Implementation and effectiveness of non-specialist mediated interventions for children with Autism Spectrum Disorder: A systematic review and meta-analysis

Autor: Ahmed Waqas, Sadiq Naveed, Raheel Imtiaz Memon, Afshan Naz Amray, Nisma Javed, Atif Rahman, Sherief Ghozy, Nusrat Jahan, Anum Saeed Khan, Muhammad Annas Tahir
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Pervasive Developmental Disorders
Autism Spectrum Disorder
Autism
Psychological intervention
Social Sciences
law.invention
Families
0302 clinical medicine
Sociology
Randomized controlled trial
law
Medicine and Health Sciences
Psychology
Child
Children
Randomized Controlled Trials as Topic
Language
Multidisciplinary
Communication
05 social sciences
Social Communication
Professions
Distress
Treatment Outcome
Neurology
Autism spectrum disorder
Meta-analysis
Anxiety
Medicine
medicine.symptom
Research Article
050104 developmental & child psychology
Clinical psychology
Science
Parenting Behavior
Motor Activity
Social Skills
03 medical and health sciences
Developmental Neuroscience
Social skills
medicine
Humans
0501 psychology and cognitive sciences
Behavior
business.industry
Cognitive Psychology
Biology and Life Sciences
Teachers
Publication bias
medicine.disease
Communications
Neurodevelopmental Disorders
Age Groups
Developmental Psychology
People and Places
Cognitive Science
Population Groupings
business
Publication Bias
030217 neurology & neurosurgery
Neuroscience
Zdroj: PLoS ONE, Vol 14, Iss 11, p e0224362 (2019)
PLOS ONE
PLoS ONE
ISSN: 1932-6203
Popis: Background: Several psychological interventions are used to address the communication and social skill deficits among children with Autism Spectrum Disorders. These interventions have shown an improvement in social skills and communication among these children. This systematic review and meta-analysis aims to assess the effectiveness and quality of evidence for these interventions using the GRADE recommendations. Methods: An academic search was conducted in eight electronic databases including PubMed, Scopus and Web of Science, through April, 2017. Randomized controlled trials assessing the effectiveness of non-specialist psychological interventions were included, without any restriction to age, sex, language and year of publication. Outcomes pertaining to communication and social skills and caregiver-child relationship were introduced in the meta-analysis when reported in > 2 studies. Results: A total of 22 studies were published post-2010 while only 2 were published prior to it. A significant improvement was noted in adaptive behaviors (SMD=0.60); child anxiety (SMD= 0.59); communication (SMD= 0.226); joint engagement (SMD= 0.67); motor skills (SMD=0.24); parental distress (SMD=0.48); parental self-efficacy (SMD= 0.49); parent-child relationship (SMD=0.67); repetitive behaviors (SMD= 0.33); self-regulation (SMD=0.54); social skills (SMD=0.53); symptom severity (SMD=0.51) and visual reception (SMD= 0.29), while no significant improvement was noted in child distress (SMD=0.158) and joint attention (SMD=0.17). Interpretation: Non-specialist mediated interventions for autism spectrum disorders demonstrate effectiveness across a range of outcomes for the children and their caregivers. A majority of clinical trials had a low risk of bias and the quality of evidence across outcomes ranged from very low to high. Funding: None. Declaration of Interest: The authors declare that they have no conflict of interests. Ethical Approval: Not applicable.
Databáze: OpenAIRE
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