Systematic reviews suggested the benefit of PMIs in children with ASD included motivation to interact, joint attention, imitation, non-verbal, and verbal communication ( Oono et al., 2013 Estes et al., 2014 Nevill et al., 2018 Jurek et al., 2021). CRASH FEVER TIER LIST MEDEA HOW TOPMI focuses on teaching parents how to promote social interaction, imitation, communication, and play skills for their children with ASD in natural environments ( Oono et al., 2013 Bearss et al., 2015). Parent-mediated intervention (PMI) is an effective evidence-based practice (EBP) which was identified by the National Professional Development Center on Autism Spectrum Disorder (NPDC Wong et al., 2015). Parent training and education provided intervention strategies and allowed parents to remain highly engaged in their children’s education and development ( Chaidi and Drigas, 2020). Research suggests that parents’ active involvement in the diagnostic and therapeutic processes could benefit their children with developmental disorders, particularly in young children with ASD. To help overcome these barriers, the involvement of parents in implementing intervention strategies allows intervention to begin early and sustain ( Green et al., 2015, 2017). Systematic barriers, such as a shortage of trained professionals ( Liao et al., 2021), disjointed care coordination ( Vohra et al., 2014), and high service cost ( Vohra et al., 2014 Sobotka et al., 2016), result in insufficient access to EIBI. Despite the potential long-term contribution to lowering special education ( Chasson et al., 2007) or lifetime care costs ( Piccininni et al., 2017), EIBI has a high demand for trained specialists, and the cost of EIBI services for each family remains high ( Jacobson et al., 1998). Early intensive behavioral intervention (EIBI) is a common treatment based on applied behavior analysis principles for young children with autism spectrum disorder (ASD Center, 2009, 2015 Eldevik et al., 2009 Weisz and Kazdin, 2010).
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