Shonkoff J P, Hauser-Cram P
Department of Pediatrics, University of Massachusetts Medical School, Worcester 01605.
Pediatrics. 1987 Nov;80(5):650-8.
In an evaluation of 31 selected studies, statistical procedures for synthesizing data (meta-analysis) were used to assess the effects of early intervention services on disabled children younger than 3 years of age and on their families. Results indicate that early intervention is effective in promoting developmental progress in infants and toddlers with biologically based disabilities. Programs that served a heterogeneous group of children, provided a structured curriculum, and targeted their efforts on parents and children together appeared to be the most effective. Definitive evaluation of the efficacy of early intervention programs is tempered by the restricted range of outcomes measured and by a paucity of information about the children and families enrolled in such programs, as well as about the specific nature of the services received. Despite their limitations, available data provide the basis for a rational pediatric approach to early intervention programs, while highlighting specific directions for further investigation.
在对31项选定研究的评估中，采用了数据综合统计程序（荟萃分析）来评估早期干预服务对3岁以下残疾儿童及其家庭的影响。结果表明，早期干预对于促进患有先天性残疾的婴幼儿的发育进程是有效的。服务于不同类型儿童群体、提供结构化课程并且同时针对家长和儿童开展工作的项目似乎最为有效。由于所测量结果的范围有限，以及关于参与此类项目的儿童和家庭的信息匮乏，包括所接受服务的具体性质，早期干预项目疗效的确切评估受到了影响。尽管存在局限性，但现有数据为合理的儿科早期干预项目方法提供了依据，同时也突出了进一步研究的具体方向。
