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An overview of family-focused interventions for supporting children with fetal alcohol spectrum disorder: A scoping review 以家庭为中心的干预措施对支持胎儿酒精谱系障碍儿童的概述:范围审查。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-22 DOI: 10.1016/j.ridd.2025.105191
Larbi Benallal , Margaux Bouillard , Yiran Lin , Andrea De Bartolo , Tasmia Hai

Purpose

Fetal Alcohol Spectrum Disorder (FASD) is a neurodevelopmental condition caused by prenatal alcohol exposure, associated with academic difficulties, motor impairments, language deficits, and executive function challenges. These difficulties extend beyond the individual child, placing stress on caregivers and creating unique needs within the family system. A scoping review was conducted to synthesize empirical evidence on family-focused interventions designed to support both children with FASD and their caregivers.

Methods

A comprehensive search of Google Scholar, CINAHL, PsycINFO, Medline, and PubMed identified 521 peer-reviewed articles published between 2003 and 2025. Twenty-two studies met inclusion criteria, including quantitative (n = 18) and mixed-methods (n = 4) designs.

Results

Core interventions identified included Children’s Friendship Training, GoFAR, the Alert Program, and the MILE intervention. Most studies reported positive outcomes, with approximately two-thirds demonstrating reductions in children’s internalizing and externalizing behaviours and over one-third reporting improvements in social skills and decreases in caregiver stress. However, variability in study design, measures, and reporting limited cross-study comparisons and generalisability.

Conclusion

Findings support the potential of family-focused interventions to reduce child behavioural difficulties and caregiver stress while improving family functioning. Future research should seek to prioritize randomized controlled trials, standardized outcome measures, and greater attention to cultural adaptability and long-term follow-up.
目的:胎儿酒精谱系障碍(FASD)是一种由产前酒精暴露引起的神经发育疾病,与学习困难、运动障碍、语言缺陷和执行功能挑战有关。这些困难超出了儿童个人的范围,给照料者带来压力,并在家庭系统内造成独特的需要。进行了一项范围审查,以综合以家庭为中心的干预措施的经验证据,这些干预措施旨在支持FASD儿童及其照顾者。方法:综合检索谷歌Scholar、CINAHL、PsycINFO、Medline和PubMed,确定了2003年至2025年间发表的521篇同行评议文章。22项研究符合纳入标准,包括定量(n = 18)和混合方法(n = 4)设计。结果:确定的核心干预措施包括儿童友谊训练、GoFAR、警报计划和MILE干预。大多数研究都报告了积极的结果,大约三分之二的研究表明,儿童的内化和外化行为有所减少,超过三分之一的研究表明,儿童的社交技能有所提高,照顾者的压力有所减轻。然而,研究设计、测量和报告的可变性限制了交叉研究的比较和普遍性。结论:研究结果支持以家庭为中心的干预措施在改善家庭功能的同时减少儿童行为困难和照顾者压力的潜力。未来的研究应优先考虑随机对照试验,标准化的结果测量,更多地关注文化适应性和长期随访。
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引用次数: 0
Parental reflective functioning: A study of siblings in families with autistic versus typically developing children 父母反思功能:自闭症儿童与正常发育儿童家庭中兄弟姐妹的研究。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-22 DOI: 10.1016/j.ridd.2025.105194
Yael Enav , Lee Barel Refaeli , Ifah Levinger
Parental Reflective Functioning (PRF) refers to parents' ability to understand and respond to their child’s mental states. Prior research found that parents show heightened PRF toward their autistic children compared to their typically developing (TD) siblings. However, little is known about how such patterns vary across families with and without an autistic child. This study aimed to replicate previous findings and examine how families with and without autistic children differ in PRF. Thirty parents with autistic and TD child, and 30 parents with only TD children completed for each of their children the Parental Reflective Functioning Questionnaire (PRFQ) and the Five-Minute Speech Sample (FMSS-RF) resulting in 120 individual PRF assessments. Data were analyzed using one-way ANOVAs and χ² tests to compare PRF across siblings and family types.
Results showed significantly higher PRF for autistic children compared to their TD siblings. This pattern emerged across both positive (e.g., interest and curiosity) and negative (e.g., pre-mentalizing modes, which capture distorted or absent mentalization) dimensions, suggesting a complex and potentially ambivalent parental stance. When comparing between families, those including an autistic child showed similarly elevated levels of pre-mentalizing towards both children, whereas families of only TD children exhibited greater differentiation in pre-mentalizing across siblings — indicating a distinct within-family pattern in autism contexts. These findings underscore the unique demands on parents raising autistic children and highlight a potential disparity in PRF that may impact TD siblings. The study calls for further research and family support strategies.
父母反思功能(PRF)是指父母理解和回应孩子心理状态的能力。先前的研究发现,与正常发育的兄弟姐妹相比,父母对自闭症孩子的PRF表现得更高。然而,对于这种模式在有和没有自闭症儿童的家庭中是如何变化的,我们知之甚少。这项研究旨在重复先前的发现,并检查有自闭症儿童的家庭和没有自闭症儿童的家庭在PRF方面的差异。30位有自闭症和自闭症患儿的家长和30位只有自闭症患儿的家长分别为每个孩子完成了父母反思功能问卷(PRFQ)和五分钟言语样本(FMSS-RF),共进行了120次单独的反思功能评估。采用单因素方差分析和χ 2检验比较兄弟姐妹和家庭类型之间的PRF。结果:自闭症儿童的PRF显著高于TD兄弟姐妹。这种模式出现在积极(如兴趣和好奇心)和消极(如心智化前模式,捕捉扭曲或缺失的心智化)两个维度上,表明父母的立场复杂且可能矛盾。当在家庭之间进行比较时,那些有自闭症儿童的家庭对两个孩子都表现出类似的高水平的心理前认知,而只有自闭症儿童的家庭在兄弟姐妹之间表现出更大的心理前认知差异——这表明自闭症背景下的家庭内部模式不同。这些发现强调了养育自闭症儿童的父母的独特需求,并强调了可能影响TD兄弟姐妹的PRF的潜在差异。这项研究需要进一步的研究和家庭支持策略。
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引用次数: 0
The lower limb coordination, brain activation during walking and their correlation in adolescents with spastic cerebral palsy: A pilot cross-sectional fNIRS study 青少年痉挛性脑瘫患者行走时下肢协调、脑活动及其相关性:一项前瞻性横断面fNIRS研究。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-30 DOI: 10.1016/j.ridd.2025.105197
Fenyan Zhou , Liuxin Qi , Wei Sun, Jiangna Wang

Background

This study aimed to explore the lower limb coordination and brain activation in adolescents with cerebral palsy (CP) during walking, and to investigate their relationship.

Methods

8 adolescents with spastic CP were recruited as the CP group and 8 typically developing (TD) adolescents as the control group. Functional near-infrared spectroscopy (fNIRS) and the Vicon motion capture system were used to collect hemodynamic signals and kinematic data during walking, respectively.

Results

The mean absolute value of the continuous relative phase (MACRP) values of hip-knee joint was lower but deviation phase (DP) values of hip-knee and knee-ankle joints was higher. The activation levels of the supplementary motor area (SMA), the pre-central gyrus (PRG), the post-central gyrus (POG), and the superior parietal lobe (SPL) were higher. The DP of hip-knee joint was positively correlated with the SPL (channels 9,18) and right POG (channel 17), whereas the DP of the knee-ankle joint was positively correlated with the right POG (channel 17). In the control group, the MACRP of knee-ankle joint was positively correlated with the right PRG and POG (channel 15). The DP of hip-knee joint was positively correlated with the right SMA (channel 12) but negatively correlated with the left SPL (channel 9).

Conclusion

Adolescents with CP exhibit a higher variability in hip-knee and knee-ankle joints in the coordination patterns and greater demand for activation of the sensorimotor cortex during walking. The over-activation of the parietal cortex may lead to increased variability in the coordination patterns of individuals with CP.
背景:本研究旨在探讨青少年脑瘫(CP)患者行走时下肢协调性与脑活动的关系。方法:选取8例青少年痉挛性脑瘫患者作为脑瘫组,8例发育正常(TD)青少年作为对照组。使用功能近红外光谱(fNIRS)和Vicon运动捕捉系统分别收集行走过程中的血流动力学信号和运动学数据。结果:髋-膝关节连续相对相(MACRP)值的平均绝对值较低,而髋-膝关节和膝-踝关节的偏差相(DP)值较高。辅助运动区(SMA)、中央前回(PRG)、中央后回(POG)和顶叶上叶(SPL)的激活水平较高。髋关节DP与SPL(9、18通道)、右侧POG(17通道)呈正相关,膝关节DP与右侧POG(17通道)呈正相关。对照组膝-踝关节MACRP与右侧PRG、POG(通道15)呈正相关。髋关节DP与右侧SMA(12通道)呈正相关,与左侧SPL(9通道)负相关。结论:青少年CP患者的髋关节和膝关节在协调模式上表现出更高的变异性,并且在行走时对感觉运动皮层的激活需求更大。顶叶皮层的过度激活可能导致CP个体协调模式的变异性增加。
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引用次数: 0
Futural anxiety and expectations of siblings of individuals with severe and multiple disabilities 严重和多重残疾个体的兄弟姐妹对未来的焦虑和期望。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-10 DOI: 10.1016/j.ridd.2025.105183
Müzeyyen Eldeniz-Çetin , Adile Emel Sardohan-Yıldırım , Abdullah Çiftçi , Tuğba Sivrikaya

Introduction

Adult siblings often assume vital, long-term roles in supporting individuals with Severe and Multiple Disabilities in areas such as education, healthcare, and daily care. These responsibilities, while significant, are accompanied by emotional challenges, including anxiety and stress, which necessitate a deeper understanding to develop effective support systems.

Objectives

This study aimed to explore the emotional experiences, future expectations, and caregiving responsibilities of adult siblings of individuals with Severe and Multiple Disabilities, specifically investigating their anxieties, expectations, and the roles they assume.

Methods

A qualitative study using Interpretative Phenomenological Analysis was conducted. Twelve adult siblings of individuals with Severe and Multiple Disabilities participated in semi-structured interviews. Data were analysed to capture in-depth the lived experiences and personal meanings participants attribute to their roles.

Results

The analysis revealed three main themes: (1) Anxieties, with sub-themes of concerns related to education, independent living, care and health, and employment/leisure; (2) Expectations, with sub-themes of desires for systemic support in education, healthcare, independent living, and employment/leisure; and (3) Responsibilities, with sub-themes encompassing developmental support (e.g., educational help, care tasks) and the personal impact of these duties (e.g., internal conflict, social isolation, life choices). Participants reported that their involvement was essential but often led to emotional strain as they navigated balancing their own lives with their caregiving roles.

Conclusion

The findings underscore that adult siblings are central yet vulnerable figures in the long-term care network for individuals with Severe and Multiple Disabilities. The study highlights a critical need for proactive, systemic support, including sibling-focused training, mental health resources, and inclusive policies, to mitigate anxieties, meet expectations, and sustainably empower siblings in their crucial roles. This contributes to a more nuanced understanding necessary for informing family-centered practices and policies.
What this paper adds
The findings underscore that adult siblings are central figures in the long-term care and support of individuals with severe disabilities. While their contributions are indispensable, insufficient institutional and emotional support can increase their stress and anxiety. Strengthening community and policy-based support mechanisms is critical to enhancing both sibling well-being and the quality of care provided to individuals with disabilities.
成年兄弟姐妹通常在教育、医疗保健和日常护理等领域为严重和多重残疾患者提供重要的长期支持。这些责任虽然重要,但也伴随着情感上的挑战,包括焦虑和压力,这需要更深入的理解,以建立有效的支持系统。目的:本研究旨在探讨重度和多重残疾成人兄弟姐妹的情感体验、未来期望和照顾责任,特别是调查他们的焦虑、期望和所承担的角色。方法:运用解释现象学分析进行定性研究。12名患有严重和多重残疾的成人兄弟姐妹参加了半结构化访谈。对数据进行了分析,以深入捕捉参与者赋予其角色的生活经历和个人意义。结果:分析揭示了三个主要主题:(1)焦虑,其子主题与教育、独立生活、护理和健康以及就业/休闲有关;(2)期望,子主题为希望在教育、医疗、独立生活和就业/休闲方面获得系统支持;(3)责任,分主题包括发展支持(例如,教育帮助,护理任务)和这些责任对个人的影响(例如,内部冲突,社会孤立,生活选择)。参与者报告说,他们的参与是必不可少的,但当他们在平衡自己的生活和照顾角色时,往往会导致情绪紧张。结论:研究结果强调,成年兄弟姐妹是严重和多重残疾患者长期护理网络中的核心但脆弱的人物。该研究强调,迫切需要积极、系统的支持,包括以兄弟姐妹为重点的培训、心理健康资源和包容性政策,以减轻焦虑,满足期望,并可持续地赋予兄弟姐妹发挥关键作用的能力。这有助于更细致入微地了解以家庭为中心的做法和政策。研究结果强调,成年兄弟姐妹是严重残疾患者长期护理和支持的核心人物。虽然她们的贡献是不可或缺的,但体制和情感支持的不足会增加她们的压力和焦虑。加强社区和基于政策的支持机制对于提高兄弟姐妹福祉和为残疾人提供的护理质量至关重要。
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引用次数: 0
Application of machine learning to predict employment attainment among individuals with intellectual and developmental disabilities 应用机器学习来预测智力和发育障碍个体的就业成就。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-11 DOI: 10.1016/j.ridd.2025.105181
Chung Eun Lee , Jaehoon Koo , Chak Li
Promoting desirable employment outcomes for individuals with intellectual and developmental disabilities has been an important task for decades. However, the statistics indicate inequitable employment outcomes still exist; including underrepresentation in the workforce and employment in a part-time, low-wage, and segregated setting. One way to address the gap is to review and promote individual and environmental characteristics that are related to enhanced employment outcomes. For this study, we used machine learning approaches to investigate the predictors of employment status in individuals with intellectual and developmental disabilities based on a national database in South Korea. All machine learning models employed in this study—specifically a Random Forest—accurately and consistently predicted employment outcomes for individuals with intellectual and developmental disabilities. The most important factors contributing to the model’s predictive accuracy include employment capability, family support for employment, age, overall work ability, and daily living skills. Implications for practice and research are also discussed.
几十年来,促进智力和发育障碍人士获得理想的就业结果一直是一项重要任务。然而,统计数据表明,不公平的就业结果仍然存在;包括在劳动力中代表性不足,以及在兼职、低工资和隔离的环境中就业。解决这一差距的一种方法是审查和促进与提高就业结果有关的个人和环境特征。在这项研究中,我们使用机器学习方法来调查基于韩国国家数据库的智力和发育障碍个体就业状况的预测因素。本研究中使用的所有机器学习模型——特别是随机森林模型——都能准确、一致地预测智力和发育障碍患者的就业结果。影响模型预测准确性的最重要因素包括就业能力、家庭对就业的支持、年龄、整体工作能力和日常生活技能。对实践和研究的启示也进行了讨论。
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引用次数: 0
Parents as developmental partners: Building a Development-Promoting Environment for children with Profound Intellectual and Multiple Disabilities 父母作为发展伙伴:为重度智力残疾和多重残疾儿童建立促进发展的环境。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-17 DOI: 10.1016/j.ridd.2025.105168
Ines Van keer , Evy Meys , Bea Maes , Annette Van der Putten

Background

Parents of children with Profound Intellectual and Multiple Disabilities (PIMD) navigate numerous responsibilities, including practical, medical and administrative challenges. However, little is known about how they perceive and manage their role as their child’s developmental partner. This study aimed to generate a grounded theory explaining how parents fulfill this role.

Method

Using Grounded Theory Method, parents of nine children with PIMD (0–12 years old) were interviewed. Through iterative coding, thematic saturation was reached after three rounds.

Results

The resulting Dynamic DPE model illustrates how parents continually create a Development-Promoting Environment through deliberation (deciding on developmental opportunities) and delivery (implementing them). Their child’s actual development strongly impacts these processes.

Discussion

While parents’ (in)formal network and broader society are crucial secondary developmental partners, they can also introduce challenges or barriers. A more inclusive society and increased shared responsibility could improve families’ quality of life, simultaneously creating more time, energy and mental space to fulfill their role as developmental partner.
背景:患有深度智力和多重残疾(PIMD)儿童的父母承担着许多责任,包括实践、医疗和管理方面的挑战。然而,很少有人知道他们如何看待和管理自己作为孩子发展伙伴的角色。本研究旨在产生一个有根据的理论来解释父母如何履行这一角色。方法:采用扎根理论方法对9例0 ~ 12岁的PIMD患儿的家长进行访谈。通过迭代编码,三轮后达到主题饱和。结果:由此产生的动态DPE模型说明了父母如何通过审议(决定发展机会)和交付(实施机会)不断创造促进发展的环境。孩子的实际发展对这些过程有很大的影响。讨论:虽然父母的正式网络和更广泛的社会是至关重要的次要发展伙伴,但它们也可能带来挑战或障碍。一个更具包容性的社会和更多的共同责任可以改善家庭的生活质量,同时创造更多的时间、精力和精神空间来履行其作为发展伙伴的作用。
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引用次数: 0
Mathematical skills in heritage bilingual children with and without developmental dyscalculia: A comparative study 有与无发展性计算障碍的传统双语儿童数学技能的比较研究。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-22 DOI: 10.1016/j.ridd.2025.105189
Paola Bonifacci , Marina Porrelli , Alessia Rapino , Anna Gallani , Carlotta Facini , Chiara Gelmini , Chiara Nanni , Michela Muccinelli , Valentina Tobia , Simona Chiodo
This study examined how basic numeracy skills relevant for identifying developmental dyscalculia (DD) differ between heritage bilingual (HB) children and monolingual peers, given the well-established links between language experience and numerical cognition. We compared sociolinguistic background, cognitive abilities, and mathematical performance in 311 primary school children, divided into four groups: HBs with a Specific Learning Disorder in mathematics (SLD-DD; n = 72), HBs with typical development (TD; n = 86), monolinguals with SLD-DD (n = 56), and monolinguals with TD (n = 97). Parents provided detailed language-history information, and children completed standardized assessments of nonverbal IQ, working memory, processing speed, and mathematical skills across numerical knowledge, calculation, and number sense. Controlling for socioeconomic status (SES) and listening comprehension as a proxy for L2 proficiency, results showed that HB children with SLD-DD exhibited numeracy difficulties comparable to monolinguals with SLD-DD but performed better in number-sense tasks, particularly in the triplets task, suggesting a possible bilingual advantage in this domain. HB children with SLD-DD also displayed greater dominance in Italian than typically developing HBs, who showed a more balanced bilingual profile. Among typically developing children, HBs underperformed monolingual peers on linguistically demanding tasks but performed similarly on tasks with limited verbal load. SES was related only to nonverbal cognitive functioning, whereas listening comprehension significantly covaried with all verbally mediated tasks. Overall, the findings underscore the importance of considering both SES and L2 language skills when assessing mathematical performance in bilingual learners and highlight the need for targeted support in language-heavy mathematical contexts.
本研究考察了传统双语儿童和单语儿童在识别发展性计算障碍(DD)方面的基本计算技能的差异,因为语言经验和数字认知之间存在着明确的联系。我们比较了311名小学生的社会语言学背景、认知能力和数学表现,他们被分为四组:患有数学特殊学习障碍(SLD-DD, n = 72)、典型发展(TD, n = 86)、患有SLD-DD的单语儿童(n = 56)和患有TD的单语儿童(n = 97)。父母提供了详细的语言历史信息,孩子们完成了非语言智商、工作记忆、处理速度和数字知识、计算和数字感觉方面的数学技能的标准化评估。控制社会经济地位(SES)和听力理解作为第二语言熟练程度的代理,结果显示患有特殊语言障碍的HB儿童表现出与单语儿童相当的计算困难,但在数字感任务中表现更好,特别是在三联体任务中,这表明在这一领域可能具有双语优势。与正常发育的HB相比,患有SLD-DD的HB儿童在意大利语方面也表现出更大的优势,后者表现出更平衡的双语特征。在发育正常的儿童中,哈佛商学院学生在语言要求较高的任务上表现不如单语儿童,但在语言负荷有限的任务上表现相似。SES仅与非语言认知功能相关,而听力理解与所有言语介导的任务显著共变。总的来说,研究结果强调了在评估双语学习者的数学表现时同时考虑SES和L2语言技能的重要性,并强调了在语言繁重的数学环境中需要有针对性的支持。
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引用次数: 0
Developing the Nisonger Child Behavior Rating Form 2: Self report form using a Delphi process 采用德尔菲法开发大儿童行为评定表2:自我报告表。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-24 DOI: 10.1016/j.ridd.2025.105192
Minje Kim, Marc J. Tassé

Background

Although there are many rating forms to assess mental health symptoms, only a few are developed for people with intellectual disability or developmental disabilities (ID/DD). In addition, most measures that are available rely exclusively on reports from an informant (e.g., caregiver, teacher), not on the direct input from the individual with ID/DD. The current study aimed to develop a self-report version of the Nisonger Child Behavior Rating Form - 2 (NCBRF-2). The development of the NCBRF-2 self-report scale involved two phases: 1) the expert panel survey using the Delphi process, and 2) the cognitive testing with the youth with intellectual disability. The current paper describes the first phase of the development.

Methods

Using the Delphi process, a total of 21 experts completed four rounds of surveys and provided feedback to adapt the NCBRF-2: Parent Scale into the NCBRF-2: Self-Report Scale. As a result of the Delphi process, all five domains from the NCBRF-2: Parent Scale were retained in the NCBRF-2: Self-Report Scale.

Findings

A total of 17 item stems were revised based on the expert panel members’ feedback. The implications and limitations of the current Delphi process are discussed.
背景:虽然有许多评估心理健康症状的量表,但只有少数是针对智力残疾或发育障碍(ID/DD)的人开发的。此外,大多数可用的措施完全依赖于信息者(例如,照顾者,老师)的报告,而不是来自ID/DD患者的直接输入。本研究旨在开发一种自我报告版本的尼松格儿童行为评定表-2 (NCBRF-2)。NCBRF-2自我报告量表的编制分为两个阶段:1)采用德尔菲法的专家小组调查;2)对智障青年进行认知测试。本文描述了该开发的第一阶段。方法:采用德尔菲法,共21位专家完成4轮问卷调查并提供反馈,将NCBRF-2:父母量表改编为NCBRF-2:自我报告量表。由于德尔菲过程的结果,NCBRF-2:父母量表中的所有五个领域都保留在NCBRF-2:自我报告量表中。结果:根据专家小组成员的反馈,共修改了17个条目。讨论了当前德尔菲过程的意义和局限性。
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引用次数: 0
A pilot qualitative study of narrative medicine: Adapting parallel chart into neurodevelopmental disorders, a tool attempting to enhance engagement 叙事医学的试点定性研究:将平行图表应用于神经发育障碍,一种试图增强参与的工具。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-30 DOI: 10.1016/j.ridd.2025.105195
Lucia Pradelli , Elena Summer , Gianluca Ciardi , Roberto Alfio Parisi , Nicoletta Suter , Massimo Rossetti , Giulia Bellini

Aim

The study aims to introduce a Parallel Chart, a tool of Narrative Medicine, for patients with Neurodevelopmental Disorder (NDD) by evaluating its clinical application in improving engagement.

Methods

A two-steps qualitative study was conducted. In Phase-A, healthcare professionals’ opinions about a semi-structured Parallel Chart adapted to NDD settings were collected through a focus group and written interviews, in order to guide a tool’s reworking. In Phase-B, participants (n = 33) with at least one year’ work experience in paediatric rehabilitation, applied the Parallel Chart to NDDs within 6–12 months, evaluating the usability of the tool and providing experiences in a second focus group. Cases described were complex NDDs with disabilities assessed by institutions, attending rehabilitation at least once a week, in two different kinds of treatments. Data were analysed using Braun & Clarke’s (2006) interpretative thematic approach.

Results

Parallel Charts were written by professionals. The macro-themes emerged in Phase-A were: Parallel Charts (I) and healthcare professionals and (II) work context. The macro-themes emerged in Phase-B were: (I) assumptions and (II) effects of the writing process.

Discussion

Parallel Chart, improves professionals’ ability to process emotions, reorganize cognitive thoughts, support engagement in care pathway, despite the need for a longer writing time.
目的:介绍神经发育障碍(NDD)患者叙事医学的平行图表工具,评价其在提高患者敬业度方面的临床应用。方法:采用两步定性研究方法。在阶段a中,通过焦点小组和书面访谈收集医疗保健专业人员对适应NDD设置的半结构化平行图的意见,以指导工具的重新设计。在b阶段,具有至少一年儿科康复工作经验的参与者(n = 33)在6-12个月内将平行图表应用于ndd,评估该工具的可用性并在第二个焦点小组中提供经验。所描述的病例是由机构评估的残疾的复杂ndd,每周至少参加一次康复治疗,接受两种不同的治疗。使用Braun & Clarke(2006)的解释性主题方法分析数据。结果:平行图由专业人员编写。在a阶段出现的宏观主题是:平行图表(I)和医疗保健专业人员和(II)工作环境。在阶段b中出现的宏观主题是:(I)假设和(II)写作过程的影响。讨论:平行图表,提高专业人员处理情绪的能力,重组认知思维,支持参与护理路径,尽管需要更长的写作时间。
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引用次数: 0
Effects of exercise interventions on motor coordination in children with developmental coordination disorder (DCD): A systematic review and meta-analysis 运动干预对发育性协调障碍(DCD)儿童运动协调能力的影响:系统综述和荟萃分析。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-01-01 Epub Date: 2025-12-11 DOI: 10.1016/j.ridd.2025.105184
Changhui Peng , Jinrong He , Kai Xu , Xueping Wu , Dandan Wang , Lei Zhang

Background

Exercise interventions are recognized as an established therapeutic approach for children with DCD. This review aims to quantify the effectiveness of exercise interventions and examine the influence of potential moderating factors on outcomes.

Methods

We systematically searched PubMed, Web of Science, Embase, the Cochrane Library, and EBSCO from inception to November 1, 2025. All studies were rigorously screened based on predefined eligibility criteria. Risk of bias was assessed using ROB 2 and ROBINS-I. Effect sizes were calculated as Hedges’ g (g) and pooled under a random-effects model, and potential moderators were examined through subgroup and regression analyses.

Results

A total of 40 studies involving 1655 participants were included, of which 24 were eligible for meta-analysis. The meta-analysis showed that exercise interventions significantly enhanced motor coordination (g = 1.06, 95 % CI [0.57, 1.55], = 86.7 %), fine motor skills (g = 0.50, 95 % CI [0.24, 0.76], = 32.4 %), hand–eye coordination (g = 1.12, 95 % CI [0.70, 1.54], = 71.6 %), and balance (g = 0.54, 95 % CI [0.20, 0.88], = 77.3 %) in children with DCD. Subgroup analyses identified intervention setting, intervention approach, and study design as key moderating factors influencing the outcomes. Meta-regression analysis revealed a significant negative association between improvements in fine motor skills and both intervention duration (β = –0.0728, = 0 %) and the total number of sessions (β = –0.0129, = 0 %).

Conclusion

This study confirms the efficacy of exercise interventions in enhancing motor coordination, fine motor skills, hand–eye coordination and balance in children with DCD. More rigorous experimental designs are needed to compare the effects of different intervention approaches and protocols, and to determine the optimal intervention dosage.
背景:运动干预被认为是治疗儿童DCD的有效方法。本综述旨在量化运动干预的有效性,并检查潜在的调节因素对结果的影响。方法:系统检索PubMed、Web of Science、Embase、Cochrane Library和EBSCO自成立至2025年11月1日的数据库。所有的研究都是根据预先确定的资格标准严格筛选的。使用rob2和ROBINS-I评估偏倚风险。效应大小以Hedges' g (g)计算,并在随机效应模型下汇总,并通过亚组和回归分析检查潜在的调节因子。结果:共纳入40项研究,涉及1655名受试者,其中24项符合meta分析的条件。meta分析显示,运动干预显著提高DCD患儿的运动协调能力(g = 1.06, 95 % CI [0.57, 1.55], I²= 86.7 %)、精细运动技能(g = 0.50, 95 % CI [0.24, 0.76], I²= 32.4 %)、手眼协调能力(g = 1.12, 95 % CI [0.70, 1.54], I²= 71.6 %)和平衡能力(g = 0.54, 95 % CI [0.20, 0.88], I²= 77.3 %)。亚组分析确定干预设置、干预方法和研究设计是影响结果的关键调节因素。元回归分析显示,精细运动技能的改善与干预时间(β = -0.0728, I²= 0 %)和总干预次数(β = -0.0129, I²= 0 %)呈显著负相关。结论:本研究证实了运动干预对DCD患儿运动协调、精细运动技能、手眼协调和平衡的改善作用。需要更严格的实验设计来比较不同干预方法和方案的效果,并确定最佳干预剂量。
{"title":"Effects of exercise interventions on motor coordination in children with developmental coordination disorder (DCD): A systematic review and meta-analysis","authors":"Changhui Peng ,&nbsp;Jinrong He ,&nbsp;Kai Xu ,&nbsp;Xueping Wu ,&nbsp;Dandan Wang ,&nbsp;Lei Zhang","doi":"10.1016/j.ridd.2025.105184","DOIUrl":"10.1016/j.ridd.2025.105184","url":null,"abstract":"<div><h3>Background</h3><div>Exercise interventions are recognized as an established therapeutic approach for children with DCD. This review aims to quantify the effectiveness of exercise interventions and examine the influence of potential moderating factors on outcomes.</div></div><div><h3>Methods</h3><div>We systematically searched PubMed, Web of Science, Embase, the Cochrane Library, and EBSCO from inception to November 1, 2025. All studies were rigorously screened based on predefined eligibility criteria. Risk of bias was assessed using ROB 2 and ROBINS-I. Effect sizes were calculated as Hedges’ g (g) and pooled under a random-effects model, and potential moderators were examined through subgroup and regression analyses.</div></div><div><h3>Results</h3><div>A total of 40 studies involving 1655 participants were included, of which 24 were eligible for meta-analysis. The meta-analysis showed that exercise interventions significantly enhanced motor coordination (g = 1.06, 95 % CI [0.57, 1.55], <em>I²</em> = 86.7 %), fine motor skills (g = 0.50, 95 % CI [0.24, 0.76], <em>I²</em> = 32.4 %), hand–eye coordination (g = 1.12, 95 % CI [0.70, 1.54], <em>I²</em> = 71.6 %), and balance (g = 0.54, 95 % CI [0.20, 0.88], <em>I²</em> = 77.3 %) in children with DCD. Subgroup analyses identified intervention setting, intervention approach, and study design as key moderating factors influencing the outcomes. Meta-regression analysis revealed a significant negative association between improvements in fine motor skills and both intervention duration (β = –0.0728, <em>I²</em> = 0 %) and the total number of sessions (β = –0.0129, <em>I²</em> = 0 %).</div></div><div><h3>Conclusion</h3><div>This study confirms the efficacy of exercise interventions in enhancing motor coordination, fine motor skills, hand–eye coordination and balance in children with DCD. More rigorous experimental designs are needed to compare the effects of different intervention approaches and protocols, and to determine the optimal intervention dosage.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"168 ","pages":"Article 105184"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Research in Developmental Disabilities
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