Non-Pharmacological Interventions for Autistic Children: An Umbrella Review

Autor/inn/en	Trembath, David; Varcin, Kandice; Waddington, Hannah; Sulek, Rhylee; Bent, Cathy; Ashburner, Jill; Eapen, Valsamma; Goodall, Emma; Hudry, Kristelle; Roberts, Jacqueline; Silove, Natalie; Whitehouse, Andrew
Titel	Non-Pharmacological Interventions for Autistic Children: An Umbrella Review
Quelle	In: Autism: The International Journal of Research and Practice, 27 (2023) 2, S.275-295 (21 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Trembath, David) ORCID (Waddington, Hannah) ORCID (Sulek, Rhylee) ORCID (Bent, Cathy) ORCID (Eapen, Valsamma) ORCID (Hudry, Kristelle)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613221119368
Schlagwörter	Autism Spectrum Disorders; Outcomes of Treatment; Children; Behavior Modification; Cognitive Restructuring; Evidence Based Practice; Program Effectiveness; Delivery Systems; Caregivers; Early Intervention; Federal Programs; Social Services + Suchen Sie Ihr Suchwort? Autism; Autismus; Child; Kind; Kinder; Behaviour modification; Verhaltensänderung; Auslieferung; Caregiver; Carer; Betreuungsperson; Pfleger; Social service; Soziale Dienstleistung; Soziale Dienste
Abstract	The breadth of available non-pharmacological interventions for autistic children, with varying evidence for efficacy summarised in multiple systematic reviews, creates challenges for parents, practitioners, and policymakers in navigating the research evidence. In this article, we report the findings of an umbrella review of 58 systematic reviews of non-pharmacological interventions for autistic children (aged 0-12 years). Positive therapeutic effects were identified for "Behavioural interventions," "Developmental interventions," "Naturalistic Developmental Behavioural Interventions," "Technology-based interventions," and "Cognitive Behaviour Therapy" across several child and family outcomes. Positive effects for certain practices within "Sensory-based interventions" and 'other' interventions were limited to select child and family outcomes. Both inconsistent and null intervention effects were found for "Treatment and Education of Autistic and related Communication-handicapped Children," and "Animal-assisted interventions" across outcomes. The possible influence of child (chronological age, core autism characteristics, and related skills) and delivery (agent, mode, format, and amount) characteristics on intervention effects was rarely examined, and inconsistent where reported. Twenty-seven systematic reviews (47%) were rated as 'high' quality. Few systematic reviews examined children's participation and quality of life or adverse effects. The findings highlight the need for individualised evidence-based decision-making when selecting interventions for autistic children. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01