Service Delivery

Training Culturally Diverse Caregivers to Decrease Their Child's Challenging Behaviors: A Systematic Review and Meta-analysis.

Vargas Londono et al. (2023) · Journal of autism and developmental disorders 2023
★ The Verdict

Parent training still works when caregivers have limited majority-language fluency, yet you will see only small gains unless you add language-support tools.

✓ Read this if BCBAs running parent-training groups in multilingual schools or clinics.
✗ Skip if Clinicians who work only with fluent English speakers.

01Research in Context

01

What this study did

Vargas Londono et al. (2023) looked at 13 studies where parents from many language groups got coaching to lower their child’s hitting, yelling, or self-injury.

All studies used live or video lessons plus practice with feedback. Most families spoke little of the local majority language.

02

What they found

Training helped, but only a little. Kids’ problem behavior dropped slightly and parents used better strategies more often.

The gains stayed small unless coaches also gave an interpreter, translated handouts, or held sessions in the home language.

03

How this fits with other research

O’Neill et al. (2025) map the same pool of single-case studies and agree parent training works, yet warn the steps are still too complex for many families.

Wilson et al. (2023) show you can hit 90% fidelity through telehealth, but their families all spoke English. Fabiola’s review says remote help is fine only if you add language support.

Ferreira et al. (2022) also saw only small gains after PECS coaching with moms. The pattern is steady: caregiver training helps, but cultural and language extras decide how much.

04

Why it matters

If you serve families who speak limited English, build in an interpreter up front and translate your parent handouts. Expect small steps, not miracles, and track both child behavior and parent confidence so you can adjust quickly.

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Add a one-page picture glossary of key terms in each family’s language to your parent handout before the next session.

02At a glance

Intervention
parent training
Design
systematic review
Population
mixed clinical, neurotypical
Finding
weakly positive
Magnitude
small

03Original abstract

Parents are the primary source of support for their children and can become principal interventionists for preventing and treating their child's challenging behavior. Yet, providing adequate and adapted training for culturally diverse families can be difficult due to the increase of international migration and the diversity of languages spoken worldwide. This systematic review and meta-analysis evaluated 13 studies that implemented training for caregivers with limited proficiency in the majority language. Overall, the results suggested a moderate-small treatment effects on positive and negative parenting practices. The results also indicated moderate-small treatment effects on challenging behaviors exhibited by both individuals with developmental disabilities and typically developmental. Findings are discussed in terms of strategies used and recommendations for future research and practice.

Journal of autism and developmental disorders, 2023 · doi:10.1023/A:1021835728803