Feasibility and Effectiveness of Very Early Intervention for Infants At-Risk for Autism Spectrum Disorder: A Systematic Review
Feasibility and Effectiveness of Very Early Intervention for Infants At-Risk for Autism Spectrum Disorder: A Systematic Review
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DOI：
10.1007/s10803-014-2235-2
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发表时间：
2015-03-01
影响因子：
3.9
通讯作者：
Koegel, Lynn Kern
中科院分区：
文献类型：
--
作者：
Bradshaw, Jessica;Steiner, Amanda Mossman;Koegel, Lynn Kern
婴儿期自闭症谱系障碍（ASD）的早期检测方法正在迅速发展，但对两岁以下患有ASD或有ASD风险的婴儿的干预措施的发展仍然有限。为了指导研究和实践，本文系统地回顾了对24个月以下患有ASD或有ASD风险的婴儿进行干预的研究。确定了9项研究，并对这些研究进行了评价：（a）参与者，（B）干预方法，（c）实验设计和（d）结果。收集家长措施的研究报告了积极的结果，家长的可接受性，满意度和改善家长实施的治疗。在大多数回顾的研究中，干预后观察到婴儿的社交沟通和发展技能有所提高，而与常规治疗对照组的比较阐明了进一步研究的必要性。这些研究强调了早期干预的可行性，并提供了初步证据，表明对高危婴儿进行干预可能对婴儿和父母有益。
Early detection methods for autism spectrum disorder (ASD) in infancy are rapidly advancing, yet the development of interventions for infants under two years with or at-risk for ASD remains limited. In order to guide research and practice, this paper systematically reviewed studies investigating interventions for infants under 24 months with or at-risk for ASD. Nine studies were identified and evaluated for: (a) participants, (b) intervention approach (c) experimental design, and (d) outcomes. Studies that collected parent measures reported positive findings for parent acceptability, satisfaction, and improvement in parent implementation of treatment. Infant gains in social-communicative and developmental skills were observed following intervention in most of the reviewed studies, while comparisons with treatment-as-usual control groups elucidate the need for further research. These studies highlight the feasibility of very early intervention and provide preliminary evidence that intervention for at-risk infants may be beneficial for infants and parents.