“…First, improving understanding of parental use of CHA for children with ASD is important because it is common (Hofer, Hoffman, & Bachman, 2017). Second, many CHA modalities have limited evidence of efficacy and safety for treating ASD symptoms (Anagnostou & Hansen, 2011; Cheuk, Wong, & Chen, 2011; Ghanizadeh, 2012; Hendren, 2013; Huffman, Sutcliffe, Tanner, & Feldman, 2011; James, Montgomery, & Williams, 2011; James, Stevenson, Silove, & Williams, 2015; Levy & Hyman, 2015; Nye & Brice, 2005; Whitehouse, 2013; Williams, Wray, & Wheeler, 2012). Third, parental use of CHA for children with ASD often incurs even greater out-of-pocket costs for families belonging to a subgroup that is already likely to experience high financial burden (Gupta, 2010; Nahin, Barnes, & Stussman, 2016).…”