Brain & Mind Research Institute, University of Sydney, Sydney, Australia.
J Appl Res Intellect Disabil. 2012 Mar;25(2):135-42. doi: 10.1111/j.1468-3148.2011.00678.x.
In low- and middle-income (LAMI) countries, there is a lack of well-trained therapists to provide specialist interventions for children with intellectual disabilities and their families. We sought to identify strategies deliverable by families or non-specialist workers.
After searches of appropriate scientific databases, we applied GRADE methodology to rate the quality of evidence for these interventions.
We identified small-scale interventions trialled in LAMI countries with limited evidence of effectiveness in supporting development, adaptive behaviour and/or community participation. In high-income countries, the Stepping Stones Triple P program for adaptive behaviour and the Portage program for child development have the most extensive evidence base and may be applicable in LAMI countries.
There is reason to hope that, when combined with community development strategies, the welfare of children with intellectual disabilities in LAMI countries can be advanced within those countries' economic means.
在低收入和中等收入国家（LAMI），缺乏经过良好培训的治疗师为智障儿童及其家庭提供专业干预。我们试图确定可由家庭或非专业人员提供的策略。
在搜索了合适的科学数据库之后，我们应用 GRADE 方法对这些干预措施的证据质量进行了评级。
我们确定了在 LAMI 国家进行的小规模干预措施，这些措施在支持发展、适应行为和/或社区参与方面的有效性证据有限。在高收入国家，适应行为的 Stepping Stones Triple P 计划和儿童发展的 Portage 计划具有最广泛的证据基础，可能适用于 LAMI 国家。
有理由希望，将这些策略与社区发展策略相结合，可以在 LAMI 国家的经济能力范围内促进智障儿童的福利。
