Programas de intervención temprana para niños pequeños con Trastorno del Espectro Autista: una revisión sistemática

Autores/as

DOI:

https://doi.org/10.33448/rsd-v10i14.21935

Palabras clave:

Trastornos del Espectro Autista; Autismo; Intervención temprana; Niños pequeños; Padres.

Resumen

Esta revisión identificó ocho ensayos controlados aleatorios (ECA) que evaluaron los programas de intervención temprana (IE) para lactantes en el grupo de edad de 18 a 48 meses que habían sido diagnosticados o se consideraban en riesgo de tener un trastorno del espectro autista (TEA). Los estudios se resumieron en términos de características de los participantes, características de la intervención, rigor del estudio / investigación y resultados. Las características de la intervención incluyeron la provisión de capacitación a los padres. Todos los estudios utilizaron un diseño de ECA, con sujetos de control que eran lactantes de desarrollo típico (DT) o lactantes con TEA que seguían el "tratamiento habitual" (TAU) u otro tratamiento, y todos se calificaron como sólidos en términos de calidad / rigor. Se registraron resultados positivos para la aceptabilidad y satisfacción de los padres y la reducción del estrés parental. En la mayoría de los estudios, se mejoraron las habilidades de comunicación social y desarrollo de los niños pequeños. Concluimos que los programas de IE para los TEA son prometedores y pueden ser beneficiosos tanto para los niños pequeños como para los padres, pero el número limitado de ECA y la amplia variedad de programas de intervención e instrumentos de evaluación utilizados indica la necesidad de realizar investigaciones adicionales para evaluar los beneficios específicos.

Biografía del autor/a

Elpis Papaefstathiou, University of Macedonia

Psychologist and special education teacher, MSc in Special Education

Eleni Gkiolnta, University of Macedonia

Teacher, MSc Special Education

Kyriaki Sarri, University of Macedonia

 Teacher, MSc ICT in Education

Citas

(References marked with an asterisk indicate studies included in the literature review)

Ahn, E., & Kang, H. (2018). Introduction to systematic review and meta-analysis. Korean journal of anesthesiology, 71(2), 103–112. https://doi.org/10.4097/kjae.2018.71.2.103

Bradshaw, J., Steiner, A. M., Gengoux, G., & Koegel, L. K. (2015). Feasibility and Effectiveness of Very Early Intervention for Infants At-Risk for Autism Spectrum Disorder: A Systematic Review. Journal of Autism and Developmental Disorders, 45(3), 778–794. https://doi.org/10.1007/s10803-014-2235-2

*Carter, A. S., Messinger, D. S., Stone, W. L., Celimli, S., Nahmias, A. S. & Yoder, P. (2011). A randomized controlled trial of Hanen’s ‘More Than Words’ in toddlers with early autism symptoms. Journal of Child Psychology and Psychiatry, 52(7), 741–752. Doi: 10.1111/j.1469-7610.2011.02395.x.

Granpeesheh, D., Dixon, D. R., Tarbox, J., Kaplan, A. M., & Wilke, A. E. (2009). The effects of age and treatment intensity on behavioral intervention outcomes for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(4), 1014–1022. https://doi.org/10.1016/j.rasd.2009.06.007

Green, J., Pickles, A., Pasco, G., Bedford, R., Wan, M. W., Elsabbagh, M., Slonims, V., Gliga, T., Jones, E., Cheung, C., Charman, T., Johnson, M., Baron-Cohen, S., Bolton, P., Davies, K., Liew, M., Fernandes,J., Gammer, I., Salomone, E., … & McNally, J. (2017). Randomised trial of a parent‐mediated intervention for infants at high risk for autism: Longitudinal outcomes to age 3 years. Journal of Child Psychology and Psychiatry, 58(12), 1330-1340. doi: 10.1111/jcpp.12728

Howlin, P., Magiati, I., & Charman, T. (2009). Systematic review of early intensive behavioral interventions for children with autism. American journal on intellectual and developmental disabilities, 114(1), 23-41. DOI: 10.1352/2009.114:23;nd41

*Ibanez, L. V., Kobak, K., Swanson, A., Wallace, L., Warren, Z. & Stone, W. L. (2018). Enhancing Interactions during Daily Routines: A Randomized Controlled Trial of a Web-Based Tutorial for Parents of Young Children with ASD. Autism Research, 11(4), 667-678. doi: 10.1002/aur.1919.

Kaiser, A. P., & Hester, P. P. (1994). Generalized effects of enhanced milieu teaching. Journal of Speech and Hearing Research, 37(6), 1320–1340. doi: 10.1044/jshr.3706.1320.

*Kasari, C., Siller, M., Huynha, L. N., Shiha, W., Swansonb, M., Hellemanna,G. S., Sugar, C. S. (2014). Randomized controlled trial of parental responsiveness intervention for toddlers at high risk for autism. Infant behavior and Development, 37(4), 711-721. https://doi.org/10.1016/j.infbeh.2014.08.007

*Kasari, C., Gulsrud, A., Paparella, T., Hellemann, G., & Berry, K. (2015). Randomized Comparative Efficacy Study of Parent-Mediated Interventions for Toddlers With Autism. Journal of Consulting and Clinical Psychology, 83(3), 554 –563. http://dx.doi.org/10.1037/a0039080

Koegel, R. L., & Koegel, L. K. (2012). The PRT pocket guide: Pivotal response treatment for autism spectrum disorders. Baltimore, MD: Brookes Publishing Company.

Landa, R. J. (2018). Efficacy of early interventions for infants and young children with, and at risk for, autism spectrum disorders. International Review of Psychiatry, 30(1), 25–39. https://doi.org/10.1080/09540261.2018.1432574

Landa, R. J., & Kalb, L. G. (2012). Long-term outcomes of toddlers with autism spectrum disorders exposed to short-term intervention. Pediatrics, 130(Supplement 2), S186-S190. doi: 10.1542/peds.2012-0900Q.

Mottron, L. (2017). Should we change targets and methods of early intervention in autism, in favor of a strengths-based education?. European child & adolescent psychiatry, 26(7), 815-825. doi: 10.1007/s00787-017-0955-5.

*Oosterling, I., Visser, J., Swinkels, S., Rommelse, N., Donders, R., Woudenberg, T., Roos, S., van der Gaag, R. J., & Buitelaar, J. (2010). Randomized Controlled Trial of the Focus Parent Training for Toddlers with Autism: 1-Year Outcome. Journal of Autism and Developmental Disorders, 40(12), 1447–1458. doi: 10.1007/s10803-010-1004-0

Pierce, K., Courchesne, E., & Bacon, E. (2016). To screen or not to screen universally for autism is not the question: Why the task force got it wrong. The Journal of Pediatrics, 176, 182– 194. doi: 10.1016/j.jpeds.2016.06.004

Reichow, B. (2012). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(4), 512–520. doi: 10.1007/s10803-011-1218-9.

Reichow, B., Volkmar, F. R., & Cicchetti, D. V. (2008). Development of the evaluative method for evaluating and determining evidence-based practices in autism. Journal of Autism and Developmental Disorders, 38(7), 1311–1319. DOI: 10.1007/s10803-007-0517-7

Rogers, S. J., & Dawson, G. (2010). Early start Denver model for young children with autism: Promoting language, learning, and engagement. New York, NY: Guilford Press.

*Rogers, S. J., Estes, A., Vismara, L., Munson, J., Zierhut, C., Greenson, J., Dawson, G., Rocha, M., Sugar, C., Senturk, D., Whelan, F., & Talbott, M. (2018). Enhancing Low-Intensity Coaching in Parent Implemented Early Start Denver Model Intervention for Early Autism: A Randomized Comparison Treatment Trial. Journal of Autism and Developmental Disorders, 49(2), 632-646. https://doi.org/10.1007/s10803-018-3740-5

Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., Guo, M., & Dawson, G. (2012). Effects of a brief Early Start Denver Model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(10), 1052–1065. doi:10.1016/j.jaac.2012.08.003

Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., Kasari, C., Ingersoll, B., Kaiser, A.P., Bruinsma, Y., McNerney, E., Wetherby, A., & Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of autism and developmental disorders, 45(8), 2411-2428. Doi: 10.1007/s10803-015-2407-8

Stahmer, A. C., Collings, N. M., & Palinkas, L. A. (2005). Early intervention practices for children with autism: Descriptions from community providers. Focus on Autism and Other Developmental Disabilities, 20(2), 66–79. DOI: 10.1177/10883576050200020301

*Turner-Brown, L., Hume, K., Boyd, B. A., & Kainz, K. (2019). Preliminary Efficacy of Family Implemented TEACCH for Toddlers: Effects on Parents and Their Toddlers with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 49(7), 2685–2698. https://doi.org/10.1007/s10803-016-2812-7

*Welterlin, A., Turner-Brown, L. M., Harris, S., Mesibov, G., & Delmolino, L. (2012). The home teacching program for toddlers with autism. Journal of Autism and Developmental Disorders, 42(9), 1827–1835. https://doi.org/10.1007/s10803-011-1419-2

Zachor, D. A., Ben-Itzchak, E., Rabinovich, A. L., & Lahat, E. (2007). Change in autism core symptoms with intervention. Research in Autism Spectrum Disorders, 1(4), 304–317. https://doi.org/10.1016/j.rasd.2006.12.001

Descargas

Publicado

27/10/2021

Cómo citar

PAPAEFSTATHIOU, E.; ZYGOPOULOU , M.; GKIOLNTA, E.; SARRI, K.; SYRIOPOULOU-DELLI , C. K. Programas de intervención temprana para niños pequeños con Trastorno del Espectro Autista: una revisión sistemática. Research, Society and Development, [S. l.], v. 10, n. 14, p. e103101421935, 2021. DOI: 10.33448/rsd-v10i14.21935. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21935. Acesso em: 29 sep. 2024.

Número

Sección

Ciencias de la educación