{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T14:01:27Z","timestamp":1789912887816,"version":"4.0.1"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"abstract":"<jats:p>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\u20132025) 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\u2013100%) 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.<\/jats:p>","DOI":"10.1177\/13591045261491103","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:38:46Z","timestamp":1789738726000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Utilization, Accessibility and Outcomes of Parent-Mediated Therapies for Neurodivergent Children in India: A Systematic Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4586-7786","authenticated-orcid":false,"given":"Sangeetha","family":"Suggarangaiah","sequence":"first","affiliation":[{"name":"JSS Academy of Higher Education and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7574-3759","authenticated-orcid":false,"given":"Deeksha","family":"Girish","sequence":"additional","affiliation":[{"name":"JSS Academy of Higher Education and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8802-7413","authenticated-orcid":false,"given":"Patteswari","family":"Duriasamy","sequence":"additional","affiliation":[{"name":"JSS Academy of Higher Education and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_4_2_1","volume-title":"International journal of developmental disabilities","author":"Akshayaa S.","year":"2025","unstructured":"Akshayaa S., Kunnath S. 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