Alarifi Shahad, Denne Louise, Alatifi Nouf, Hastings Richard P
Centre for Research in Intellectual and Developmental Disabilities (CIDD), University of Warwick, Coventry, UK.
Special Education Department, College of Education, Imam Mohammad Ibn Saud Islamic University, Riyadh, Kingdom of Saudi Arabia.
J Appl Res Intellect Disabil. 2024 Mar;37(2):e13205. doi: 10.1111/jar.13205.
Arabs with intellectual disabilities and/or autism may exhibit challenging behaviour that affects them and their caregivers. Early, appropriate intervention may reduce these effects. This review synthesised and critically appraised challenging behaviour intervention research for this population.
All published empirical research on challenging behaviour interventions for Arabs with intellectual disabilities and/or autism was included. In September 2022, 15 English and Arabic databases yielded 5282 search records. Studies were appraised using the MMAT. Review findings were narratively synthesised.
The 79 included studies (n = 1243 participants) varied in design, intervention, and evaluation method. Only 12.6% of interventions were well-designed and reported. Arab interventions primarily targeted children, were applied collectively on small samples, lacked individualised assessment, and were based on an inconsistent understanding of challenging behaviour.
The evidence base on interventions for Arabs with intellectual disabilities and/or autism and challenging behaviour needs strengthening. Attention should be given to culturally relevant adaptations.
患有智力残疾和/或自闭症的阿拉伯人可能会表现出具有挑战性的行为，这会对他们自身及其照顾者产生影响。早期的适当干预可能会减少这些影响。本综述综合并批判性地评估了针对这一人群的具有挑战性的行为干预研究。
纳入了所有已发表的关于对患有智力残疾和/或自闭症的阿拉伯人的具有挑战性的行为干预的实证研究。2022年9月，15个英文和阿拉伯文数据库产生了5282条搜索记录。使用MMAT对研究进行评估。对综述结果进行了叙述性综合。
纳入的79项研究（n = 1243名参与者）在设计、干预和评估方法上各不相同。只有12.6%的干预措施设计良好且有报告。针对阿拉伯人的干预主要针对儿童，在小样本上集体应用，缺乏个性化评估，并且基于对具有挑战性的行为的不一致理解。
关于对患有智力残疾和/或自闭症的阿拉伯人以及具有挑战性的行为的干预的证据基础需要加强。应关注与文化相关的调整。
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