Applicability and feasibility of pivotal response treatment with Korean American children with autism

Multiple behavioral interventions for individuals with autism spectrum disorders have been established with adequate scientific evidence. Behavioral interventions, however, are cultural practices and often rely on home-school interactions for implementation. Little is known about intervention applicability and feasibility for cultural and linguistic minorities with autism. This case study explored how Korean American parents and community members engaged in the cultural practice of an evidence-based intervention, pivotal response treatment (PRT). This qualitative study, a part of a larger mixed methods project, included the collection and analysis of interviews, observations, and field notes. Four key findings characterized stakeholders’ experiences and perceptions: (a) valued aspects of intervention, (b) comfort of procedural certainty, (c) reassurance of social successes, and (d) affirmation of the intervention’s reach. These findings provide a base for the development of culturally relevant PRT and have implications for intervention research and practice.