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远程医疗与自闭症:文献的系统检索与综述

Telehealth and autism: A systematic search and review of the literature.

作者信息

Sutherland Rebecca, Trembath David, Roberts Jacqueline

机构信息

a Griffith University Arts Education and Law - Autism Centre of Excellence, Griffith University , Mount Gravatt , Australia and.

b Menzies Health Institute Queensland , Gold Coast , Australia.

出版信息

Int J Speech Lang Pathol. 2018 Jun;20(3):324-336. doi: 10.1080/17549507.2018.1465123. Epub 2018 Apr 30.

Abstract

PURPOSE

Research interest in telehealth and autism spectrum disorder (ASD) has grown. There is a need to review the literature to allow speech-language pathologists (SLPs) and other service providers to consider applicability to their settings. The aim of this review was to examine the nature and outcomes of studies examining telehealth assessment and/or intervention in ASD.

METHOD

A systematic search of the literature was undertaken, with 14 studies meeting inclusion criteria. The authors extracted information from each included article, including participant characteristics, technology used, measures and reported outcomes. Quality review of articles was undertaken.

RESULT

The 284 participants with ASD across the 14 included studies ranged in age from 19 months to adulthood. The quality of the studies varied. A range of services were provided via telehealth, including diagnostic assessments, early intervention and language therapy. Results suggested that services delivered via telehealth were equivalent to services delivered face to face, and superior to comparison groups without telehealth sessions.

CONCLUSION

The findings suggest there may be a range of benefits in using telehealth with individuals with ASD, their families, and teachers. Further research, however, is required particularly regarding the use of telehealth directly with children with ASD for assessment and intervention.

摘要

目的

对远程医疗与自闭症谱系障碍(ASD)的研究兴趣日益增长。有必要对文献进行综述,以便言语语言病理学家(SLP)和其他服务提供者考虑其在各自环境中的适用性。本综述的目的是研究考察远程医疗在ASD评估和/或干预方面的研究性质及结果。

方法

对文献进行系统检索,有14项研究符合纳入标准。作者从每篇纳入文章中提取信息,包括参与者特征、使用的技术、测量方法和报告的结果。对文章进行质量评估。

结果

14项纳入研究中的284名ASD参与者年龄从19个月到成年不等。研究质量参差不齐。通过远程医疗提供了一系列服务,包括诊断评估、早期干预和语言治疗。结果表明,通过远程医疗提供的服务等同于面对面提供的服务,且优于没有远程医疗环节的对照组。

结论

研究结果表明,对患有ASD的个体、其家庭和教师使用远程医疗可能有一系列益处。然而,需要进一步研究,特别是关于直接对患有ASD的儿童使用远程医疗进行评估和干预的情况。

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