The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses.
The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses.
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DOI：
10.1186/s12888-020-02973-7
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发表时间：
2020-12-07
期刊：
影响因子：
4.4
通讯作者：
Roy A
中科院分区：
文献类型：
--
作者：
Deb SS;Retzer A;Roy M;Acharya R;Limbu B;Roy A
各种家长培训干预措施已被证明对自闭症儿童的症状有一定效果。我们开展了一项系统的回顾和荟萃分析，以评估父母对自闭症儿童的训练对他们的症状和父母压力的有效性。检索4个电子数据库CINAHL、EMBASE、MEDLINE和emocINFO，直到2020年3月为止，检索相关文献。两名审查员使用资格核对表独立筛选书目，并使用结构化形式提取数据。当有数据可供汇集时，我们也进行了荟萃分析。纳入15项研究的17篇论文进行数据分析。与对照组相比，15篇论文显示出积极的治疗效果，尽管并不总是显著的。Meta分析仅基于每个干预中的两项研究的汇集数据，显示DIR/Floortime、Pivotical Response和Parent Focus培训这三种干预措施的治疗效果分别为轻微到中等。与以前的系统评价一样，分别有三种特定类型的干预措施有轻度到中度的治疗效果。然而，很难就任何干预措施的有效性和普遍性得出任何确定的结论，因为干预措施、对照组、结果衡量标准、样本量小、荟萃分析中的研究数量较少、纳入研究中使用的干预和对照程序之间存在重叠。各国际中心的专家迫切需要共同标准化针对自闭症儿童的家长培训干预，并开展大规模随机对照试验，以评估其临床和经济效果。研究注册处唯一识别码：reviewregistry915。网上版载有补充材料，可在10.1186/s12888-020-02973-7查阅。
Various parent training interventions have been shown to have some effect on the symptoms of children with autism. We carried out a systematic review and meta-analyses to assess effectiveness of parental training for children with autism on their symptoms and parental stress. Four electronic databases, CINAHL, EMBASE, MEDLINE and PsycINFO were searched until March 2020 for relevant literature. Two reviewers independently screened bibliographies using an eligibility checklist and extracted data using a structured proforma. We have also carried out meta-analyses when data were available for pooling. Seventeen papers from 15 studies were included for data analysis. Fifteen papers showed a positive treatment effect when compared with the control group, although not always significant. Meta-analysis based on pooled data from only two studies in each respective intervention, showed small to moderate treatment effects for three interventions, DIR/Floortime, Pivotal Response and Parent focused training respectively. As in previous systematic reviews there was a mild to moderate treatment effects of three specific types of interventions respectively. However, it was difficult to draw any definitive conclusion about the effectiveness and generalisability of any intervention because of the wide variation in the interventions, control groups, outcome measures, small sample size, small number of studies in meta-analysis, overlap between the intervention and control procedures used in the included studies. There is an urgent need for experts in various international centres to jointly standardise a parent training intervention for children with autism and carry out a large scale RCT to assess its clinical and economic effectiveness. Research Registry Unique Identifying Number: reviewregistry915. The online version contains supplementary material available at 10.1186/s12888-020-02973-7.
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影响因子：
6.4
作者：
Drew, A;Baird, G;Charman, T
通讯作者：
Charman, T
DOI：
10.1080/15374416.2017.1381913
发表时间：
2018
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Bradshaw J;Bearss K;McCracken C;Smith T;Johnson C;Lecavalier L;Swiezy N;Scahill L
通讯作者：
Scahill L
影响因子：
8
作者：
Gengoux, Grace W.;Abrams, Daniel A.;Hardan, Antonio Y.
通讯作者：
Hardan, Antonio Y.
DOI：
10.1002/aur.1980
发表时间：
2018-09
期刊：
Autism research : official journal of the International Society for Autism Research
影响因子：
--
作者：
Arnett AB;Rhoads CL;Hoekzema K;Turner TN;Gerdts J;Wallace AS;Bedrosian-Sermone S;Eichler EE;Bernier RA
通讯作者：
Bernier RA
影响因子：
168.9
作者：
Baird, Gillian;Simonoff, Emily;Charman, Tony
通讯作者：
Charman, Tony