Journal of Autism and Developmental Disorders

, Volume 49, Issue 8, pp 3146–3158 | Cite as

Brief Parent-Mediated Intervention for Children with Autism Spectrum Disorder: A Feasibility Study from South India

  • Harshini Manohar
  • Preeti KandasamyEmail author
  • Venkatesh Chandrasekaran
  • Ravi Philip Rajkumar
Original Paper


The study assesses the acceptability and feasibility of a brief parent-mediated home-based intervention for children with autism spectrum disorder (ASD), deliverable in resource-limited settings, with an emphasis on addressing parental stress from a socio-cultural perspective. 50 children (2–6 years), with a DSM 5 diagnosis of ASD were randomized to intervention (n = 26) or active control group (n = 24). The intervention based on naturalistic developmental behavioral approach, focusing on joint attention, imitation, social and adaptive skills was structured to be delivered in five outpatient sessions over 12 weeks. All children were followed up at 4, 8 and 12 weeks. Parents of children randomized to the intervention group reported more improvements across parental stress and child outcome measures compared to those in the control group. The intervention was found to be acceptable and feasible, with high fidelity measures and retention rates.


Autism spectrum disorder ASD Intervention Parent-mediated Parental stress India Low-resource 



The authors thank Prof Dr. Shoba Srinath and Prof Dr. Satish Chandra Girimaji, Department of Child and Adolescent Psychiatry, NIMHANS, Bangalore, India for their expert review of the intervention. We also thank Prof Dr. Mahadevan Subramanian, Department of Pediatrics, JIPMER, Puducherry, India, for his valuable contribution to the design of the study.

Author Contributions

HM is the principal investigator, involved in data collection, intervention delivery and manuscript preparation. PK conceptualized the study design, developed the intervention, contributed to drafting the manuscript and approved the final version. VC participated in the design and coordination of the study and interpretation of the data. RP contributed to intellectual content and approved the manuscript. All authors read and approved the final manuscript.


No funding. Research conducted in a non-funded government hospital in a low-resource setting.

Compliance with Ethical Standards

Conflict of interest

All authors declared that they have no competing interest.

Supplementary material

10803_2019_4032_MOESM1_ESM.docx (34 kb)
Supplementary material 1 (DOCX 34 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Harshini Manohar
    • 1
  • Preeti Kandasamy
    • 1
    Email author
  • Venkatesh Chandrasekaran
    • 2
  • Ravi Philip Rajkumar
    • 1
  1. 1.Department of PsychiatryJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)PuducherryIndia
  2. 2.Department of PediatricsJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)PuducherryIndia

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