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Implementation and Effectiveness of Non-Specialist Mediated Interventions for Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis

45 Pages Posted: 10 Dec 2018

See all articles by Sadiq Naveed

Sadiq Naveed

KVC Health Systems

Ahmed Waqas

Human Development Research Foundation (HDRF)

Afshan Naz Amray

Dow University of Health Sciences

Raheel Imtiaz Memon

Henry Ford Allegiance Health

Nisma Javed

Services Institute of Medical Sciences

Muhammad Annas Tahir

Kingsbrook Jewish Medical Center

Sherief Ghozy

El-Sheikh Zayed Specialized Hospital

Nusrat Jahan

Rush University - Medical Center

Anum Saeed Khan

Westchester Medical Center

Atif Rahman

University of Liverpool - Institute of Psychology, Health and Society

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Abstract

Background: Several psychological interventions are used to address the communication and social skill deficits among children with Autism Spectrum Disorders. These interventions have shown an improvement in social skills and communication among these children. This systematic review and meta-analysis aims to assess the effectiveness and quality of evidence for these interventions using the GRADE recommendations.

Methods: An academic search was conducted in eight electronic databases including PubMed, Scopus and Web of Science, through April, 2017. Randomized controlled trials assessing the effectiveness of non-specialist psychological interventions were included, without any restriction to age, sex, language and year of publication. Outcomes pertaining to communication and social skills and caregiver-child relationship were introduced in the meta-analysis when reported in > 2 studies.

Results: A total of 22 studies were published post-2010 while only 2 were published prior to it. A significant improvement was noted in adaptive behaviors (SMD=0.60); child anxiety (SMD= 0.59); communication (SMD= 0.226); joint engagement (SMD= 0.67); motor skills (SMD=0.24); parental distress (SMD=0.48); parental self-efficacy (SMD= 0.49); parent-child relationship (SMD=0.67); repetitive behaviors (SMD= 0.33); self-regulation (SMD=0.54); social skills (SMD=0.53); symptom severity (SMD=0.51) and visual reception (SMD= 0.29), while no significant improvement was noted in child distress (SMD=0.158) and joint attention (SMD=0.17).

Interpretation: Non-specialist mediated interventions for autism spectrum disorders demonstrate effectiveness across a range of outcomes for the children and their caregivers. A majority of clinical trials had a low risk of bias and the quality of evidence across outcomes ranged from very low to high.

Funding: None.

Declaration of Interest: The authors declare that they have no conflict of interests.

Ethical Approval: Not applicable.

Keywords: Autism; non-specialist; psychological interventions; mediated

Suggested Citation

Naveed, Sadiq and Waqas, Ahmed and Amray, Afshan Naz and Memon, Raheel Imtiaz and Javed, Nisma and Tahir, Muhammad Annas and Ghozy, Sherief and Jahan, Nusrat and Khan, Anum Saeed and Rahman, Atif, Implementation and Effectiveness of Non-Specialist Mediated Interventions for Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis (March 12, 2018). Available at SSRN: https://ssrn.com/abstract=3296670

Sadiq Naveed

KVC Health Systems ( email )

Kansas
United States

Ahmed Waqas (Contact Author)

Human Development Research Foundation (HDRF) ( email )

Rawalpindi
Pakistan

Afshan Naz Amray

Dow University of Health Sciences ( email )

Baba-E-Urdu Road
Karachi, 74200
India

Raheel Imtiaz Memon

Henry Ford Allegiance Health ( email )

Jackson, MI
United States

Nisma Javed

Services Institute of Medical Sciences ( email )

Lahore
Pakistan

Muhammad Annas Tahir

Kingsbrook Jewish Medical Center ( email )

585 Schenectady Ave
Brooklyn, NY 11203
United States

Sherief Ghozy

El-Sheikh Zayed Specialized Hospital ( email )

Giza
Egypt

Nusrat Jahan

Rush University - Medical Center ( email )

Health Systems Management
1700 West Van Buren Street, TOB Suite 126B
Chicago, IL
United States

Anum Saeed Khan

Westchester Medical Center

Valhalla, NY

Atif Rahman

University of Liverpool - Institute of Psychology, Health and Society ( email )

Liverpool
United Kingdom

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