InterventionLens: A Multi-Agent Framework for Detecting ASD Intervention Strategies in Parent-Child Shared Reading

The development of AI-assisted Early Intensive Behavioral Intervention (EIBI) for Autism Spectrum Disorder (ASD) is severely constrained by data scarcity. Furthermore, while Applied Behavior Analysis (ABA) serves as the gold standard for clinical intervention, general-purpose Large Language Models (LLMs) struggle to strictly adhere to its standardized procedures, often resulting in interactions that are linguistically fluent but strategically inconsistent. To address these challenges, we introduce ASDAgent, a strategy-aware framework designed to unify high-fidelity intervention dialogue synthesis and clinical decision support. ASDAgent incorporates two specialized components to solve distinct problems: (i) a DoctorAgent equipped with an Observe-Think-Act-Correct (O-T-A-C) reasoning loop, which resolves the issue of strategy collapse in LLMs by making ABA execution explicit and controllable; and (ii) a ChildAgent that utilizes probabilistic behavior modeling to mitigate data homogeneity, simulating diverse and non-deterministic ASD response patterns. Experiments demonstrate that dialogues generated by ASDAgent closely mirror the strategy distribution of human therapists (KL divergence: 0.083). In real autism intervention, ASDAgent achieves nearly 80% strategic consistency with human experts. Moreover, we show that synthetic data produced by ASDAgent effectively distills professional clinical knowledge into small language models (SLMs), significantly enhancing their therapeutic capabilities.

Autism spectrum disorder (ASD) is diagnosed through specialist observation of a child's social behavior, and access to that expertise is the bottleneck for early identification. Vision-language models (VLMs) describe a child's behavior from video well; the verdict drawn from the description is unstable: at temperature~0, across eight pipeline configurations on one backbone, 16--37% of clips change their predicted label between repeated runs, and the cause lies in the serving stack. We keep the VLM frozen and move the decision out of the model. Under our grounded perception constraints the VLM writes an event table of timestamped, glossary-labeled events that names the eliciting press and logs counter-evidence; a text-only stage age-calibrates the confidence of each row; a deterministic weight-of-evidence scorer sums it into an evidence total and stratifies it into a risk category, so every decision decomposes into named per-feature contributions and can be re-scored from the saved table. On 43 caregiver-recorded, protocol-free home free-play clips of preschool children, the pipeline reaches AUC $0.851 \pm 0.012$, 86.0% accuracy, and F$_1$ 71.8 over three runs. It labels 74.4% of clips correctly in every run (60.5% for the zero-shot baseline) and flags no typically developing clip in every run (9 of 31 at zero-shot). An ablation on the same backbone attributes the gain to the grounded perception constraints read through the deterministic scorer.

Accurate early screening for Autism Spectrum Disorder (ASD) is a precursor to timely intervention, which is critical for improving cognitive and behavioral outcomes. We present ASD-FEAT (ASD - Feature Extraction And Tracking), a multimodal dataset derived from video recordings of infant-adult interaction sessions. The key contribution of ASD-FEAT is the combination of longitudinal coverage from infancy through 36 months, repeated interaction sessions, clinically validated developmental outcomes, expert frame-level behavioral annotations, and privacy-conscious multimodal feature representations. To the best of our knowledge, existing ASD behavioral datasets do not jointly provide these characteristics at comparable scale. To demonstrate the utility of ASD-FEAT, we use it to evaluate a computer-vision-based end-to-end pipeline relying on machine learning techniques to automatically identify ASD risk. ASD-FEAT integrates both expert-defined and deep-learned features, including face and eye landmarks, facial action units, gaze direction, head position, mel-spectrogram audio representations, and optical flow, to identify behavioral markers of social interaction. Our automated pipeline achieves an ASD classification accuracy of 76.2% and an Area Under the Receiver Operating Characteristic (AUROC) of 0.82, compared to classifiers trained on manually labeled behaviors, which yielded 81.3% accuracy and an AUROC of 0.88. We further introduce a within-visit partner contrast: a per-visit signal contrasting examiner-directed and parent-directed social behavior which, when added to the classifier, lifts the fully automated Look Face + Smile and Look Face + Vocal configurations to Matthews correlations of 0.49 and 0.45 respectively, exceeding the human-coded single-partner baseline of 0.42.