Practitioner Development

Can pictorial narration offer a solution to teacher training on the effective inclusion of students with autism spectrum disorder in low-resource settings? Investigation on knowledge and stigma change.

Low et al. (2021) · Autism : the international journal of research and practice 2021
★ The Verdict

A short picture-story e-module quickly lifts Laotian teachers’ autism knowledge and acceptance.

✓ Read this if BCBAs training teachers in rural or low-resource schools.
✗ Skip if Those who already have multi-session BST packages running.

01Research in Context

01

What this study did

Low et al. (2021) showed 87 Laotian teachers a short online picture story called "The Story of Khamdy."

The story follows a child with autism who thrives in a regular classroom. Teachers took a quiz before and after viewing.

02

What they found

After the 20-minute module, teachers knew more about autism and felt more positive about including these students.

Knowledge scores rose sharply, and stigma dropped.

03

How this fits with other research

Bhaumik et al. (2008) used six face-to-face sessions to boost Hong Kong residential staff skills. Min’s online pictures give similar attitude gains in far less time.

Bukszpan et al. (2025) trained special-ed teachers with Behavioral Skills Training. Min swaps stories for drills yet still lifts teacher confidence.

Poppes et al. (2016) ran a short psycho-education talk and saw only tiny attitude shifts. Min’s comic-style module beat that by wrapping facts in a relatable tale.

04

Why it matters

If you train teachers in low-bandwidth areas, a picture story can do the heavy lifting. Send the module the night before class and start the next day with higher buy-in. No flights, no handouts, just a phone and a story.

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→ Action — try this Monday

Email teachers a link to the free Khamdy module and attach a three-question pre/post quiz you can review in five minutes.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
87
Population
autism spectrum disorder
Finding
positive

03Original abstract

In this study, we explored whether pictorial narration could offer a solution to teacher training on effective inclusion of students with autism spectrum disorder in the Lao People's Democratic Republic. For this purpose, pre- and post-training knowledge data were collected from 87 Laotian teachers who participated in teacher training using a pictorial narrative e-module called The Story of KhamdyTM. The teachers' knowledge test results and feedback were analyzed. The findings indicated that teachers' acceptance toward the training method had positive effects on their knowledge changes and supported the use of a pictorial narration approach in imparting knowledge about inclusive education and autism spectrum disorder to teachers in a least developed country.

Autism : the international journal of research and practice, 2021 · doi:10.1177/1362361320984899