Culturally Responsive Adaptations: A Virtual Caregiver-mediated Intervention for Spanish-Speaking Families and Children with Autism.

Using a surface adaptation, this single-case experimental study evaluated Promoting Reciprocal Relationships with Flexibility, Coaching, and Teaching (PRRFCT Match) for Spanish-speaking families whose children have an autism diagnosis. PRRFCT Match is a caregiver-mediated, naturalistic developmental intervention package that has been previously tested in 2 single-case experiments involving a total of 16 families. This iteration culturally and linguistically adapted the intervention package for use with four transborder, Spanish-speaking families, who were matched with Spanish-speaking coaches. The Spanish-speaking caregivers represent families whose home language or preferred language is Spanish. Using a multiple baseline design, data from caregiver and child behavior change were analyzed via visual analysis, non-overlap, and standard mean difference. This study shows promise for surface adaptation of the PRRFCT Match intervention package. Recommendations and considerations for cultural and linguistic adaptations of interventions that meet the needs of individual families are discussed.