Perception of pragmatic skills by speech therapists and parents of children with autism spectrum disorder.

The sample was a convenience sample from one private clinic, so the findings may not apply to other settings, regions, or health systems. Only nine speech therapists rated the children, and all children were already receiving speech therapy with the same professional for at least one year, which limits how broadly the results can be generalized. The study used questionnaire perceptions only and did not compare them with an independent measure of pragmatic skill or test whether using both reports improves communication. 64.9% of parents had completed higher education, which may affect how they interpreted the questionnaire. Children with common comorbidities were excluded, so the findings do not describe children with ASD and additional conditions such as intellectual disability or cerebral palsy. The Discussion describes divergent items differently from the Results and repeats some statements, so the exact set of disagreements is unclear.

The funding statement says financial support: nothing to declare. The paper does not provide a separate conflict-of-interest declaration.

Do not conclude that parent and therapist ratings can replace each other or that differences show one group is inaccurate. The study compared questionnaire perceptions in one clinic and did not test whether using both views improves pragmatic skills.