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Ecological validity framework and neurodevelopmental disabilities: applications for parent training programmes

bmjpo · 2026-07-03 · canonical JSON source

4 visible annotations · policy: published · automated confidence ≥ 75.00%

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Caring for a child with neurodevelopmental disabilities (eg, autism spectrum disorder, attention-deficit/hyperactivity disorder, learning disabilities and intellectual disability) may be strenuous for many families, a reality that is often more pronounced for those from racial, ethnic and/or cultural minority groups. Existing parent-mediated and parent training interventions are largely developed, piloted and tested with White, middle-class families, with a persistent dearth of culturally responsive interventions tailored to the unique needs of minoritised groups.1 As a result, families whose cultural values, communication styles and caregiving norms diverge from existing services may be offered programmes that, though technically ‘evidence-based’, may be misaligned with their lived contexts and needs. In response to this gap, our viewpoint is a call to researchers, clinicians and advocates alike to integrate the core tenets of the ecological validity framework (EVF).2 These recommendations are intended for clinician-scientists conducting community-based clinical research or leading parent training programmes to strengthen cultural responsiveness in their work.