Interventions non pharmacologiques pour les enfants sur le spectre de l'autisme : une revue parapluie

Titre original en anglais : Non-pharmacological interventions for children on the autism spectrum: An umbrella review

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Trembath, D., Varcin, K. J., Waddington, H., Sulek, R., Bent, C. A., Ashburner, J., Eapen, V., Goodall, E., Hudry, K., Roberts, J., Silove, N., & Whitehouse, A. (2021). Non-pharmacological interventions for children on the autism spectrum: An umbrella review [Preprint]. Center for Open Science. https://doi.org/10.31234/osf.io/yuncj

Date de publication: 28/03/2021 Ajout dans AutiHub: 12/08/2026 Type: Prépublication Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
12
Auteur·ices de la publication identifié·es comme autistes
1 / 12 (8,3 %)
  1. David Trembath
  2. Kandice J. Varcin
  3. Hannah Waddington
  4. Rhylee Sulek
  1. Catherine A. Bent
  2. Jill Ashburner
  3. Valsamma Eapen
  4. Emma Goodall *
  1. Kristelle Hudry
  2. Jacqueline Roberts
  3. Natalie Silove
  4. Andrew Whitehouse

Résumé

Contexte : Il est essentiel que les interventions reçues par les enfants sur le spectre de l'autisme soient fondées sur des données probantes. Compte tenu de l'étendue des interventions non pharmacologiques disponibles, une synthèse des données probantes de la recherche sur les interventions destinées aux enfants sur le spectre de l'autisme est nécessaire. Méthodes : Nous avons réalisé une revue parapluie de revues systématiques, publiées entre 2010 et 2020, portant sur des interventions destinées aux enfants âgés de 0 à 12 ans. Seules les revues systématiques incluant au moins une étude primaire avec un plan d'étude comportant un groupe contrôlé ont été incluses. Les interventions ont été classées comme comportementales, développementales, interventions comportementales développementales naturalistes (NDBI), fondées sur les sens, fondées sur la technologie, assistées par des animaux, thérapie cognitivo comportementale (TCC), Treatment and Education of Autistic and related Communication-handicapped Children (TEACCH), et « autres » (c'est-à-dire les interventions qui ne correspondaient pas aux autres catégories). Résultats : Les données provenant de 58 revues systématiques ont indiqué des effets thérapeutiques positifs des interventions comportementales, des interventions développementales, des NDBI, des interventions fondées sur la technologie et de la TCC sur un ensemble de résultats concernant l'enfant et la famille. Des effets positifs des interventions fondées sur les sens n'ont été rapportés que pour certaines pratiques et se limitaient à certains résultats concernant l'enfant et la famille. Un mélange d'effets d'intervention incohérents et nuls sur les résultats concernant l'enfant et la famille a été rapporté pour TEACCH et les interventions assistées par des animaux. Aucune constatation cohérente n'a été relevée concernant les effets possibles des modalités de mise en œuvre de l'intervention (par exemple, quantité, intervenant, format de prestation, mode de prestation) ou des caractéristiques de l'enfant (par exemple, âge, compétences cognitives) sur les résultats. Peu d'études ont mesuré des résultats allant au delà des caractéristiques et compétences des enfants, afin de prendre en compte une participation plus large, la qualité de vie ou les résultats familiaux. Les effets indésirables ont rarement été rapportés, et les résultats reposaient principalement sur des revues de qualité inférieure et/ou des revues comportant un mélange de plans d'étude. Conclusions : Il existe des données probantes en faveur des effets positifs d'un éventail d'interventions, mais pas en faveur d'une intervention unique optimale pour tous les enfants, ni d'une intervention produisant des effets positifs pour tous les résultats examinés. L'influence potentielle des caractéristiques de l'intervention et de l'enfant sur les résultats demeure une priorité essentielle pour les recherches futures.

Background: It is critical that the interventions children on the autism spectrum receive are evidence-based. Given the breadth of available non-pharmacological interventions, a synthesis of research evidence on interventions for children on the autism spectrum is needed.Methods: We completed an umbrella review of systematic reviews, published between 2010-2020, focusing on interventions for children aged 0-12 years. Only systematic reviews that included at least one primary study with a controlled group design were included. Interventions were classified as Behavioural, Developmental, Naturalistic Developmental Behavioural Interventions (NDBIs), Sensory-based, Technology-based, Animal-assisted, Cognitive Behaviour Therapy (CBT), Treatment and Education of Autistic and related Communication-handicapped Children (TEACCH), and ‘other’ (i.e., interventions that didn’t correspond to the other categories). Results: Evidence from 58 systematic reviews indicated positive therapeutic effects for Behavioural interventions, Developmental interventions, NDBIs, Technology-based interventions, and CBT on a range of child and family outcomes. Positive effects for Sensory-based interventions were reported for certain practices only and were limited to select child and family outcomes. A mix of inconsistent and null intervention effects on child and family outcomes were reported for TEACCH and Animal-assisted interventions. There were no consistent findings of the possible effects of intervention delivery (e.g., amount, agent, delivery format, delivery mode) or child characteristics (e.g., age, cognitive skills) on outcomes. Few studies measured outcomes beyond children’s characteristics and skills, to consider broader participation, quality of life, or family outcomes. Adverse effects were rarely reported, and findings were based predominantly on lower quality reviews and/or reviews with a mixture of study designs.Conclusions: There is evidence for the positive effects of a range of interventions, but not for a single best intervention for all children, nor an intervention conferring positive effects across all outcomes examined. The potential influence of intervention and child characteristics on outcomes remains a critical priority for future research.

Bibliographie citée par cette référence

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
378
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
0 / 378 (0,0 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
0 / 1479 (0,0 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 0 / 133 (0,0 %). Auteurices cité·es distinct·es identifié·es comme autistes : 0 / 1242 (0,0 %).
Occurrences citées rattachées à la base AutiHub
133 / 1479 (9,0 %)
Auteurices cité·es distinct·es rattaché·es : 103 / 1242 (8,3 %)
Occurrences rattachées, non identifiées comme autistes
133 / 133 (100,0 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 133 / 1479 (9,0 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 103 / 103 (100,0 %).
4 entrées de bibliographie citée n’ont pas pu être entièrement enrichies à partir des métadonnées DOI.
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