Scoping review: Facilitators, barriers, and cultural adaptations in the caregiver skills training program for children with developmental concerns.
Cecilia Montiel-Nava, Maria C Montenegro, Ana C Ramirez and 4 others
PMID 41454648WHAT IT FOUND
Caregiver training for autism works best when adapted locally.
Using community partners, simplifying materials for low literacy, and offering telehealth or childcare support helps families engage. These changes address barriers like stigma and travel, but do not prove the program improves child outcomes.
Key findings
01Community partner involvement and cultural adaptations (language, content) were highly influential in making the training acceptable and feasible.
02Telehealth and hybrid formats helped overcome travel and childcare barriers, though internet access remained a challenge in low-resource settings.
03Non-specialist facilitators (like community workers) were used in some studies but faced challenges with training quality and fidelity.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs
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What it does not show
The review included only English and Spanish publications, potentially missing studies in other languages. Most included studies were small, non-randomized, or pilot designs, limiting conclusions about effectiveness. The review did not assess child outcomes, only implementation factors. There was variability in how facilitators were trained and supervised, with many studies lacking fidelity data.
Declared interests
The authors declared no financial support or conflicts of interest.
The easy way to misread this
Do not interpret this review as evidence that CST improves child development. It only reports on how the program was adapted and whether it was feasible to deliver, not on clinical outcomes.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →