Systematic review of Fetal Alcohol Spectrum Disorder interventions across the life span

Reid, Natasha, Dawe, Sharon, Shelton, Douglas, Harnett, Paul, Warner, Judith, Armstrong, Eleanor, LeGros, Kim and O'Callaghan, Frances (2015) Systematic review of Fetal Alcohol Spectrum Disorder interventions across the life span. Alcoholism: Clinical and Experimental Research, 39 12: 2283-2295. doi:10.1111/acer.12903


Author Reid, Natasha
Dawe, Sharon
Shelton, Douglas
Harnett, Paul
Warner, Judith
Armstrong, Eleanor
LeGros, Kim
O'Callaghan, Frances
Title Systematic review of Fetal Alcohol Spectrum Disorder interventions across the life span
Journal name Alcoholism: Clinical and Experimental Research   Check publisher's open access policy
ISSN 1530-0277
Publication date 2015-01-01
Year available 2015
Sub-type Article (original research)
DOI 10.1111/acer.12903
Open Access Status Not Open Access
Volume 39
Issue 12
Start page 2283
End page 2295
Total pages 13
Place of publication Hoboken, NJ United States
Publisher Wiley-Blackwell Publishing
Language eng
Formatted 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 abstract 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.
Keyword Fetal alcohol spectrum disorders
Prenatal alcohol exposure
Systematic review
Intervention
Treatment
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Psychology Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 13 times in Scopus Article | Citations
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Created: Sat, 21 Nov 2015, 20:04:59 EST by Paul Harnett on behalf of School of Psychology