About this trial
Autism spectrum disorder affects 1-2% of children worldwide, yet access to quality care remains limited, especially in underserved communities. Families face systemic barriers such as workforce shortages, high caregiver stress, and a lack of culturally appropriate services.
To address these gaps, researchers developed a group-based caregiver training program to improve caregiver well-being and child communication and behavior. Successfully piloted in rural U.S. communities and western Kenya through the AMPATH Program, the intervention showed promising results in reducing caregiver stress and autism severity.
Building on this success, a new study will evaluate two delivery models-professionally-led and peer-led-using a rigorous effectiveness-implementation trial. The project applies a reciprocal innovation approach, using insights from Kenya to inform U.S. strategies for scaling community-based autism support.
The long-term goal is to reduce disparities in autism care by creating scalable, low-cost, caregiver-driven models. A Community Advisory Panel will guide the research to ensure relevance and impact. This initiative represents a transformative step toward equitable autism services across global and U.S. settings.
Eligibility criteria
Qualifiers
Caregiver is willing to participate
Caregiver speaks either Swahili or English
Child is between 2 and 8 years of age
Child presents with concerns suggestive of autism
Disqualifiers
The caregiver declines to participate
The child has significant vision or hearing impairment
The child is not primarily cared for by the enrolled caregiver
Trial design
Treatments tested in this trial
- Professionally-facilitated groups
- Peer-facilitated groups