自闭症谱系障碍的早期干预:将研究转化为实践

P. Kandasamy
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引用次数: 4

摘要

自闭症谱系障碍(ASD)是一种神经发育障碍,全球患病率不断上升。早期干预已被证明可以改善核心缺陷,并对ASD儿童产生有利的结果。各种介入方法、新机制和途径正在被广泛研究。尽管在全球范围内观察到ASD的介入研究正在加速,但来自印度的证据却很少。鉴于文化、社会经济条件、人口统计、现有保健和转诊制度的独特性,至关重要的是制订和试验适用于土著居民并为其所接受的干预方法。本文回顾了目前在印度环境中可用的循证治疗模式,特别关注行为干预。早期诊断很少转化为早期干预。在现有挑战的背景下,讨论了将研究成果转化为实践的战略,包括制定可持续的服务提供方法、能力建设、培训教员、专家之间联络的需要以及保健政策制定者的作用。提高家长、医疗专业人员和利益攸关方的认识是将研究成果转化为实践的第一步。
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Early intervention of Autism Spectrum Disorder: translating research into practice
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder, with increasing prevalence globally. Early intervention has been shown to improve the core deficits and result in a favorable outcome in children with ASD. Various interventional methods, novel mechanisms, and approaches are being widely researched. Though accelerating interventional research in ASD is observed globally, evidence from Indian setting is sparse. Given the uniqueness of cultural, socio-economic conditions, population statistics, existing health care and referral system, it is pivotal to develop and test interventional methods that are applicable and acceptable to the indigenous population. This paper reviews the currently available evidence-based treatment modalities in the Indian settings, with a specific focus on the behavioral interventions. Early diagnosis is seldom seen to translate into early intervention. In the background of the existing challenges, strategies to translate research into practice in terms of developing sustainable methods of service delivery, capacity building, training of trainers, need for liaison between experts and role of health care policy makers are discussed. Improving awareness among parents, medical professionals and stakeholders is the first step forward, towards translating research into practice.
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