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非专业人士介导的干预措施在自闭症谱系障碍儿童中的实施和效果：系统评价和荟萃分析。

Implementation and effectiveness of non-specialist mediated interventions for children with Autism Spectrum Disorder: A systematic review and meta-analysis.

机构信息

Kansas University Medical Center, Kansas City, Kansas, United States of America.

Human Development Research Foundation, Rawalpindi, Pakistan.

出版信息

PLoS One. 2019 Nov 8;14(11):e0224362. doi: 10.1371/journal.pone.0224362. eCollection 2019.

DOI:10.1371/journal.pone.0224362
PMID:31703073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6839885/
Abstract

INTRODUCTION

In recent years, several non-specialist mediated interventions have been developed and tested to address problematic symptoms associated with autism. These can be implemented with a fraction of cost required for specialist delivered interventions. This review represents a robust evidence of clinical effectiveness of these interventions in improving the social, motor and communication deficits among children with autism.

METHODS

An electronic search was conducted in eight academic databases from their inception to 31st December 2018. A total of 31 randomized controlled trials were published post-2010 while only 2 were published prior to it. Outcomes pertaining to communication, social skills and caregiver-child relationship were meta-analyzed when reported in > 2 studies.

RESULTS

A significant improvement was noted in child distress (SMD = 0.55), communication (SMD = 0.23), expressive language (SMD = 0.47), joint engagement (SMD = 0.63), motor skills (SMD = 0.25), parental distress (SMD = 0.33) parental self-efficacy (SMD = 0.42) parent-child relationship (SMD = 0.67) repetitive behaviors (SMD = 0.33), self-regulation (SMD = 0.54), social skills (SMD = 0.53) symptom severity (SMD = 0.44) and visual reception (SMD = 0.29).

CONCLUSION

Non-specialist mediated interventions for autism spectrum disorder demonstrate effectiveness across a range of outcomes for children with autism and their caregivers.

摘要

简介

近年来，已经开发并测试了几种非专业人员介导的干预措施，以解决自闭症相关的问题症状。这些干预措施的实施成本仅为专业人员提供的干预措施所需成本的一小部分。这篇综述代表了这些干预措施在改善自闭症儿童的社交、运动和沟通缺陷方面的临床有效性的有力证据。

方法

从 2018 年 12 月 31 日起，在八个学术数据库中进行了电子检索。共有 31 项随机对照试验在 2010 年后发表，而只有 2 项在之前发表。当报告的研究数量大于 2 时，对与沟通、社交技能和照顾者-儿童关系相关的结果进行了荟萃分析。

结果

儿童痛苦（SMD = 0.55）、沟通（SMD = 0.23）、表达性语言（SMD = 0.47）、联合参与（SMD = 0.63）、运动技能（SMD = 0.25）、父母痛苦（SMD = 0.33）、父母自我效能感（SMD = 0.42）、父母与儿童的关系（SMD = 0.67）、重复行为（SMD = 0.33）、自我调节（SMD = 0.54）、社交技能（SMD = 0.53）、症状严重程度（SMD = 0.44）和视觉接受（SMD = 0.29）均有显著改善。

结论

自闭症谱系障碍的非专业人员介导的干预措施在自闭症儿童及其照顾者的一系列结果中表现出有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca9e/6839885/3545709576d2/pone.0224362.g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca9e/6839885/d7b98b201a53/pone.0224362.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca9e/6839885/3545709576d2/pone.0224362.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca9e/6839885/48a5865a5935/pone.0224362.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca9e/6839885/8cfb660cfc1d/pone.0224362.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca9e/6839885/5b2cb1c82927/pone.0224362.g003.jpg
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