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Identifying intervention strategies for preventing the mental health consequences of childhood adversity: A modified Delphi study / Leslie R. RITH-NAJARIAN in Development and Psychopathology, 33-2 (May 2021)
[article]
Titre : Identifying intervention strategies for preventing the mental health consequences of childhood adversity: A modified Delphi study Type de document : Texte imprimé et/ou numérique Auteurs : Leslie R. RITH-NAJARIAN, Auteur ; Noah S. TRIPLETT, Auteur ; John R. WEISZ, Auteur ; Katie A. MCLAUGHLIN, Auteur Année de publication : 2021 Article en page(s) : p.748-765 Langues : Anglais (eng) Mots-clés : Delphi study childhood adversity intervention development prevention psychopathology Index. décimale : PER Périodiques Résumé : Exposure to childhood adversity is a powerful risk factor for psychopathology. Despite extensive efforts, we have not yet identified effective or scalable interventions that prevent the emergence of mental health problems in children who have experienced adversity. In this modified Delphi study, we identified intervention strategies for effectively targeting both the neurodevelopmental mechanisms linking childhood adversity and psychopathology - including heightened emotional reactivity, difficulties with emotion regulation, blunted reward processing, and social information processing biases, as well as a range of psychopathology symptoms. We iteratively synthesized information from experts in the field and relevant meta-analyses through three surveys, first with experts in intervention development, prevention, and childhood adversity (n = 32), and then within our study team (n = 8). The results produced increasing stability and good consensus on intervention strategy recommendations for specific neurodevelopmental mechanisms and symptom presentations and on strength of evidence ratings of intervention strategies targeting youth and parents. More broadly, our findings highlight how intervention decision making can be informed by meta-analyses, enhanced by aggregate group feedback, saturated before consensus, and persistently subjective or even contradictory. Ultimately, the results converged on several promising intervention strategies for prevention programming with adversity-exposed youth, which will be tested in an upcoming clinical trial. En ligne : http://dx.doi.org/10.1017/s0954579420002059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444
in Development and Psychopathology > 33-2 (May 2021) . - p.748-765[article] Identifying intervention strategies for preventing the mental health consequences of childhood adversity: A modified Delphi study [Texte imprimé et/ou numérique] / Leslie R. RITH-NAJARIAN, Auteur ; Noah S. TRIPLETT, Auteur ; John R. WEISZ, Auteur ; Katie A. MCLAUGHLIN, Auteur . - 2021 . - p.748-765.
Langues : Anglais (eng)
in Development and Psychopathology > 33-2 (May 2021) . - p.748-765
Mots-clés : Delphi study childhood adversity intervention development prevention psychopathology Index. décimale : PER Périodiques Résumé : Exposure to childhood adversity is a powerful risk factor for psychopathology. Despite extensive efforts, we have not yet identified effective or scalable interventions that prevent the emergence of mental health problems in children who have experienced adversity. In this modified Delphi study, we identified intervention strategies for effectively targeting both the neurodevelopmental mechanisms linking childhood adversity and psychopathology - including heightened emotional reactivity, difficulties with emotion regulation, blunted reward processing, and social information processing biases, as well as a range of psychopathology symptoms. We iteratively synthesized information from experts in the field and relevant meta-analyses through three surveys, first with experts in intervention development, prevention, and childhood adversity (n = 32), and then within our study team (n = 8). The results produced increasing stability and good consensus on intervention strategy recommendations for specific neurodevelopmental mechanisms and symptom presentations and on strength of evidence ratings of intervention strategies targeting youth and parents. More broadly, our findings highlight how intervention decision making can be informed by meta-analyses, enhanced by aggregate group feedback, saturated before consensus, and persistently subjective or even contradictory. Ultimately, the results converged on several promising intervention strategies for prevention programming with adversity-exposed youth, which will be tested in an upcoming clinical trial. En ligne : http://dx.doi.org/10.1017/s0954579420002059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 A framework of evidence-based practice for digital support, co-developed with and for the autism community / Vanessa ZERVOGIANNI in Autism, 24-6 (August 2020)
[article]
Titre : A framework of evidence-based practice for digital support, co-developed with and for the autism community Type de document : Texte imprimé et/ou numérique Auteurs : Vanessa ZERVOGIANNI, Auteur ; Sue FLETCHER-WATSON, Auteur ; Gerardo HERRERA, Auteur ; Matthew GOODWIN, Auteur ; Patricia PÉREZ-FUSTER, Auteur ; Mark BROSNAN, Auteur ; Ouriel GRYNSZPAN, Auteur Article en page(s) : p.1411-1422 Langues : Anglais (eng) Mots-clés : Delphi study autism co-development digital support evidence-based practice Index. décimale : PER Périodiques Résumé : Digital supports are any type of technologies that have been intentionally developed to improve daily living in some way. A wide array of digital supports (such as apps) have been developed for the autism community specifically, but there is little or no evidence of whether they work or not. This study sought to identify what types of evidence the autistic community valued and wanted to see provided to enable an informed choice to be made regarding digital supports. A consensus was developed between autistic people and their families, practitioners (such as therapists and teachers) as well as researchers, to identify the core aspects of evidence that everyone agreed were useful. In all, 27 people reached agreement on three categories for which evidence is required: reliability, engagement and the effectiveness of the technology. Consensus was also reached on four key sources of evidence for these three categories: hands-on experience, academic sources, expert views and online reviews. The resulting framework allows for any technology to be evaluated for the level of evidence identifying how effective it is. The framework can be used by autistic people, their families, practitioners and researchers to ensure that decisions concerning the provision of support for autistic people is informed by evidence, that is, 'evidence-based practice'. En ligne : http://dx.doi.org/10.1177/1362361319898331 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428
in Autism > 24-6 (August 2020) . - p.1411-1422[article] A framework of evidence-based practice for digital support, co-developed with and for the autism community [Texte imprimé et/ou numérique] / Vanessa ZERVOGIANNI, Auteur ; Sue FLETCHER-WATSON, Auteur ; Gerardo HERRERA, Auteur ; Matthew GOODWIN, Auteur ; Patricia PÉREZ-FUSTER, Auteur ; Mark BROSNAN, Auteur ; Ouriel GRYNSZPAN, Auteur . - p.1411-1422.
Langues : Anglais (eng)
in Autism > 24-6 (August 2020) . - p.1411-1422
Mots-clés : Delphi study autism co-development digital support evidence-based practice Index. décimale : PER Périodiques Résumé : Digital supports are any type of technologies that have been intentionally developed to improve daily living in some way. A wide array of digital supports (such as apps) have been developed for the autism community specifically, but there is little or no evidence of whether they work or not. This study sought to identify what types of evidence the autistic community valued and wanted to see provided to enable an informed choice to be made regarding digital supports. A consensus was developed between autistic people and their families, practitioners (such as therapists and teachers) as well as researchers, to identify the core aspects of evidence that everyone agreed were useful. In all, 27 people reached agreement on three categories for which evidence is required: reliability, engagement and the effectiveness of the technology. Consensus was also reached on four key sources of evidence for these three categories: hands-on experience, academic sources, expert views and online reviews. The resulting framework allows for any technology to be evaluated for the level of evidence identifying how effective it is. The framework can be used by autistic people, their families, practitioners and researchers to ensure that decisions concerning the provision of support for autistic people is informed by evidence, that is, 'evidence-based practice'. En ligne : http://dx.doi.org/10.1177/1362361319898331 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428