Systematic Review of Fetal Alcohol Spectrum Disorder Interventions Across the Life Span

Background Individuals with fetal alcohol spectrum disorders (FASDs) can experience profound impairments and long‐term adverse outcomes. This systematic review adopts a life span perspective providing an extensive analysis of the available literature. Methods Studies were identified from PsycInfo, P...

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Veröffentlicht in:Alcoholism, clinical and experimental research clinical and experimental research, 2015-12, Vol.39 (12), p.2283-2295
Hauptverfasser: Reid, Natasha, Dawe, Sharon, Shelton, Douglas, Harnett, Paul, Warner, Judith, Armstrong, Eleanor, LeGros, Kim, O'Callaghan, Frances
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container_end_page 2295
container_issue 12
container_start_page 2283
container_title Alcoholism, clinical and experimental research
container_volume 39
creator Reid, Natasha
Dawe, Sharon
Shelton, Douglas
Harnett, Paul
Warner, Judith
Armstrong, Eleanor
LeGros, Kim
O'Callaghan, Frances
description Background Individuals with fetal alcohol spectrum disorders (FASDs) can experience profound impairments and long‐term adverse outcomes. This systematic review adopts a life span perspective providing an extensive analysis of the available literature. Methods Studies were identified from PsycInfo, PubMed, Scopus, Web of Knowledge, CINAHL, ERIC, The Cochrane Central Register of Controlled Trials, and gray literature. Two reviewers independently screened the title and of each reference, and the methodological rigor of the included studies was assessed using the Effective Public Health Project assessment tool. Results Thirty‐two studies met the inclusion criteria, of which the vast majority targeted early to middle childhood. Two studies focused on early intervention in the postnatal period, and 6 studies aimed to improve attention and/or self‐regulation in childhood. Three of these provided promising evidence on improving self‐regulatory difficulties for children with FASDs. Nine studies focused on improving specific areas of dysfunction. Six studies addressed social skills; 3 of these used an adaptation of a well‐validated social skills program. Three studies provided promising initial evidence that parents and caregivers could benefit from support with child behavior and a further 4 studies provided education and advocacy for parents/caregivers, teachers, or child welfare workers. The final 2 studies were aimed at supporting parents who were themselves affected by prenatal alcohol exposure. Conclusions There is growing evidence for interventions that improve outcomes for early to middle childhood. However, a lack of research exists outside of this developmental period. This lack of research is concerning given the potential positive impact of early intervention, for individuals and, financially, for governments. In addition, the lack of interventions for adolescents and adults further highlights the widening developmental gap and the potential influence of secondary disabilities for this at‐risk population.
doi_str_mv 10.1111/acer.12903
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This systematic review adopts a life span perspective providing an extensive analysis of the available literature. Methods Studies were identified from PsycInfo, PubMed, Scopus, Web of Knowledge, CINAHL, ERIC, The Cochrane Central Register of Controlled Trials, and gray literature. Two reviewers independently screened the title and of each reference, and the methodological rigor of the included studies was assessed using the Effective Public Health Project assessment tool. Results Thirty‐two studies met the inclusion criteria, of which the vast majority targeted early to middle childhood. Two studies focused on early intervention in the postnatal period, and 6 studies aimed to improve attention and/or self‐regulation in childhood. Three of these provided promising evidence on improving self‐regulatory difficulties for children with FASDs. Nine studies focused on improving specific areas of dysfunction. Six studies addressed social skills; 3 of these used an adaptation of a well‐validated social skills program. Three studies provided promising initial evidence that parents and caregivers could benefit from support with child behavior and a further 4 studies provided education and advocacy for parents/caregivers, teachers, or child welfare workers. The final 2 studies were aimed at supporting parents who were themselves affected by prenatal alcohol exposure. Conclusions There is growing evidence for interventions that improve outcomes for early to middle childhood. However, a lack of research exists outside of this developmental period. This lack of research is concerning given the potential positive impact of early intervention, for individuals and, financially, for governments. In addition, the lack of interventions for adolescents and adults further highlights the widening developmental gap and the potential influence of secondary disabilities for this at‐risk population.</description><identifier>ISSN: 0145-6008</identifier><identifier>EISSN: 1530-0277</identifier><identifier>DOI: 10.1111/acer.12903</identifier><identifier>PMID: 26578111</identifier><identifier>CODEN: ACRSDM</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Alcohol ; Caregivers ; Child ; Clinical Trials as Topic - methods ; Early intervention ; Female ; Fetal Alcohol Spectrum Disorders ; Fetal Alcohol Spectrum Disorders - diagnosis ; Fetal Alcohol Spectrum Disorders - epidemiology ; Fetal Alcohol Spectrum Disorders - therapy ; Humans ; Intervention ; Longevity ; Parenting - trends ; Pregnancy ; Prenatal Alcohol Exposure ; Registries ; Social Skills ; Systematic Review ; Treatment</subject><ispartof>Alcoholism, clinical and experimental research, 2015-12, Vol.39 (12), p.2283-2295</ispartof><rights>Copyright © 2015 by the Research Society on Alcoholism</rights><rights>Copyright © 2015 by the Research Society on Alcoholism.</rights><rights>2015 Research Society on Alcoholism</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4653-65f250d748fc4c79dd6d35f54467d50754f2e5ab007a0ba83a6bcfc98e8d6b6f3</citedby><cites>FETCH-LOGICAL-c4653-65f250d748fc4c79dd6d35f54467d50754f2e5ab007a0ba83a6bcfc98e8d6b6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Facer.12903$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Facer.12903$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26578111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reid, Natasha</creatorcontrib><creatorcontrib>Dawe, Sharon</creatorcontrib><creatorcontrib>Shelton, Douglas</creatorcontrib><creatorcontrib>Harnett, Paul</creatorcontrib><creatorcontrib>Warner, Judith</creatorcontrib><creatorcontrib>Armstrong, Eleanor</creatorcontrib><creatorcontrib>LeGros, Kim</creatorcontrib><creatorcontrib>O'Callaghan, Frances</creatorcontrib><title>Systematic Review of Fetal Alcohol Spectrum Disorder Interventions Across the Life Span</title><title>Alcoholism, clinical and experimental research</title><addtitle>Alcohol Clin Exp Res</addtitle><description>Background Individuals with fetal alcohol spectrum disorders (FASDs) can experience profound impairments and long‐term adverse outcomes. This systematic review adopts a life span perspective providing an extensive analysis of the available literature. Methods Studies were identified from PsycInfo, PubMed, Scopus, Web of Knowledge, CINAHL, ERIC, The Cochrane Central Register of Controlled Trials, and gray literature. Two reviewers independently screened the title and of each reference, and the methodological rigor of the included studies was assessed using the Effective Public Health Project assessment tool. Results Thirty‐two studies met the inclusion criteria, of which the vast majority targeted early to middle childhood. Two studies focused on early intervention in the postnatal period, and 6 studies aimed to improve attention and/or self‐regulation in childhood. Three of these provided promising evidence on improving self‐regulatory difficulties for children with FASDs. Nine studies focused on improving specific areas of dysfunction. Six studies addressed social skills; 3 of these used an adaptation of a well‐validated social skills program. Three studies provided promising initial evidence that parents and caregivers could benefit from support with child behavior and a further 4 studies provided education and advocacy for parents/caregivers, teachers, or child welfare workers. The final 2 studies were aimed at supporting parents who were themselves affected by prenatal alcohol exposure. Conclusions There is growing evidence for interventions that improve outcomes for early to middle childhood. However, a lack of research exists outside of this developmental period. This lack of research is concerning given the potential positive impact of early intervention, for individuals and, financially, for governments. In addition, the lack of interventions for adolescents and adults further highlights the widening developmental gap and the potential influence of secondary disabilities for this at‐risk population.</description><subject>Alcohol</subject><subject>Caregivers</subject><subject>Child</subject><subject>Clinical Trials as Topic - methods</subject><subject>Early intervention</subject><subject>Female</subject><subject>Fetal Alcohol Spectrum Disorders</subject><subject>Fetal Alcohol Spectrum Disorders - diagnosis</subject><subject>Fetal Alcohol Spectrum Disorders - epidemiology</subject><subject>Fetal Alcohol Spectrum Disorders - therapy</subject><subject>Humans</subject><subject>Intervention</subject><subject>Longevity</subject><subject>Parenting - trends</subject><subject>Pregnancy</subject><subject>Prenatal Alcohol Exposure</subject><subject>Registries</subject><subject>Social Skills</subject><subject>Systematic Review</subject><subject>Treatment</subject><issn>0145-6008</issn><issn>1530-0277</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90U1PFDEYB_DGaGBFLn4A08SLMRlsp697XFcWSTaY8BKOTafzNBRnpks7A-63t7DAwYO99PJ7_mn_D0IfKTmi5XyzDtIRreeEvUEzKhipSK3UWzQjlItKEqL30fucbwkhXEu5h_ZrKZQuozN0fbHNI_R2DA6fw32ABxw9XsFoO7zoXLyJHb7YgBvT1OMfIcfUQsKnwwjpHoYxxCHjhUsxZzzeAF4HD8Xb4QN6522X4fD5PkBXq-PL5c9q_evkdLlYV45LwSopfC1Iq7j2jjs1b1vZMuEF51K1gijBfQ3CNoQoSxqrmZWN826uQbeykZ4doC-73E2KdxPk0fQhO-g6O0CcsqFKEq3nNaeFfv6H3sYpDeV1RQlFlGJCFfV1p54-lcCbTQq9TVtDiXms2zzWbZ7qLvjTc-TU9NC-0pd-C6A78BA62P4nyiyWx-cvodVuJpTN_Hmdsem3kYopYa7PTgz_fqbXKyWNYH8BSkKYZA</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Reid, Natasha</creator><creator>Dawe, Sharon</creator><creator>Shelton, Douglas</creator><creator>Harnett, Paul</creator><creator>Warner, Judith</creator><creator>Armstrong, Eleanor</creator><creator>LeGros, Kim</creator><creator>O'Callaghan, Frances</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201512</creationdate><title>Systematic Review of Fetal Alcohol Spectrum Disorder Interventions Across the Life Span</title><author>Reid, Natasha ; Dawe, Sharon ; Shelton, Douglas ; Harnett, Paul ; Warner, Judith ; Armstrong, Eleanor ; LeGros, Kim ; O'Callaghan, Frances</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4653-65f250d748fc4c79dd6d35f54467d50754f2e5ab007a0ba83a6bcfc98e8d6b6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Alcohol</topic><topic>Caregivers</topic><topic>Child</topic><topic>Clinical Trials as Topic - methods</topic><topic>Early intervention</topic><topic>Female</topic><topic>Fetal Alcohol Spectrum Disorders</topic><topic>Fetal Alcohol Spectrum Disorders - diagnosis</topic><topic>Fetal Alcohol Spectrum Disorders - epidemiology</topic><topic>Fetal Alcohol Spectrum Disorders - therapy</topic><topic>Humans</topic><topic>Intervention</topic><topic>Longevity</topic><topic>Parenting - trends</topic><topic>Pregnancy</topic><topic>Prenatal Alcohol Exposure</topic><topic>Registries</topic><topic>Social Skills</topic><topic>Systematic Review</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reid, Natasha</creatorcontrib><creatorcontrib>Dawe, Sharon</creatorcontrib><creatorcontrib>Shelton, Douglas</creatorcontrib><creatorcontrib>Harnett, Paul</creatorcontrib><creatorcontrib>Warner, Judith</creatorcontrib><creatorcontrib>Armstrong, Eleanor</creatorcontrib><creatorcontrib>LeGros, Kim</creatorcontrib><creatorcontrib>O'Callaghan, Frances</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Alcoholism, clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reid, Natasha</au><au>Dawe, Sharon</au><au>Shelton, Douglas</au><au>Harnett, Paul</au><au>Warner, Judith</au><au>Armstrong, Eleanor</au><au>LeGros, Kim</au><au>O'Callaghan, Frances</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic Review of Fetal Alcohol Spectrum Disorder Interventions Across the Life Span</atitle><jtitle>Alcoholism, clinical and experimental research</jtitle><addtitle>Alcohol Clin Exp Res</addtitle><date>2015-12</date><risdate>2015</risdate><volume>39</volume><issue>12</issue><spage>2283</spage><epage>2295</epage><pages>2283-2295</pages><issn>0145-6008</issn><eissn>1530-0277</eissn><coden>ACRSDM</coden><abstract>Background Individuals with fetal alcohol spectrum disorders (FASDs) can experience profound impairments and long‐term adverse outcomes. This systematic review adopts a life span perspective providing an extensive analysis of the available literature. Methods Studies were identified from PsycInfo, PubMed, Scopus, Web of Knowledge, CINAHL, ERIC, The Cochrane Central Register of Controlled Trials, and gray literature. Two reviewers independently screened the title and of each reference, and the methodological rigor of the included studies was assessed using the Effective Public Health Project assessment tool. Results Thirty‐two studies met the inclusion criteria, of which the vast majority targeted early to middle childhood. Two studies focused on early intervention in the postnatal period, and 6 studies aimed to improve attention and/or self‐regulation in childhood. Three of these provided promising evidence on improving self‐regulatory difficulties for children with FASDs. Nine studies focused on improving specific areas of dysfunction. Six studies addressed social skills; 3 of these used an adaptation of a well‐validated social skills program. Three studies provided promising initial evidence that parents and caregivers could benefit from support with child behavior and a further 4 studies provided education and advocacy for parents/caregivers, teachers, or child welfare workers. The final 2 studies were aimed at supporting parents who were themselves affected by prenatal alcohol exposure. Conclusions There is growing evidence for interventions that improve outcomes for early to middle childhood. However, a lack of research exists outside of this developmental period. This lack of research is concerning given the potential positive impact of early intervention, for individuals and, financially, for governments. In addition, the lack of interventions for adolescents and adults further highlights the widening developmental gap and the potential influence of secondary disabilities for this at‐risk population.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26578111</pmid><doi>10.1111/acer.12903</doi><tpages>13</tpages></addata></record>
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subjects Alcohol
Caregivers
Child
Clinical Trials as Topic - methods
Early intervention
Female
Fetal Alcohol Spectrum Disorders
Fetal Alcohol Spectrum Disorders - diagnosis
Fetal Alcohol Spectrum Disorders - epidemiology
Fetal Alcohol Spectrum Disorders - therapy
Humans
Intervention
Longevity
Parenting - trends
Pregnancy
Prenatal Alcohol Exposure
Registries
Social Skills
Systematic Review
Treatment
title Systematic Review of Fetal Alcohol Spectrum Disorder Interventions Across the Life Span
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