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. 2026 Jul 14;26:2220. doi: 10.1186/s12889-026-28429-3

Table 3.

Participation in observation details

Observation Round Overall Observation Purpose Specific Observation Objectives Specific Activities Observation Location
1st Round Preliminary clarify the implementation process of parent-led organizations’ loneliness intervention and initially identify key intervention scenarios

1. Master the types and frequency of intervention activities;

2. Identify core stakeholders in activities;

3. Record typical activity links (e.g., activity initiation, on-site organization, post-activity communication)

Outdoor hiking, educational integration activities, social integration activities, art therapy activities, WeChat group daily exchanges, and collective autonomous living Changchun
2nd Round

1. Capture in-depth the interaction between intervention goals and autistic children’s responses and verify the alignment between activity goals and autistic children’s needs

2. Focus on parent-led organizations’ ‘outings for social interaction outside the home’

1. Interaction frequency between autistic children and others; children’s passivity in parent-driven activities

2. Record autistic children’s social/emotional responses to different activities;

3. Instances of peer interaction or friendship formation among autistic children; reported or witnessed bullying events; and teacher support measures as described by school staff

4. Parent–child communication patterns; Patterns of autistic children’s sustained engagement during ‘Outings for Social Interaction’ activities

5. Track whether intervention activities achieve preset goals (e.g., social integration);

6. Observe parents’ guidance behaviors during activities;

7. Dissemination of the “having a second child for companionship” concept

(1) Pre-outing training: Parents received guidance in a WeChat group on how to prepare their children for interaction (e.g., practicing simple greetings);

(2) In-outing support: Volunteers were assigned to each small group (2–3 autistic children) to model positive interaction;

(3) Post-outing reflection: Organizations held brief discussions with parents and volunteers to discuss progress in reducing ‘lack of interaction.’

Changchun and Xi’an
3rd Round Supplement cross-scene comparison data and confirm the consistency of intervention effects across regions

1. Compare activity implementation differences across three cities;

2. Verify the repeatability of autistic children’s responses;

3. Record the impact of the policy environment on intervention activities

All types of intervention activities (focus on cross-city replication activities) Changchun, Xi’an, and Guangzhou
Summary Systematically track the whole process of parent-led intervention, verify the implementation of intervention goals, and capture the subjective experience of autistic children/parents in natural scenarios Integrate three rounds of objectives to form a “process-impact-consistency” observation chain All types of intervention activities Three representative cities in China