From Someone Who May Cause Trouble to Someone You Can Play With: Stakeholders' Perspectives on Preschool Program Quality for Autistic Children.

The study reports subjective experiences from 19 purposively selected stakeholders, so it cannot show that the model caused child outcomes. The children were already receiving EIBI, and the experimental preschools received assessment, feedback, in-service training, coaching, midway seminars and supervisor workshops together, so the contribution of any one component cannot be separated. No stakeholders from the control group were interviewed, so there is no comparison with preschools that did not receive the APERS-P-SE-based model. All interviews were done at the end of the intervention, so the study did not track how perceptions changed during the process. Some interview questions were closed and may have led respondents to say the intervention was valuable. In two preschools, only staff who had not left were interviewed, so views of people who had left were missing. Some supervisor interviews were analysed by a single researcher because one researcher also worked as a supervisor, which may affect trustworthiness. The authors call the results preliminary and limited to this Swedish preschool context.

The paper lists Vetenskapsrådet and Stockholm University as funders. The supplied text gives no conflicts-of-interest declaration.

Do not read the positive stakeholder reports as evidence that the APERS-P-SE-based model works. The children were already receiving EIBI, and the experimental preschools also received APERS-P-SE assessment, feedback, in-service training, on-site coaching, midway seminars and supervisor workshops together, so the contribution of any single component cannot be separated.