Kate Freire, Rod Pope, Isabella Size, Kristen Andrews, Emma Fitz-Gerald, Tricia Bowman
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引用次数: 0
摘要
运动干预被认为是未达到发育里程碑的儿童的有效治疗方法。本系统综述综合了有关涉及社会参与因素的运动干预的研究,用于具有复杂发展需求的儿童。系统检索了Academic Search Complete、CINAHL、Emcare、Proquest Theses and dissertation、MEDLINE、Google Scholar等相关研究。在2000年至2021年间以英文发表的符合评审目标的同行评审研究被纳入其中。采用混合方法评价工具对49项符合条件的研究(47项对照试验,2项混合方法,共2355名受试者)的方法学质量进行评价。叙事综合确定了两组研究:第一组纳入了有意的社会参与元素;第二组可能涉及偶然的社会参与。大多数研究的方法学质量为中等或较低。很少测量干预措施对总体身体活动水平的影响。最常报道的是身体状况的短期改善,尤其是运动技能的改善,这是对有复杂发展需求的儿童进行社会锻炼干预的主要好处,这方面的证据是存在的。需要进一步严格的纵向研究来评估社会锻炼干预对这一人群的社会、心理和执行功能的影响。这种干预措施应包括促进会议,使儿童有更多机会达到发展里程碑。
Social exercise interventions for children who have complex developmental needs: A systematic review.
Exercise interventions are identified as effective treatments for children not meeting developmental milestones. This systematic review synthesizes research regarding exercise interventions that involved social participatory elements, for children with complex developmental needs. Academic Search Complete, CINAHL, Emcare, Proquest Theses and Dissertations, MEDLINE, and Google Scholar were searched systematically for relevant studies. Peer-reviewed studies meeting the review aim and published between 2000 and 2021 in English, were included. Methodological quality of 49 eligible studies (47 controlled trials, two mixed methods, total of 2355 participants) was appraised using the Mixed Methods Appraisal Tool. Narrative synthesis identified two groups of studies: Group 1 incorporated intentional social participatory elements; Group 2 likely involved incidental social participation. Most studies were of moderate to low methodological quality. Few measured impacts of interventions upon total physical activity levels. Short-term improvements in physical outcomes - particularly motor skills - were most frequently reported and were the main benefit of social exercise interventions for children with complex developmental needs, for which evidence exists. Further rigorous, longitudinal research is needed to assess social, psychological, and executive function outcomes of social exercise interventions in this population. Such interventions should incorporate booster sessions to provide children with greater opportunity to meet developmental milestones.
期刊介绍:
Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.