Abstract
Introduction: Self-injurious behavior (SIB) in adolescents with Autism Spectrum Disorder (ASD) poses significant risks to their well-being and family functioning. While Functional Communication Training (FCT) is an evidence-based intervention for reducing challenging behaviors, its application to adolescents in the Indian context has not been systematically validated. Before testing FCT effectiveness, it is essential to establish reliable and culturally appropriate tools.
Purpose: This study will validate three key instruments required for the implementation and evaluation of FCT: (a) the adapted FCT intervention package, (b) the FCT Implementation Checklist for caregiver fidelity, and (c) a semi-structured Interview Schedule for caregiver feedback.
Method: Validation will be conducted in two stages. First, an expert panel of 5-6 professionals in clinical psychology, speech-language pathology, behavior therapy, and special education will review the tools for clarity, cultural appropriateness, and developmental relevance. Their ratings on a 4-point scale will be analysed using the Content Validity Index (CVI). Second, a small pilot study with 2-3 adolescents with ASD and SIB, along with their caregivers, will be carried out to evaluate feasibility and usability in real-world home and clinical settings. Structured caregiver feedback will be used to refine the tools further.
Expected Outcomes: It is anticipated that the validated tools will demonstrate high content validity, feasibility, and cultural adaptability. For the PhD study, these outcomes will ensure methodological rigor and provide a reliable foundation for the subsequent intervention phase that evaluates the effectiveness of FCT in reducing SIB among Indian adolescents with ASD.
Conclusion: Positioned as the first stage of the author's PhD work, this validation study will strengthen the quality, credibility, and translational impact of the larger doctoral research.