Case Layne, Yun Joonkoo
Oregon State University.
Adapt Phys Activ Q. 2019 Oct 1;36(4):501-526. doi: 10.1123/apaq.2018-0174. Epub 2019 Sep 13.
Despite the rising interest in intervention for children with autism spectrum disorder, the extent to which interventions are effective on gross motor outcomes is currently unknown. The purpose of this study was to analyze the effect of different intervention approaches on gross motor outcomes among children with autism spectrum disorder using meta-analysis. A total of 18 studies met the inclusion criteria for quantitative analysis. Pre- and posttest means and SDs were extracted to calculate effect sizes. Potential moderator variables were chosen based on important intervention characteristics. The results suggest that interventions have a large effect on gross motor outcomes among children with autism spectrum disorder (δ = 0.99, SE = 0.19, p < .001, 95% confidence interval [0.62, 1.36]). The interventions that were 16 total hours or longer had a significantly larger effect than those less than 16 hr. In addition, the interventions in experimental settings had significantly larger effects than the interventions in practical settings. Future interventions should consider intensity, including not only the duration of the intervention but also the intensity in which specific intervention goals are targeted.
尽管人们对自闭症谱系障碍儿童的干预措施越来越感兴趣，但目前尚不清楚这些干预措施对粗大运动结果的有效程度。本研究的目的是通过荟萃分析来分析不同干预方法对自闭症谱系障碍儿童粗大运动结果的影响。共有18项研究符合定量分析的纳入标准。提取前后测均值和标准差以计算效应量。根据重要的干预特征选择潜在的调节变量。结果表明，干预措施对自闭症谱系障碍儿童的粗大运动结果有很大影响（δ = 0.99，SE = 0.19，p < .001，95%置信区间[0.62, 1.36]）。总时长为16小时或更长时间的干预措施比少于16小时的干预措施效果显著更大。此外，实验环境中的干预措施比实际环境中的干预措施效果显著更大。未来的干预措施应考虑强度，不仅包括干预的持续时间，还包括针对特定干预目标的强度。
