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对智力残疾个体在可控多感官环境(斯诺泽伦疗法)中进行个体干预效果的荟萃分析。

Meta-analysis of the effectiveness of individual intervention in the controlled multisensory environment (Snoezelen) for individuals with intellectual disability.

作者信息

Lotan Meir, Gold Christian

机构信息

Ariel University Campus at Samaria, Ariel, Israel.

出版信息

J Intellect Dev Disabil. 2009 Sep;34(3):207-15. doi: 10.1080/13668250903080106.

Abstract

BACKGROUND

The Snoezelen is a multisensory intervention approach that has been implemented with various populations. Due to an almost complete absence of rigorous research in this field, the confirmation of this approach as an effective therapeutic intervention is warranted.

METHOD

To evaluate the therapeutic influence of the Snoezelen approach. Twenty-eight relevant articles relating to individual (one-to-one) Snoezelen intervention with individuals with intellectual and developmental disabilities (IDD) were reviewed. A meta-analysis regarding the significance of the reduction of maladaptive behaviour and the enhancement of adaptive behaviour was implemented. An analysis of standardised mean differences was used through the use of fixed effect models.

RESULTS

The primary finding was that the Snoezelen approach, when applied as an individual intervention for individuals with IDD, enabled significant and large effect size in adaptive behaviours, with generalisation to the participants' daily life.

CONCLUSIONS

Weaknesses in the examined research methodologies, the heterogeneity between research designs, the small number of available research projects, and the small number of participants in each research project, prevent a confirmation of this method as a valid therapeutic intervention at this time.

摘要

背景

多感官刺激疗法是一种已应用于各类人群的多感官干预方法。由于该领域几乎完全缺乏严谨的研究,因此有必要确认这种方法是否为有效的治疗干预手段。

方法

为评估多感官刺激疗法的治疗效果,对28篇关于针对智力和发育障碍(IDD)个体的一对一多感官刺激疗法干预的相关文章进行了综述。对减少适应不良行为和增强适应性行为的显著性进行了荟萃分析。通过使用固定效应模型对标准化平均差异进行分析。

结果

主要研究结果是,多感官刺激疗法作为针对IDD个体的个体干预措施时,在适应性行为方面产生了显著且较大的效应量,并能推广至参与者的日常生活中。

结论

所审查的研究方法存在缺陷、研究设计之间存在异质性、可用研究项目数量少以及每个研究项目中的参与者数量少,这些因素使得目前无法确认该方法为有效的治疗干预手段。

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