School of Psychology, Bangor University, Bangor, UK.
J Appl Res Intellect Disabil. 2012 Mar;25(2):119-34. doi: 10.1111/j.1468-3148.2011.00680.x.
Although interventions for children with pervasive developmental disorders (PDD) have been the focus of research effort and evidence reviews in many Western countries, this evidence has not been assessed in the context of low- and middle-income (LAMI) countries especially in terms of the fit with different cultures and resources.
As a part of the WHO MH-GAP project, we carried out a systematic review of published literature relating to interventions for PDD in LAMI countries. Given the small amount of direct evidence found, we supplemented the review with findings from existing relevant evidence reviews to draw practical recommendations.
We found only four controlled studies evaluating an intervention for children with PDD in a LAMI country. These studies all evaluated different interventions. A systematic search of controlled studies of evidence-based parenting training interventions (Incredible Years and Triple P) in non-LAMI countries identified two studies both indicating successful outcomes.
The evidence base for interventions for PDDs in LAMI countries is sparse, and to inform practical and future research recommendations, it is important to consider potentially deliverable behavioural parent training interventions. Such interventions need to be explored in LAMI countries when delivered in primary and secondary healthcare contexts.
尽管在许多西方国家，针对广泛性发育障碍（PDD）儿童的干预措施一直是研究工作和证据评估的重点，但这些证据尚未在中低收入（LAMI）国家的背景下进行评估，特别是在与不同文化和资源的适应性方面。
作为世界卫生组织心理健康差距项目的一部分，我们对 LAMI 国家针对 PDD 的干预措施进行了系统的文献回顾。鉴于发现的直接证据很少，我们补充了现有相关证据综述的结果，以得出实际建议。
我们只发现了四项在 LAMI 国家评估 PDD 儿童干预措施的对照研究。这些研究都评估了不同的干预措施。对非 LAMI 国家基于证据的养育培训干预措施（不可思议的岁月和三重 P）的对照研究进行系统搜索，确定了两项表明成功结果的研究。
LAMI 国家针对 PDD 的干预措施的证据基础薄弱，为了为实际和未来的研究建议提供信息，考虑可提供的行为家长培训干预措施非常重要。在初级和二级保健环境中在 LAMI 国家中需要探索这种干预措施。
