Evidence map›Paper›PMID 41252052›Full record

ArticleJournal of autism and developmental disorders2025

"More Than Just Taking Off Your Shoes": A Mixed Methods Study of Cultural Adaptation Practices in the Autism Service System.

Ana D Dueñas, Laura R Gómez, Melanie R Martin Loya, Naima Bhana-Lopez, Richard A Price, James D Lee

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Article in Journal of autism and developmental disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ana D DueñasDepartment of Special Education, University of Washington, 1410 NE Campus Pkwy, Seattle, WA, 98195, USA. aduena@uw.edu.
Laura R GómezSchool of Special Education, School Psychology, and Early Childhood Studies, University of Florida, Gainesville, USA.
Melanie R Martin LoyaUniversity of California - Davis, MIND Institute, Sacramento, USA.
Naima Bhana-LopezDepartment of Special Education and Rehabilitation Counseling, Utah State University, Logan, USA.
Richard A PriceDepartment of Special Education, Purdue University, West Lafayette, USA.
James D LeeDepartment of Special Education, Purdue University, West Lafayette, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis mixed-methods study examined cultural adaptation practices within Applied Behavior Analysis (ABA) services for autistic children from historically marginalized communities.

methodsUsing an explanatory sequential design (QUANT → QUAL), we surveyed 519 ABA practitioners and conducted follow-up interviews with 12 participants to assess knowledge, implementation frequency, and barriers to cultural adaptation practices.

resultsQuantitative findings revealed moderate levels of self-reported knowledge and implementation across six domains of the Cultural Adaptation Checklist: content, goals, language, methods, people/context, and process. Qualitative analysis revealed three major themes affecting implementation: (1) Individual Attitudes, Beliefs, and Cultural Responsivity; (2) Organizational and Systemic Support and Barriers; and (3) Resource Limitations and Professional Development. Key barriers included inadequate organizational support, insufficient professional development, challenges with translation services, and restrictive insurance policies.

conclusionThis study demonstrates the need for comprehensive policy reforms, enhanced training initiatives, and organizational commitment to cultural sustainment to address disparities in service provision and improve outcomes for marginalized autistic children and families.

Indexed as

Behavior analystsCultural adaptationCultural humilityCultural sustainment

Identifiers

PMID41252052

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.