A Mixed-Method Evaluation of the Feasibility and Acceptability of Parents Taking Action among Underserved Chinese Immigrant Families of Children with Autism.

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Title: A Mixed-Method Evaluation of the Feasibility and Acceptability of Parents Taking Action among Underserved Chinese Immigrant Families of Children with Autism.
Authors: Xu, Yue, Chen, Feifei, Mirza, Mansh, Magaña, Sandy
Source: Journal of Child & Family Studies. Jul2025, Vol. 34 Issue 7, p1881-1895. 15p.
Subjects: Immigrants, Communicative competence, Focus groups, Self-efficacy, T-test (Statistics), Autism, Evaluation of human services programs, Pilot projects, Content analysis, Chinese Americans, Psychoeducation, Confidence, Family-centered care, Research methodology, Social skills, Psychological stress, Asperger's syndrome, Medically underserved persons, Psychosocial factors, Child behavior
Geographic Terms: China, United States
Abstract: Asian Americans and Pacific Islanders (AAPI) represent the fastest-growing racial/ethnic group in the United States. Meanwhile, the prevalence of autism diagnosis is higher among AAPI children compared to children from other racial/ethnic groups. However, there remains a significant gap in culturally responsive evidence-based interventions designed with input from AAPI communities. This study evaluates the feasibility, acceptability, and preliminary outcomes of Parents Taking Action - Chinese (PTA Chinese), a culturally adapted intervention for Chinese immigrant families of children with autism. Using a mixed-method approach, we recruited 27 Chinese immigrant families. We conducted one focus group post-intervention and collected social validity, fidelity, and attendance data. Additionally, pre-intervention and post-intervention assessments measured family empowerment, parental self-efficacy and frequency of using evidence-based strategies, challenging child behavior, social communication skills, and service utilization. Qualitative data was analyzed using content analysis, while quantitative data was analyzed using a paired sample t-test. Findings indicate that PTA Chinese was feasible and acceptable, with significant increases in family empowerment, parental confidence, use of evidence-based strategies, and service access. Nonsignificant changes were observed in parental stress, children's challenging behavior, and social communication skills. To our knowledge, this is the first culturally adapted intervention designed for underserved Chinese immigrant families of children with autism. PTA Chinese showed promising preliminary effects in both family and child outcomes. Despite differences in delivery mode, PTA Chinese demonstrated promising preliminary effects similar to those found in the original PTA, reinforcing its potential as a scalable and flexible intervention. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: A Mixed-Method Evaluation of the Feasibility and Acceptability of Parents Taking Action among Underserved Chinese Immigrant Families of Children with Autism.
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  Data: <searchLink fieldCode="AR" term="%22Xu%2C+Yue%22">Xu, Yue</searchLink><br /><searchLink fieldCode="AR" term="%22Chen%2C+Feifei%22">Chen, Feifei</searchLink><br /><searchLink fieldCode="AR" term="%22Mirza%2C+Mansh%22">Mirza, Mansh</searchLink><br /><searchLink fieldCode="AR" term="%22Magaña%2C+Sandy%22">Magaña, Sandy</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+%26+Family+Studies%22">Journal of Child & Family Studies</searchLink>. Jul2025, Vol. 34 Issue 7, p1881-1895. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Immigrants%22">Immigrants</searchLink><br /><searchLink fieldCode="DE" term="%22Communicative+competence%22">Communicative competence</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Self-efficacy%22">Self-efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Autism%22">Autism</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Chinese+Americans%22">Chinese Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoeducation%22">Psychoeducation</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence%22">Confidence</searchLink><br /><searchLink fieldCode="DE" term="%22Family-centered+care%22">Family-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Asperger's+syndrome%22">Asperger's syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Medically+underserved+persons%22">Medically underserved persons</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Child+behavior%22">Child behavior</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22China%22">China</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Asian Americans and Pacific Islanders (AAPI) represent the fastest-growing racial/ethnic group in the United States. Meanwhile, the prevalence of autism diagnosis is higher among AAPI children compared to children from other racial/ethnic groups. However, there remains a significant gap in culturally responsive evidence-based interventions designed with input from AAPI communities. This study evaluates the feasibility, acceptability, and preliminary outcomes of Parents Taking Action - Chinese (PTA Chinese), a culturally adapted intervention for Chinese immigrant families of children with autism. Using a mixed-method approach, we recruited 27 Chinese immigrant families. We conducted one focus group post-intervention and collected social validity, fidelity, and attendance data. Additionally, pre-intervention and post-intervention assessments measured family empowerment, parental self-efficacy and frequency of using evidence-based strategies, challenging child behavior, social communication skills, and service utilization. Qualitative data was analyzed using content analysis, while quantitative data was analyzed using a paired sample t-test. Findings indicate that PTA Chinese was feasible and acceptable, with significant increases in family empowerment, parental confidence, use of evidence-based strategies, and service access. Nonsignificant changes were observed in parental stress, children's challenging behavior, and social communication skills. To our knowledge, this is the first culturally adapted intervention designed for underserved Chinese immigrant families of children with autism. PTA Chinese showed promising preliminary effects in both family and child outcomes. Despite differences in delivery mode, PTA Chinese demonstrated promising preliminary effects similar to those found in the original PTA, reinforcing its potential as a scalable and flexible intervention. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s10826-025-03102-2
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      – Code: eng
        Text: English
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        PageCount: 15
        StartPage: 1881
    Subjects:
      – SubjectFull: Immigrants
        Type: general
      – SubjectFull: Communicative competence
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Pilot projects
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      – SubjectFull: Content analysis
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      – SubjectFull: Chinese Americans
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      – SubjectFull: Psychoeducation
        Type: general
      – SubjectFull: Confidence
        Type: general
      – SubjectFull: Family-centered care
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      – SubjectFull: Research methodology
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      – SubjectFull: Social skills
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      – SubjectFull: Psychological stress
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      – SubjectFull: Asperger's syndrome
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      – SubjectFull: Child behavior
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      – SubjectFull: China
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: A Mixed-Method Evaluation of the Feasibility and Acceptability of Parents Taking Action among Underserved Chinese Immigrant Families of Children with Autism.
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            NameFull: Xu, Yue
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              Text: Jul2025
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