A multilevel meta-analysis of single-case and small-n research on interventions for reducing challenging behavior in persons with intellectual disabilities

IF 2.6 2区医学 Q1 EDUCATION, SPECIAL Research in Developmental Disabilities Pub Date : 2012-03-01 DOI:10.1016/j.ridd.2011.10.010

M. Heyvaert, B. Maes, W. Van den Noortgate, S. Kuppens, P. Onghena

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引用次数: 81

Abstract

The effectiveness of different interventions for challenging behavior (CB) in persons with intellectual disabilities (ID) was reviewed by means of a two-phase study. First, a systematic review of 137 meta-analyses and reviews on group-study interventions for CB in persons with ID was conducted. Based on this review, hypotheses concerning the effectiveness of divergent interventions for CB and concerning the impact of variables moderating treatment effectiveness were systematically generated. Second, these hypotheses were tested by means of a multilevel meta-analysis of single-case and small-n research. Two hundred and eighty-five studies reporting on 598 individuals were examined. The average treatment effect was large and statistically significant. However, this effect varied significantly over the included studies and participants. Compared to the meta-analyses and reviews focusing on group-studies in this research domain, the results of the present multilevel meta-analysis of single-case and small-n intervention research provided more detailed knowledge on which specific CB and intervention components moderate the interventions’ effectiveness.

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减少智力残疾者挑战性行为干预措施的单例和小样本研究的多水平荟萃分析

采用两阶段研究的方法，对不同干预措施对智力残疾者挑战性行为(CB)的效果进行了评价。首先，系统回顾了137项荟萃分析和对ID患者CB群体研究干预措施的回顾。在此综述的基础上，系统地提出了关于CB的不同干预措施有效性和调节治疗有效性的变量影响的假设。其次，通过单例和小n研究的多水平荟萃分析对这些假设进行了检验。报告了598个人的285项研究。平均治疗效果大且有统计学意义。然而，在纳入的研究和参与者中，这种效果差异很大。与本研究领域关注群体研究的荟萃分析和综述相比，本研究对单病例和小样本干预研究的多水平荟萃分析结果提供了更详细的知识，说明具体的CB和干预成分调节了干预措施的有效性。

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来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.