Reshmi Mohanan, Kadiyali D Veena, Shradha S Parsekar, Monica L Bellon-Harn, Venkataraja U Aithal
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引用次数: 0
Abstract
Purpose: This systematic review assessed the impact of video-based instruction with additional intervention components on autistic children's conversational skills.
Method: Single-subject multiple-baseline design studies from 2000 to 2022 were included. Studies were identified through searches of six databases, other sources, and forward and backward citation tracking. Two authors, independently, conducted screening, quality assessment, and data extraction using the What Works Clearinghouse standards. Results were analyzed using percentage of nonoverlapping data (PND), percentage of data exceeding the median (PEM), and percentage of all nonoverlapping data (PAND) and compared with baseline and intervention phase means.
Results: Seventeen studies were included, all conducted in a Western context, involving 47 autistic children. Interventions varied in type and additional components, duration, frequency, and number of sessions. PEM measures (0.7-1) and phase means were more sensitive in determining intervention effectiveness, while PND and PAND (0.3-0.5) suggested underestimation.
Conclusion: Despite positive outcomes, research gaps remain in examining treatment effects across diverse cultural contexts and determining optimal intervention intensity.
Registration: The review has been registered with PROSPERO (CRD42020212580).
目的：本系统综述评估了视频教学与附加干预成分对自闭症儿童会话技能的影响。方法：纳入2000 - 2022年的单受试者多基线设计研究。通过检索六个数据库、其他来源以及前后引文跟踪来确定研究。两位作者独立地使用What Works Clearinghouse标准进行筛选、质量评估和数据提取。使用非重叠数据的百分比（PND）、超过中位数数据的百分比（PEM）和所有非重叠数据的百分比（PAND）对结果进行分析，并与基线和干预阶段均值进行比较。结果：纳入了17项研究，全部在西方环境下进行，涉及47名自闭症儿童。干预措施在类型和附加成分、持续时间、频率和治疗次数方面各不相同。PEM测量值（0.7-1）和阶段均值在确定干预效果方面更为敏感，而PND和PAND（0.3-0.5）表明低估了干预效果。结论：尽管取得了积极的结果，但在检查不同文化背景下的治疗效果和确定最佳干预强度方面，研究差距仍然存在。注册：本研究已在普洛斯彼罗注册（CRD42020212580）。补充资料：https://doi.org/10.23641/asha.28789424。
期刊介绍：
Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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