A randomized trial compared parent-mediated intervention with no intervention for infants at high risk of autism, showing that parent-led strategies led to better social and communication outcomes. This highlights the importance of early parent involvement in autism intervention, supporting the Happy Ladders approach of equipping parents to take action as early as possible.

The study reviewed parents' experiences in leading their child's autism therapy and found that most felt empowered and saw progress in their child's skills. It suggests that parent-led interventions reduce barriers to accessing effective therapy. Happy Ladders’ focus on providing parents with practical tools supports this approach by enabling more families to participate in early intervention.

An evaluation of a large-scale, community-based program for toddlers with autism showed that parent-mediated interventions could be successfully implemented with positive outcomes. The study supports the idea that parent training and community programs can work together to make therapy more accessible and effective. Happy Ladders similarly extends the reach of early intervention by providing user-friendly resources for parents.

The study looked at adapting parent engagement strategies to make evidence-based interventions more effective for young children at risk for autism. It found that when parents received tailored guidance, they were more likely to engage actively in therapy. This aligns with Happy Ladders’ customizable approach, which adjusts to meet the needs of each family.

This systematic review examined how parent-mediated programs in South Asia help children with neurodevelopmental disorders, including autism, improve essential skills like communication and social interaction. It found that when parents lead therapy, children can achieve developmental gains even in regions with limited resources. This supports the Happy Ladders approach, which empowers parents to provide effective early intervention using structured guidance.

This controlled trial evaluated a parent-led cognitive behavior therapy program and found that parents were able to effectively manage their child's behavioral issues. The results showed that with appropriate guidance, parents could achieve results comparable to therapist-led sessions. Happy Ladders provides similar structured guidance to empower parents to take the lead in their child's therapy.

This pilot study compared parent-mediated tele-therapy with traditional in-person therapy for children with autism, finding that both methods led to similar child improvements. The findings suggest that remote, parent-led intervention models can be just as effective as in-person therapy, supporting Happy Ladders' use of digital tools to enable parents to lead therapy from home.

This meta-analysis reviewed the effects of parent-mediated interventions for school-aged children with ASD, finding that these programs led to significant improvements in social skills and behavior. The results indicate that with the right training, parents can effectively implement therapeutic strategies for older children. This aligns with Happy Ladders’ approach of providing structured guidance for parents to support their child's development.

The efficacy of Parent–Child Interaction Therapy (PCIT) was evaluated for children on the autism spectrum, and the results showed reductions in disruptive behaviors and improvements in social functioning. The study supports structured parent training as an effective approach, which is consistent with the tools and techniques provided by Happy Ladders to parents.

A randomized controlled trial in Italy demonstrated that cooperative parent-mediated therapy significantly improved social behaviors in preschool children with autism. The study found that when parents were actively involved in therapy sessions, children achieved better outcomes. This supports the Happy Ladders approach by showing the impact of structured parent involvement.