Demographics of the expert panel in FGD.

Early intervention improves the developmental progress among toddlers with ASD. Family involvement enhances the intervention outcome. This study aimed to develop and test the feasibility of an early intervention home program manual for toddlers with ASD. Method: This study involved three phases: (I) formulation of manual concept and content design (II) manual development through focus group discussion (n = 10) and content validation by experts (n = 9); (III) cognitive interview (n = 6) and feasibility study (n = 8). Result: Content Validity Index (I-CVI) for the developed manual ranged from .78–1.0, S-CVI/Ave .96, and S-CVI/UA .79. Cognitive interview among six parents reported that the manual was easy to understand. The feasibility study reported all eight parents benefitted from coaching sessions. Approximately 87.5% of the respondents found the program benefited their children and could easily implement the activities in their daily routines. Approximately 75% of respondents reported having greater confidence in managing their child’s behaviors at home. Parent coaching using the developed home program is feasible and accepted by parents of a toddler with ASD. Further study should be developed to explore the effectiveness of parent coaching using the manual.早期干预可改善孤独症谱系障碍（Autism Spectrum Disorder, ASD）幼儿的发育进程。家庭参与可提升干预效果。本研究旨在开发一款针对ASD幼儿的早期居家干预方案手册，并检验其可行性。方法：本研究分为三个阶段：（I）手册概念构建与内容设计；（II）通过焦点小组讨论（n=10）与专家内容效度检验（n=9）完成手册开发；（III）开展认知访谈（n=6）与可行性研究（n=8）。结果：所开发手册的条目内容效度指数（Item-level Content Validity Index, I-CVI）区间为0.78~1.0，量表平均内容效度指数（Scale-level Content Validity Index/Average, S-CVI/Ave）为0.96，全体一致内容效度指数（Scale-level Content Validity Index/Universal Agreement, S-CVI/UA）为0.79。对6名家长开展的认知访谈结果显示，该手册易于理解。可行性研究结果显示，全部8名家长均从培训课程中获益。约87.5%的受访者表示，该干预方案对其子女有益，且可轻松在日常居家场景中落实相关活动。约75%的受访者表示，其在居家管理子女行为方面的自信心有所提升。采用本手册开发的居家干预方案开展家长培训，具备可行性且获得ASD幼儿家长的认可。后续可开展进一步研究，以探讨使用该手册开展家长培训的干预效果。