Initiative for Non-Communicable Diseases, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Department of Pediatrics, Division of Developmental Medicine, University of California San Francisco, San Francisco, CA, United States of America.
PLoS One. 2021 Mar 11;16(3):e0247432. doi: 10.1371/journal.pone.0247432. eCollection 2021.
Parent-mediated programmes have been found to be cost effective for addressing the needs of the children and adolescents with Neurodevelopmental Disorders (NDD) in high-income countries. We explored the impact of parent-mediated intervention programmes in South Asia, where the burden of NDD is high.
A systematic review was conducted using the following databases; PUBMED, MEDLINE, PsycINFO, Google Scholar and Web of Science. Predefined MeSH terms were used, and articles were included if published prior to January 2020. Two independent researchers screened the articles and reviewed data.
The review included studies that targeted children and adolescents between 1 and 18 years of age diagnosed with any of four specific NDDs that are commonly reported in South Asia; Autism Spectrum Disorder (ASD), Intellectual Disability (ID), Attention Deficit Hyperactivity Disorder (ADHD) and Cerebral Palsy (CP). Studies that reported on parent or child outcomes, parent-child interaction, parent knowledge of NDDs, or child activities of daily living were included for full text review.
A total of 1585 research articles were retrieved and 23 studies met inclusion criteria, including 9 Randomized Controlled Trials and 14 pre-post intervention studies. Of these, seventeen studies reported effectiveness, and six studies reported feasibility and acceptability of the parent-mediated interventions. Three studies demonstrated improved parent-child interaction, three studies demonstrated improved child communication initiations, five studies reported improved social and communication skills in children, four studies demonstrated improved parental knowledge about how to teach their children, and four studies reported improved motor and cognitive skills, social skills, language development, learning ability, or academic performance in children.
This systematic review of 23 studies demonstrated improvements in parent and child skills following parent-mediated intervention in South Asia. Additional evaluations of locally customized parent-mediated programmes are needed to support development of feasible interventions for South Asian countries.
已发现，家长介导的计划对于满足高收入国家神经发育障碍（NDD）儿童和青少年的需求具有成本效益。我们探讨了家长介导的干预计划在南亚的影响，南亚的 NDD 负担很重。
使用以下数据库进行系统评价：PUBMED、MEDLINE、PsycINFO、Google Scholar 和 Web of Science。使用预定义的 MeSH 术语，如果文章发表于 2020 年 1 月之前，则将其纳入。两名独立研究人员筛选文章并审查数据。
该综述包括针对年龄在 1 至 18 岁之间、被诊断为南亚常见的四种特定 NDD 之一的儿童和青少年的研究；自闭症谱系障碍（ASD）、智力残疾（ID）、注意力缺陷多动障碍（ADHD）和脑瘫（CP）。报告家长或儿童结局、亲子互动、家长对 NDD 的了解或儿童日常生活活动的研究被纳入全文审查。
共检索到 1585 篇研究文章，23 项研究符合纳入标准，包括 9 项随机对照试验和 14 项干预前后研究。其中，17 项研究报告了有效性，6 项研究报告了家长介导干预的可行性和可接受性。三项研究显示亲子互动得到改善，三项研究显示儿童沟通发起得到改善，五项研究报告儿童社交和沟通技能得到改善，四项研究显示父母对如何教孩子的知识得到改善，四项研究报告儿童运动和认知技能、社交技能、语言发展、学习能力或学业成绩得到改善。
对 23 项研究的系统评价表明，在南亚，家长介导干预后家长和儿童的技能得到了提高。需要对本地定制的家长介导计划进行更多评估，以支持为南亚国家制定可行的干预措施。
