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Considerations for developing syndrome-informed early interventions for children with neurogenetic conditions
Silvia Lanfranchi1, Sara Onnivello1, Madison Walsh2
1Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy.
Insights
Personalized interventions for neurogenetic conditions can be improved by using syndrome-informed approaches. This review highlights community engagement, cross-national validity, and adaptive designs for maximizing intervention utility in children with Down syndrome.
Area of Science:
- Neuroscience
- Genetics
- Developmental Psychology
Background:
- Early identification of phenotypic patterns in neurogenetic conditions enables personalized interventions.
- Novel 'syndrome-informed' interventions require principles for broad utility across affected children.
Purpose of the Study:
- To examine principles for developing effective and widely applicable syndrome-informed interventions.
- To present a case example of these principles in an executive function intervention for young children with Down syndrome.
Main Methods:
- Review of dimensions for intervention development: community-engaged frameworks, cross-national validity, and adaptive intervention designs.
- Case example: EXPO, an executive function intervention for young children with Down syndrome.
Main Results:
- Community engagement ensures intervention feasibility and acceptability.
- Cross-national validity and adaptive designs enhance intervention reach and tailoring.
- The EXPO intervention demonstrates the application of these principles for Down syndrome.
Conclusions:
- Syndrome-informed interventions should integrate community engagement, cross-national validity, and adaptive designs.
- These principles can optimize intervention pathways for children with neurogenetic conditions.
- Future intervention development can benefit from these evidence-based strategies.
Abstract:
New insights regarding the early emergence of phenotypic patterns of strength and challenge in neurogenetic conditions afford the possibility of personalized, anticipatory intervention approaches. The development of novel 'syndrome-informed' interventions, however, should incorporate principles that will maximize the utility of intervention activities for as many children with a given neurogenetic condition as possible. This review examines several of these dimensions, including the use of community-engaged frameworks to ensure feasibility and acceptability of novel interventions; the development of cross-nationally valid approaches that can be readily translated into other languages and cultural contexts; and the use of adaptive interventions designs that allow for the tailoring of intervention pathways based on key child dimensions. A case example of the use of these principles is presented in the context of EXPO, a novel executive function intervention designed for young children with Down syndrome. Implications for future intervention development are discussed.
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