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Examining the Efficacy of Culturally Responsive Interventions for Autistic Children and Their Families: A Meta-Analysis

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Abstract

Culturally responsive interventions for autistic children and their families have been developed and implemented to address issues related to limited representation, inequities, and disparities in access to care of minoritized families in research. Currently available reviews are relatively limited in scope or do not synthesize interventions specifically. Therefore, we conducted a meta-analysis to synthesize autism intervention literature that specifically targeted autistic individuals and their family members from minoritized backgrounds, such as immigrant families. We used four databases to identify studies that used culturally responsive interventions with minoritized autistic children and their families. An article was included if it included empirical intervention data using an experimental design. A total of 354 studies were initially screened, and 24 studies were included. Effect sizes of these studies were extracted across two levels (i.e., child and family levels). Data from group design studies were extracted manually, and data from single-case design studies were extracted using a web-based tool. We used design-comparable standardized effect sizes to compare across both designs. The analysis revealed a large, positive, and significant overall effect size across culturally responsive interventions. Specifically, social-communication and mental health outcomes yielded significant effects at the child level. Additionally, parents’ mental health and fidelity of strategy implementation also yielded significant results. Our results suggest that culturally responsive interventions yield comparable outcomes to unadapted, original interventions. Future research should examine the distinction between the effect of cultural adaptation and the efficacy of the intervention itself.

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Funding

This research was partly funded by NCATS and the Institute of Translational Health Sciences KL2TR002317.

Author information

Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, University of Washington, 6901 Sand Point Ave NE, Seattle, WA, 98115, USA

    James D. Lee

  2. Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park, USA

    Veronica Y. Kang

  3. Department of Special Education, University of Illinois Urbana-Champaign, Champaign, USA

    Adriana Kaori Terol

  4. Department of Educational Psychology, University of Kansas, Lawrence, USA

    Sean Joo

Authors
  1. James D. Lee
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  2. Veronica Y. Kang
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  3. Adriana Kaori Terol
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  4. Sean Joo
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Contributions

JDL, VYK, AKT, SJ designed the current study. SJ conducted the statistical analysis. All authors synthesized the data, discussed the results and implications, and edited the manuscripts at all stages.

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Correspondence to James D. Lee.

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Lee, J.D., Kang, V.Y., Terol, A.K. et al. Examining the Efficacy of Culturally Responsive Interventions for Autistic Children and Their Families: A Meta-Analysis. J Autism Dev Disord (2024). https://doi.org/10.1007/s10803-023-06212-2

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  • DOI: https://doi.org/10.1007/s10803-023-06212-2

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