Aydin Orhan, Sulu Mehmet D, Ari-Arat Ceren
Faculty of Education, Erzincan Binali Yildirim University, 24000, Erzincan, Türkiye.
Educational Leadership and Advanced Studies, Northern Kentucky University, Highland Heights, KY, 41099, USA.
J Autism Dev Disord. 2024 May 6. doi: 10.1007/s10803-024-06355-w.
The current study aimed to conduct a systematic review and meta-analysis of self-management interventions for teaching daily living skills to autistic individuals. This study accessed the corresponding studies by doing a search in six databases. 14 articles and one dissertation met the inclusion criteria. The included studies were first analyzed descriptively and coded according to quality indicators using What Works Clearinghouse (WWC) standards. Second, the effect sizes of the included studies were calculated using two different effect size measures (i.e., Tau-U and performance-criteria-based effect size values [PCES]). Third, these analyses were also conducted for generalization and maintenance data. Of 15 studies included in this review, nine met the WWC standards with and without reservations. Tau-U analyses were conducted for 14 studies, whereas PCES values were calculated for only eight studies with mastery criteria. The findings indicated that the self-management interventions had a .93 CI (.80, 1) overall effect size for Tau-U with a very large effect. On the other hand, the overall effect size for the PCES values indicated a moderate effect with .99. The weighted effect sizes in generalization and maintenance phases were very large for Tau-U; however, moderate to high effects for PCES. Although self-management interventions showed diversity, one of the domains of daily living skills (i.e., community living skills) has not been studied in the field. Notably, among the studies in our review, the last ones are from 2019. Detailed findings from descriptive analyses and two different effect size calculations are discussed, and recommendations for future studies are given.
本研究旨在对自闭症患者日常生活技能教学的自我管理干预措施进行系统评价和荟萃分析。本研究通过在六个数据库中进行检索来获取相应的研究。14篇文章和1篇论文符合纳入标准。纳入的研究首先进行描述性分析，并根据有效信息交换所（WWC）标准按照质量指标进行编码。其次，使用两种不同的效应量测量方法（即Tau-U和基于绩效标准的效应量值[PCES]）计算纳入研究的效应量。第三，还对推广和维持数据进行了这些分析。在本综述纳入的15项研究中，9项完全或部分符合WWC标准。对14项研究进行了Tau-U分析，而仅对8项有掌握标准的研究计算了PCES值。研究结果表明，自我管理干预措施的Tau-U总体效应量为0.93（可信区间为0.80，1），具有非常大的效应。另一方面，PCES值的总体效应量为0.99，表明为中等效应。Tau-U在推广和维持阶段的加权效应量非常大；然而，PCES为中等至高效应。尽管自我管理干预措施呈现出多样性，但日常生活技能的一个领域（即社区生活技能）在该领域尚未得到研究。值得注意的是，在我们综述的研究中，最新的研究来自2019年。讨论了描述性分析和两种不同效应量计算的详细结果，并给出了对未来研究的建议。
