguo Hu2 Yingshuang Jiang3 Songtian Zeng4*
Show Less
1 Guangdong Provincial Key Laboratory of Development and Education for Special Needs Children, Lingnan Normal University, Zhanjiang 524048, PR China
2 Hangzhou Normal University, Hangzhou, Zhejiang,311121, China
3 Shenzhen Fumi Health Technology Co Ltd, Shenzhen, Guangdong, 518052, China
4 University of Washington, Seattle, Washington,98195, USA
APM 2025 , 10(4), 261–268; https://doi.org/10.18063/APM.v10i4.1057
© 2025 by the Author. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

The study examined evaluated the effects of an early intervention model based on the principles of Naturalistic Developmental Behavioral Intervention (NDBI) on young children with autism spectrum disorder (autism) and family outcomes in China. The sample (n = 60) mean age was 4.8 years old (SD = 1.1) in the study. Children in the treatment group received the culturally adapted intervention 3 hours per day, 15 hours per week. Children in the control group received publicly funded intervention services for 3 hours per day, 15 hours per week, for a total of 8 weeks. Findings showed a decrease in autism symptoms and improved severity categorization for children in the intervention group. Also, there were positive changes in the treatment group’s parental stress and anxiety levels. Discussion and implications for culturally responsive early intervention are discussed.

Keywords
Autism
Early intervention
Culturally responsive
Funding
“Pioneer” and “Leading Goose” R&D Program of Zhejiang (Project No.: 2023C03002)
ABC Impact Guangdong Provincial General Colleges and Universities Characteristic Innovation Project (Project No.: 2024KTSCX081)
Guangdong Provincial Science and Technology Innovation Strategy Special Climbing Program (Project No.: pdjh2024b241)
Guangdong Provincial Undergraduate Colleges and Universities Teaching Quality and Teaching Reform Project (Project No.: [2023]10)
Guangdong Provincial Overseas Master Program(Project No.: 2024)
References

[1] Sun X, Allison C, Matthews F, et al., 2013, Prevalence of Autism in Mainland China, Hong Kong and Taiwan: A Systematic Review and Meta-Analysis. Molecular Autism, 4(7): 1–13.

[2] Dawson G, Rogers S, Munson J, et al., 2010, Randomized Controlled Trial of an Intervention for Toddlers with Autism: The Early Start Denver Model. Pediatrics, 125(1): e17–e23.

[3] Song J, Reilly M, Reichow B, 2024, Overview of Meta-Analyses on Naturalistic Developmental Behavioral Interventions for Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 54: 1–13.

[4] Yu Q, Li E, Li L, et al., 2020, Efficacy of Interventions Based on Applied Behavior Analysis for Autism Spectrum Disorder: A Meta-Analysis. Psychiatry Investigation, 17(5): 432.

[5] Sandbank M, Bottema-Beutel K, Crowley S, et al., 2020, Project AIM: Autism Intervention Meta-Analysis for Studies of Young Children. Psychological Bulletin, 146(1): 1.

[6] Zhou L, Liu S, Li H, 2024, Home Care Practice Behavior and Its Influencing Factors of Primary Care Providers: A Multicenter Cross-Sectional Study in Sichuan Province, China. BMC Nursing, 23(1): 303.

[7] Xiao S, Li J, 2023, Implementation of Naturalistic Developmental Behavioral Interventions: An Early Intervention Program for Children with Autism Spectrum Disorder. Advances in Psychological Science, 31(12): 2350.

[8] Xu Y, Yang J, Yao J, et al., 2018, A Pilot Study of a Culturally Adapted Early Intervention for Young Children with Autism Spectrum Disorders in China. Journal of Early Intervention, 40(1): 52–68.

[9] Frost K, Brian J, Gengoux G, et al., 2020, Identifying and Measuring the Common Elements of Naturalistic Developmental Behavioral Interventions for Autism Spectrum Disorder: Development of the NDBI-Fi. Autism, 24(8): 2285–2297.

[10] Chlebowski C, Green J, Barton M, et al., 2010, Using the Childhood Autism Rating Scale to Diagnose Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 40: 787–799.

[11] Lu J, Yang Z, Shu M, et al., 2004, Reliability and Validity Analysis of the Childhood Autism Rating Scale. China Journal of Modern Medication, 14(13): 119–121.

[12] Zung W, 1971, A Rating Instrument for Anxiety Disorders. Psychosomatics: Journal of Consultation and Liaison Psychiatry, 12: 371–379.

[13] Tanaka-Matsumi J, Kameoka V, 1986, Reliabilities and Concurrent Validities of Popular Self-Report Measures of Depression, Anxiety, and Social Desirability. Journal of Consulting and Clinical Psychology, 54(3): 328.

[14] Dunstan D, Scott N, 2020, Norms for Zung’s Self-Rating Anxiety Scale. BMC Psychiatry, 20(1): 1–8.

[15] Barroso N, Hungerford G, Garcia D, et al., 2016, Psychometric Properties of the Parenting Stress Index-Short Form (PSI-SF) in a High-Risk Sample of Mothers and Their Infants. Psychological Assessment, 28(10): 1331.

[16] Rogers S, Dawson G, 2009, Early Start Denver Model for Young Children with Autism. Guilford Press.

Share
Back to top