Implementation and effectiveness of non-specialist mediated interventions for children with Autism Spectrum Disorder: A systematic review and meta-analysis

Naveed, Sadiq, Waqas, Ahmed ORCID: 0000-0002-3772-194X, Amray, Afshan Naz, Memon, Raheel Imtiaz, Javed, Nisma, Tahir, Muhammad Annas, Ghozy, Sherief, Jahan, Nusrat, Khan, Anum Saeed and Rahman, Atif ORCID: 0000-0002-2066-4467 (2019) Implementation and effectiveness of non-specialist mediated interventions for children with Autism Spectrum Disorder: A systematic review and meta-analysis. PLOS ONE, 14 (11). e0224362-.

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Abstract

<h4>Introduction</h4>In recent years, several non-specialist mediated interventions have been developed and tested to address problematic symptoms associated with autism. These can be implemented with a fraction of cost required for specialist delivered interventions. This review represents a robust evidence of clinical effectiveness of these interventions in improving the social, motor and communication deficits among children with autism.<h4>Methods</h4>An electronic search was conducted in eight academic databases from their inception to 31st December 2018. A total of 31 randomized controlled trials were published post-2010 while only 2 were published prior to it. Outcomes pertaining to communication, social skills and caregiver-child relationship were meta-analyzed when reported in > 2 studies.<h4>Results</h4>A significant improvement was noted in child distress (SMD = 0.55), communication (SMD = 0.23), expressive language (SMD = 0.47), joint engagement (SMD = 0.63), motor skills (SMD = 0.25), parental distress (SMD = 0.33) parental self-efficacy (SMD = 0.42) parent-child relationship (SMD = 0.67) repetitive behaviors (SMD = 0.33), self-regulation (SMD = 0.54), social skills (SMD = 0.53) symptom severity (SMD = 0.44) and visual reception (SMD = 0.29).<h4>Conclusion</h4>Non-specialist mediated interventions for autism spectrum disorder demonstrate effectiveness across a range of outcomes for children with autism and their caregivers.

Item Type:	Article
Uncontrolled Keywords:	Humans, Treatment Outcome, Communication, Motor Activity, Publication Bias, Child, Randomized Controlled Trials as Topic, Social Skills, Autism Spectrum Disorder
Depositing User:	Symplectic Admin
Date Deposited:	07 Feb 2020 15:42
Last Modified:	28 Oct 2023 15:56
DOI:	10.1371/journal.pone.0224362
Open Access URL:	https://doi.org/10.1371/journal.pone.0224362
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3073994