Shang Chuang, Xie Wei, Zeng Jinpeng, Osman Nour, Sun Caihong, Zou Mingyang, Wang Jianli, Wu Lijie
Department of Children's and Adolescent Health, Public Health College, Harbin Medical University, Harbin, China.
Department of Community Health and Epidemiology, Centre for Clinical Research, Halifax, NS, Canada.
Psychiatry Investig. 2024 Sep;21(9):925-937. doi: 10.30773/pi.2023.0399. Epub 2024 Aug 20.
Autism spectrum disorder (ASD) is a neurodevelopmental disorder with onset in infancy. Early intervention is critical to improve the prognosis for these children. E-health interventions have tremendous potential. This review aimed to determine the status and effectiveness of family interventions for parents of children aged 0-6 years with ASD in the context of e-health.
The review methodology was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. PubMed, Web of Science, and China National Knowledge Infrastructure were searched from inception to June 2022. The searches were limited to children with ASD of the age range between 0 and 6 years. We collated the available information and used descriptive statistics to analyze the synthesized data.
Our initial search identified 3,672 articles, of which 30 studies met the inclusion criteria. The 30 articles selected were released between 2012 and 2022. All articles are in English. Most articles reviewed were from high-income countries (27/30, 90.0%), especially from the United States (16/30, 53.3%). Four major themes emerged from the 30 studies that matched the inclusion criteria, as follows: 1) type of e-health interventions, 2) duration of interventions, 3) clinical aspects of e-health interventions, and 4) evidence for intervention effectiveness, looking into the positive, negative, and mixed findings of previous studies.
These findings suggest that a wide variety of e-health interventions may actually help support both children with ASD aged 0-6 years and their parents.
自闭症谱系障碍（ASD）是一种始于婴儿期的神经发育障碍。早期干预对于改善这些儿童的预后至关重要。电子健康干预具有巨大潜力。本综述旨在确定在电子健康背景下针对0至6岁ASD儿童家长的家庭干预的现状和效果。
本综述方法遵循系统评价和Meta分析扩展版的首选报告项目（PRISMA-ScR）。从数据库建库至2022年6月，检索了PubMed、科学网和中国知网。检索限于年龄在0至6岁的ASD儿童。我们整理了可用信息，并使用描述性统计分析综合数据。
我们的初步检索识别出3672篇文章，其中30项研究符合纳入标准。所选的30篇文章发表于2012年至2022年之间。所有文章均为英文。大多数综述文章来自高收入国家（27/30，90.0%），尤其是美国（16/30，53.3%）。30项符合纳入标准的研究中出现了四个主要主题，如下：1）电子健康干预类型，2）干预持续时间，3）电子健康干预的临床方面，4）干预效果的证据，审视以往研究的阳性、阴性和混合结果。
这些发现表明，各种各样的电子健康干预实际上可能有助于支持0至6岁的ASD儿童及其家长。
