Authors
Sangeetha Suggarangaiah, Deeksha Girish, Patteswari Duriasamy
Published in
Clinical child psychology and psychiatry. Pages 13591045261491103. Sep 18, 2026. Epub Sep 18, 2026.
Abstract
The Neurodevelopmental Disorders (NDDs) data on evidence-based interventions is significantly underrepresented in India, which is mainly due to the lack of specialists and a significant geographic barrier to care. This systematic review is a critique of the effectiveness, accessibility and outcomes of parent-mediated interventions (PMIs) that function within the Indian healthcare environment. The protocol used in the review was registered in PROSPERO (reference: CRD420261299971) and followed PRISMA 2020 requirements. Twenty-six articles published in the past five years (2020-2025) were synthesised. The findings reveal that 95% of the studies reported statistically significant changes in paediatric functioning and parental self-efficacy (effect size = 1.61). Notably, non-inferiority studies revealed similar social-adaptive outcomes of PMIs overseen by frontline community health workers as compared to clinic-based intensive behavioural interventions. There were better retention levels (92-100%) in the case of synchronous versus asynchronous telehealth modalities, and the improvements were also maintained at an 18-month follow-up. Although the financial load and geographic centralization remain the key obstacles, the task-shifting and digital infrastructure are placed as the key facilitators. This review creates a strong evidence base of PMIs as a flexible, culturally adaptable paradigm in order to fill the treatment gap. The results support a policy change towards de-medicalised and community-based care models to achieve universal health coverage in the low-resource contexts.
PMID:
42757931
Bibliographic data and abstract were imported from PubMed on 18 Sep 2026.
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