A substantial portion of interventions designed to support autistic children are also designed to be delivered by caregivers (i.e. are ‘caregiver‐mediated’). Brown et al. (Journal of Child Psychology and Psychiatry, 2024) are one of the first groups to critically examine the baseline skills that caregivers bring as they prepare to learn a class of interventions called Naturalistic Developmental Behavioral Interventions (NDBIs), which are designed to support social communication growth in young autistic children. This commentary commends Brown and colleagues for their focus on caregivers, a linchpin within the increasingly prominent caregiver‐mediated process of intervention delivery. However, it is imperative that future research understand the potential adverse effects and supports that are needed to bolster caregivers in this crucial role. We present six recommendations for research on caregiver‐mediated interventions that build on Brown and colleagues' work and address these needs, which involve: caregiver supports, equitable samples, community settings, adaptive designs, general principles, and implications for NDBI dissemination.

中文翻译：

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在照顾者介导的干预中支持照顾者：对 Brown 等人的评论 （2024）


旨在支持自闭症儿童的很大一部分干预措施也旨在由照顾者提供（即“照顾者介导”）。Brown 等人（儿童心理学和精神病学杂志，2024 年）是最早批判性地研究看护者在准备学习一类称为自然发展行为干预 （NDBI） 的干预措施时带来的基线技能的小组之一，这些干预措施旨在支持自闭症儿童的社交沟通成长。本评论赞扬了 Brown 及其同事对护理人员的关注，这是日益突出的护理人员介导的干预实施过程中的关键。然而，未来的研究必须了解潜在的不利影响和所需的支持，以支持护理人员发挥这一关键作用。我们提出了六项关于照顾者介导的干预措施的研究建议，这些建议以 Brown 及其同事的工作为基础，并解决了这些需求，其中包括：照顾者支持、公平样本、社区环境、适应性设计、一般原则和对 NDBI 传播的影响。