Introduction
The ongoing COVID-19 pandemic has highlighted the necessity for alternative approaches in managing Autism Spectrum Disorder (ASD). ASD, a neurodevelopmental condition, primarily requires intensive psychosocial interventions, which are costly and resource-intensive. The pandemic has exacerbated the accessibility issues, making digital solutions like internet-based parent-mediated interventions (PMIs) a viable option. This blog explores the potential of telehealth-based PMIs in managing ASD, drawing insights from a systematic review of randomized controlled trials.
Understanding ASD and Traditional Interventions
ASD is characterized by difficulties in social communication, restricted interests, and repetitive behaviors. While pharmacotherapy exists, psychosocial interventions remain the gold standard for managing behavioral symptoms. However, these interventions are often inaccessible due to high costs and resource requirements, especially in rural areas. The pandemic has further limited access to these services, necessitating a shift to digital approaches.
The Role of Parent-Mediated Interventions
Parent-mediated interventions (PMIs) have gained traction as a cost-effective approach for ASD management. PMIs empower parents to implement tailored interventions, focusing on specific skills and impairments. This systematic review evaluates the feasibility and effectiveness of telehealth-based PMIs during the pandemic.
Methodology
The systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, including six randomized controlled trials. The studies were assessed using the Cochrane Risk of Bias tool, ensuring methodological quality. The review focused on outcomes related to parents' knowledge, satisfaction, compliance, and children's social, communication skills, and intelligence.
Key Findings
The review found that telehealth-based PMIs significantly improved parents' knowledge, satisfaction, and compliance. Children receiving these interventions showed enhancements in social and communication skills and intelligence. These findings align with other studies indicating the effectiveness of telehealth interventions for ASD management.
Challenges and Considerations
While promising, the implementation of telehealth-based PMIs faces challenges, including ensuring ethical practices, data protection, and training for individuals conducting the interventions. Moreover, the review highlighted the need for more diverse studies, particularly in low- and middle-income countries, to address the knowledge and application gap.
Conclusion
Telehealth-based parent-mediated interventions offer a promising alternative for managing ASD, especially during the pandemic. These interventions not only improve children's outcomes but also enhance parental satisfaction and compliance. However, further research is needed to expand these findings globally and ensure ethical and effective implementation.
For more information, please follow this link.
