关键反应训练对孤独症谱系障碍患儿治疗效果的系统综述

Effect of pivotal response training for children with autism spectrum disorder:a systematic review

本文目的是对关键反应训练(PRT)治疗孤独症谱系障碍(ASD)患儿的效果进行综述,以期为对ASD患儿实施有效的PRT提供循证医学证据。收集关于PRT对ASD患儿干预效果的随机对照试验(RCT),并采用Cochrane协作网中RCT偏倚风险评价标准对文献进行方法学质量评价。共纳入6篇文献,从PRT实施方案、PRT在改善ASD患儿一般社会交流能力和言语沟通能力等方面的相关研究结果进行阐述,并总结其局限性和未来可能的研究方向。

The purpose of this article is to systematically review the effectiveness of pivotal response training(PRT)for children with autism spectrum disorder(ASD),so as to provide evidence-based guidance for the implementation of effective PRT for children with ASD.Randomized controlled trials(RCTs)investigating the effectiveness of PRT for children with ASD were collected,and the methodological quality of the trails was evaluated using the Cochrane Collaboration's tool for risk of bias assessment.A total of 6 RCTs were included in this review.Then the empirical findings including the implementation of PRT and the role of PRT in improving general social skills and verbal communication skills of children with ASD were elaborated.And its limitations and possible future research directions were also summarized.