Gitimoghaddam Mojgan, Chichkine Natalia, McArthur Laura, Sangha Sarabjit S, Symington Vivien
University of British Columbia Faculty of Medicine, Vancouver, British Columbia Canada.
Club Aviva Recreation Ltd., Coquitlam, British Columbia Canada.
Perspect Behav Sci. 2022 May 18;45(3):521-557. doi: 10.1007/s40614-022-00338-x. eCollection 2022 Sep.
This manuscript provides a comprehensive overview of the impact of applied behavior analysis (ABA) on children and youth with autism spectrum disorders (ASD). Seven online databases and identified systematic reviews were searched for published, peer-reviewed, English-language studies examining the impact of ABA on health outcomes. Measured outcomes were classified into eight categories: cognitive, language, social/communication, problem behavior, adaptive behavior, emotional, autism symptoms, and quality of life (QoL) outcomes. Improvements were observed across seven of the eight outcome measures. There were no included studies that measured subject QoL. Moreover, of 770 included study records, only 32 (4%) assessed ABA impact, had a comparison to a control or other intervention, and did not rely on mastery of specific skills to mark improvement. Results reinforce the need for large-scale prospective studies that compare ABA with other non-ABA interventions and include measurements of subject QoL to provide policy makers with valuable information on the impacts of ABA and other existing and emerging interventions.
The online version contains supplementary material available at 10.1007/s40614-022-00338-x.
本手稿全面概述了应用行为分析（ABA）对自闭症谱系障碍（ASD）儿童和青少年的影响。我们检索了七个在线数据库以及已识别的系统评价，以查找已发表的、经过同行评审的英文研究，这些研究考察了ABA对健康结局的影响。测量的结局分为八类：认知、语言、社交/沟通、问题行为、适应性行为、情绪、自闭症症状和生活质量（QoL）结局。在八项结局指标中的七项上观察到了改善。没有纳入测量受试者生活质量的研究。此外，在770条纳入的研究记录中，只有32条（4%）评估了ABA的影响，与对照或其他干预措施进行了比较，并且不依赖于特定技能的掌握来标记改善情况。结果强化了开展大规模前瞻性研究的必要性，这些研究将ABA与其他非ABA干预措施进行比较，并纳入受试者生活质量的测量，以便为政策制定者提供有关ABA以及其他现有和新兴干预措施影响的有价值信息。
在线版本包含可在10.1007/s40614-022-00338-x获取的补充材料。
