Social Validity of Pivotal Response Treatment for Young Autistic Children: Perspectives of Autistic Adults

J Autism Dev Disord. 2024 Feb;54(2):423-441. doi: 10.1007/s10803-022-05808-4. Epub 2022 Nov 24.

Abstract

The social validity of autism behavioral intervention has been questioned. Naturalistic Developmental Behavioral Interventions (NDBIs) attempt to address some concerns, but it is unclear whether autistic people consider NDBIs socially valid. Social validity of an NDBI, Pivotal Response Treatment (PRT), was investigated through autistic adults commenting on videos of autistic children receiving PRT. Qualitative coding of responses generated three themes: respect for individuals; assessment of intervention implementation; and socioemotional considerations. Although video brevity limits the scope of the present study's conclusions, participants highlighted PRT components that appeared socially valid (e.g., reinforcing attempts, following the child's lead) and aspects appearing invalid (e.g., overemphasis on spoken language). Therefore, adjustments appear necessary for PRT to be fully acceptable to the autistic community.

Keywords: Autistic perspectives; Naturalistic developmental behavioral intervention; Pivotal response treatment; Social validity.

MeSH terms

  • Adult
  • Autism Spectrum Disorder* / therapy
  • Autistic Disorder* / psychology
  • Autistic Disorder* / therapy
  • Behavior Therapy / methods
  • Child
  • Child Development Disorders, Pervasive*
  • Humans