“Still work?” Design and effect of interventions used to modify feeding problems in children with autism: A systematic review of studies employing group designs

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-07-16 DOI:10.1111/cch.13307

Louisa Ming Yan Chung, Yuan Fang, Peggy Pui Lai Or, Fenghua Sun, Eric Tsz Chun Poon, Carmen Ka Man Chan

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Abstract

Background

Feeding problems in children with autism jeopardize the well-being of both children with autism and their families. Mixed findings were reported from previous interventions, which were mostly evaluated by single subject research design (SSRD) studies. Moreover, feasibility assessment and social validity measurement were unaddressed by these SSRD studies. To fill this substantial knowledge gap, the present review systematically summarized and evaluated feeding interventions implemented in children with autism, which were assessed by studies employing group designs.

Method

An extensive literature search in eight established online databases was conducted, and a total of 17 eligible studies published in 2009–2021 were included for further analysis. A descriptive account of the features of the investigations is provided, including assessment of study quality.

Results

A total of 449 children with autism and 203 parents/caregivers participated in the included studies. The multiple use of five strategic intervention components were highlighted in this review, including nutrition education/consultations, environmental modifications, sensory exposure, cognitive components, and behaviour interventions. The reviewed interventions showed a preliminarily positive effect for modifying feeding problems in children with autism. Furthermore, the evaluation based on the RE-AIM framework (reach, efficacy, adoption, implementation, and maintenance) demonstrated that an interdisciplinary multi-component intervention strategy may achieve high effectiveness and feasibility in improving feeding problems in a wide range of children with autism.

Conclusions

This review found that interventions achieved and maintained a positive effect on modification of feeding problems in groups of children with autism. Information and gaps identified and summarized in the implementation process may assist both researchers and stakeholders to further support these vulnerable children.

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"仍然有效吗？用于改变自闭症儿童喂养问题的干预措施的设计和效果：对采用小组设计的研究进行系统回顾。

背景：自闭症儿童的喂养问题损害了自闭症儿童及其家庭的福祉。以往的干预措施大多采用单人研究设计（SSRD）进行评估，结果不一。此外，这些单人研究设计研究并未涉及可行性评估和社会有效性测量。为了填补这一巨大的知识空白，本综述系统地总结和评估了针对自闭症儿童实施的喂养干预措施，这些干预措施通过采用小组设计的研究进行评估：方法：在八个已建立的在线数据库中进行了广泛的文献检索，共纳入了 17 项 2009-2021 年间发表的符合条件的研究，并对其进行了进一步分析。结果：共有 449 名患有自闭症的儿童被纳入研究范围：共有 449 名自闭症儿童和 203 名家长/照顾者参与了所纳入的研究。本综述强调了五种策略性干预成分的多重使用，包括营养教育/咨询、环境改造、感官接触、认知成分和行为干预。综述的干预措施初步显示出对自闭症儿童喂养问题的积极改善效果。此外，基于RE-AIM框架（覆盖、疗效、采用、实施和维持）的评估表明，跨学科的多成分干预策略在改善各类自闭症儿童的喂养问题方面具有较高的有效性和可行性：本综述发现，干预措施对改善自闭症儿童群体的喂养问题取得并保持了积极效果。在实施过程中发现和总结的信息和差距可帮助研究人员和利益相关者进一步支持这些弱势儿童。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.