Department of Education, University of York, York, United Kingdom.
PLoS One. 2022 Aug 15;17(8):e0270153. doi: 10.1371/journal.pone.0270153. eCollection 2022.
Early years interventions have shown to be effective in improving the social communication and language skills of autistic children. Therefore, various play-based interventions have been developed to support those developmental areas of autistic children. Although researchers have previously reported the overall effectiveness of different types of play-based interventions on the social communication and language skills of autistic children, no previous systematic reviews have yet evaluated the effectiveness of parent-mediated play-based interventions in preschool autistic children. The overarching aims of the study will be to (i) report the key characteristics and (ii) synthesise the results of studies evaluating parent-mediated play-based interventions targeting the social communication and language skills of preschool autistic children using experimental designs. A comprehensive search for and screening of the relevant studies published between 2000 and 2021 will be undertaken. To be included, studies will have to (i) use either a randomised control trial or quasi-experimental design, (ii) focus on preschool autistic children aged six years old or younger, (iii) deliver a play-based intervention in non-educational settings, and (iv) include at least one parent as the mediator of the intervention. Data extraction of all included studies will be undertaken using a specially devised template and they will also be assessed for risk of bias using an adapted form from the Cochrane Risk of Bias tool. The overall characteristics of the included studies will be reported and a narrative synthesis of the results of the included studies will be undertaken. A meta-analysis may be performed (if justified) to report the pooled effect size of the parent-mediated play-based interventions on the social communication and language skills of preschool autistic children. Trial registration: The current study protocol was pre-registered with the international prospective register of systematic reviews (PROSPERO: CRD42022302220).
早期干预已被证明能有效提高自闭症儿童的社交沟通和语言技能。因此,开发了各种基于游戏的干预措施来支持自闭症儿童的这些发展领域。尽管研究人员之前已经报告了不同类型的基于游戏的干预措施对自闭症儿童社交沟通和语言技能的总体有效性,但尚未有系统评价评估针对学龄前自闭症儿童的家长介导的基于游戏的干预措施的有效性。该研究的总体目标将是:(i)报告关键特征;(ii)综合评估使用实验设计针对学龄前自闭症儿童社交沟通和语言技能的家长介导的基于游戏的干预措施的研究结果。将对 2000 年至 2021 年期间发表的相关研究进行全面搜索和筛选。要包括在内,研究必须:(i)使用随机对照试验或准实验设计;(ii)关注年龄在六岁或以下的学龄前自闭症儿童;(iii)在非教育环境中提供基于游戏的干预措施;(iv)至少有一名家长作为干预措施的中介。将使用专门设计的模板对所有纳入研究进行数据提取,并使用 Cochrane 偏倚风险工具改编的形式对纳入研究进行偏倚风险评估。将报告纳入研究的总体特征,并对纳入研究的结果进行叙述性综合。如果合理,可能会进行荟萃分析以报告家长介导的基于游戏的干预措施对学龄前自闭症儿童社交沟通和语言技能的综合效应大小。试验注册:本研究方案已在国际前瞻性系统评价登记册 (PROSPERO: CRD42022302220) 预先注册。