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为自闭症儿童确定最佳干预量的循证框架。

An evidence-based framework for determining the optimal amount of intervention for autistic children.

机构信息

Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.

Faculty of Education, Victoria University of Wellington, Wellington, New Zealand.

出版信息

Lancet Child Adolesc Health. 2021 Dec;5(12):896-904. doi: 10.1016/S2352-4642(21)00285-6. Epub 2021 Oct 19.

Abstract

The provision of timely, effective, and socially valid non-pharmacological intervention is at the core of efforts to support the development of young autistic children. These efforts are intended to support children to develop skills, empower their caregivers, and lay the foundation for optimal choice, independence, and quality of life into adulthood. But what is the optimal amount of intervention? In this Viewpoint, we review current guidelines and consider evidence from an umbrella review of non-pharmacological interventions for autistic children aged up to 12 years. We show the lack of consensus on the issue, identify factors that might be relevant to consider, and present an evidence-based framework for determining the optimal amount of intervention for each child, along with recommendations for future research.

摘要

及时、有效和具有社会效度的非药物干预是支持自闭症儿童发展的核心努力。这些努力旨在支持儿童发展技能,增强照顾者的能力,并为他们成年后做出最佳选择、实现独立和提高生活质量奠定基础。但是,最佳干预量是多少呢?在本观点文章中,我们回顾了当前的指南,并考虑了对 12 岁以下自闭症儿童的非药物干预措施进行的伞式综述的证据。我们展示了在这个问题上缺乏共识,并确定了可能相关的考虑因素,并提出了一个基于证据的框架,用于确定每个孩子的最佳干预量,并提出了未来研究的建议。

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