Effectiveness of family interventions on health outcomes of family and children with autism: An integrative review
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Abstract
Background: Autism is a lifelong disability that affects a person’s social interaction, both verbal and nonverbal communication, and is often characterized by restrictive and repetitive behaviors. Family of children with autism plays a critical role in child’s ability to adapt and live daily life. From the extensive literature review, the research highlighted the importance of interventions for families and children with autism.
Objectives: To review and describe interventions for family and children with autism.
Materials and methods: The integrative review design adopted PRISMA protocol to select studies. This review searched within the healthcare journals with the experimental design or randomized control trial, full-text, and published from January 2013 to April 2020 using the keywords of “autism”, “family”, “family/parent interventions” and “health outcomes”. The articles were searched in the databases of MEDLINE, PubMed, CINAHL and ScienceDirect.
Results: Nine articles were identified. The common interventions for family of children with autism were family education, psychological, and technology-related interventions. The family education intervention enhanced family quality of life, parent-child shared management, and decreased depressive symptoms. Psychological support intervention increased positive thinking and skills of the family. The technology-related intervention affected parents positively, increased confidence, and reduced parenting stress. However, some of these interventions were complicated and unstructured; therefore, the evaluation of their effectiveness remained unclear and possibly bias.
Discussion: The evidence of intervention for family of children with autism was limited. To improve health outcomes of family and children with autism, health care providers should pay more attention on developing and implementing an appropriate intervention to build strengthen of family of children with autism and improve their health outcomes.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
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