A Systematic Review of Picture Exchange Communication System Interventions for Children and Adolescents on the Autism Spectrum in Mainland China

IF 2.9 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Review Journal of Autism and Developmental Disorders Pub Date : 2024-03-20 DOI:10.1007/s40489-024-00442-5
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Abstract

The picture exchange communication system (PECS) is an evidence-based intervention used to improve communication for people on the autism spectrum. Little is known, however, about the extent to which PECS is currently used with Chinese-speaking persons. Our systematic review identified 13 single-case design studies reporting on PECS interventions with a total of 22 participants. The results indicated that PECS increased non-vocal communication behavior for 19 participants, increased speech for six participants, and decreased problem behavior for five participants. Five studies reported social validity, three studies programmed for generalization, and nine studies reported maintenance effects. According to Reichow’s (2011) evaluation standards, thirteen studies met only weak criteria indicating that they did not provide good evidence for the effectiveness of PECS in Chinese-speaking persons on the autism spectrum. Implications for future research and practice are discussed.

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中国大陆自闭症谱系儿童和青少年图片交流系统干预的系统性综述
摘要 图画交流系统(PECS)是一种以证据为基础的干预方法,用于改善自闭症谱系障碍者的交流能力。然而,人们对 PECS 目前在说中文的人群中的应用程度知之甚少。我们的系统综述发现了 13 项关于 PECS 干预的单例设计研究,共有 22 人参与。结果表明,PECS 增加了 19 名参与者的非发声交流行为,增加了 6 名参与者的言语能力,减少了 5 名参与者的问题行为。五项研究报告了社会有效性,三项研究报告了普适性,九项研究报告了维持效果。根据 Reichow(2011 年)的评估标准,有 13 项研究仅符合较弱的标准,表明这些研究没有为 PECS 在自闭症谱系中讲中文者中的有效性提供很好的证据。本文讨论了未来研究和实践的意义。
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来源期刊
CiteScore
8.40
自引率
0.00%
发文量
51
期刊介绍: The Review Journal of Autism and Developmental Disorders publishes original articles that provide critical reviews of topics across the broad interdisciplinary research fields of autism spectrum disorders. Topics range from basic to applied and include but are not limited to genetics, neuroscience, diagnosis, applied behavior analysis, psychopharmacology, incidence, prevalence, etiology, differential diagnosis, treatment, measurement of treatment effects, education, perception and cognition. Topics across the life span are appropriate. In addition, given the high rates of comorbid conditions, the interface of sleep disorders, feeding problems, motor difficulties, ADHD, anxiety, depression and other disorders with autism spectrum disorders are appropriate. The Journal aims for an international audience as reflected in the editorial board.
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