确定干预金额和年轻自闭症儿童的结果之间的关联:一个元分析
Micheal Sandbank1, James E Pustejovsky2, Kristen Bottema-Beutel3
1Department of Health Sciences, The University of North Carolina at Chapel Hill, Chapel Hill.
JAMA pediatrics
|June 24, 2024
概括
这次元分析没有发现任何证据表明,增加自闭症儿童早期干预的数量可以改善结果. 由于支持研究有限,卫生专业人员应该重新考虑推密集干预措施.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 儿科 儿科 儿科
背景情况:
- 强化早期干预 (20-40小时/周) 通常建议自闭症儿童.
- 然而,支持这些密集方法的证据有限,而且通常在方法上有缺陷.
研究的目的:
- 研究不同措施的干预强度之间的关联及其对幼儿自闭症发育结果的影响.
- 这项研究旨在澄清干预量与其有效性之间的关系.
主要方法:
- 对144项涉及9038名自闭症儿童 (8岁及以下) 的研究进行了元分析.
- 超回归模型分析了干预量 (每日强度,持续时间,累积强度) 和效果大小之间的关联,控制了各种研究和参与者因素.
主要成果:
- 在不同类型的干预中,干预金额和干预效应大小的任何指标之间没有发现显著的积极关联.
- 调查结果表明,增加干预量并不一定会带来更大的发展收益.
结论:
- 目前的证据不支持声称更密集的早期干预措施能为自闭症儿童带来更好的结果.
- 医疗保健提供者在推密集干预计划时应该意识到有限的强有力的证据基础.
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