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<p>Parent-mediated autism interventions are widely implemented, yet fathers’ roles are frequently underreported or aggregated within broader caregiver samples. This systematic review synthesized father-specific quantitative and qualitative evidence from studies published between 2000 and February 2026. Across 29 studies (approximately 470 fathers), controlled group-level evidence suggests that when explicitly included, fathers are associated with small-to-moderate improvements in child social communication and increased parenting self-efficacy, whereas paternal stress often remains stable. Qualitative findings identified recurring themes of motivation, structured engagement preferences, systemic barriers, and role strain. Although pooled estimates were derived from a limited number of controlled trials, findings support father-responsive recruitment, flexible delivery models, and integration of psychosocial supports within family-centered autism care.</p>

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Fathers’ Roles in Autism Interventions: A Systematic Review and Quantitative Synthesis of Barriers, Engagement, and Outcomes

  • 期刊论文

  • 发表日期：

    2026年5月13日

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  • Ali Naderi Malek,
  • Patricia A. Prelock,
  • Hadis Shahrokhi Kahnooj,
  • Bita Sadat Shahraini,
  • Samin Sabihan

摘要

Parent-mediated autism interventions are widely implemented, yet fathers’ roles are frequently underreported or aggregated within broader caregiver samples. This systematic review synthesized father-specific quantitative and qualitative evidence from studies published between 2000 and February 2026. Across 29 studies (approximately 470 fathers), controlled group-level evidence suggests that when explicitly included, fathers are associated with small-to-moderate improvements in child social communication and increased parenting self-efficacy, whereas paternal stress often remains stable. Qualitative findings identified recurring themes of motivation, structured engagement preferences, systemic barriers, and role strain. Although pooled estimates were derived from a limited number of controlled trials, findings support father-responsive recruitment, flexible delivery models, and integration of psychosocial supports within family-centered autism care.