Acupuncture and Children with Autism Spectrum Disorder
Notice bibliographique
Résumé
Background: Autism is characterized by persistent difficulties in communication and social interaction, and repetitive, stereotyped behaviours, interests and activities (Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5)). There is no standard, single, most effective treatment, nor is there a cure for autism. An estimated 81% of parents have tried complementary therapies for their children with autism. Research involving acupuncture for autism shows promise, but fear of needles may be a barrier for many children. Since laser stimulation of acupuncture points is less invasive and potentially more acceptable to children and families, a systematic review was conducted to summarize the evidence on laser acupuncture for pediatric autism. A qualitative study explored healthcare provider awareness and views of acupuncture and laser acupuncture for children with autism. Methods: The first study was a systematic review of the efficacy and safety of laser acupuncture on children with autism. The second study was an interpretive descriptive qualitative study with conventional healthcare providers in disciplines that provide services for children with autism. We collected data on: (1) knowledge and views about acupuncture, including laser acupuncture, and (2) perceived reasons why ⅱhealthcare providers may or may not recommend acupuncture for children with autism. Results: A total of 13 healthcare providers from Alberta, Canada - physicians, occupational therapists, psychologists, speech-language pathologists and physiotherapists - participated in the qualitative study. Most professionals had not considered acupuncture due to a lack of awareness and knowledge, but had a positive and open attitude in exploring its use and evidence as an adjunct therapy and to help meet existing therapeutic gaps. The systematic review identified only two small randomized controlled trials (RCTs), both of which reported positive effects, however, the quality of evidence for all outcomes was low to very low due to the small number of studies and methodological limitations. Both RCTs reported no adverse effects from laser acupuncture. The systematic review concluded there was inadequate evidence to confirm or refute the efficacy or safety of laser acupuncture at this time. Conclusion: Healthcare professionals in Alberta are open and curious about acupuncture, particularly laser acupuncture, and its evidence for children with autism. Research on laser acupuncture is in its infancy, and it is premature to support or refute its use at this time. Larger, more rigorous studies would help inform health care providers who are interested in laser acupuncture for children with autism. ABSTRACT Background: Autism is characterized by persistent difficulties in communication and social interaction, and repetitive, stereotyped behaviours, interests and activities (Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5)). There is no standard, single, most effective treatment, nor is there a cure for autism. An estimated 81% of parents have tried complementary therapies for their children with autism. Research involving acupuncture for autism shows promise, but fear of needles may be a barrier for many children. Since laser stimulation of acupuncture points is less invasive and potentially more acceptable to children and families, a systematic review was conducted to summarize the evidence on laser acupuncture for pediatric autism. A qualitative study explored healthcare provider awareness and views of acupuncture and laser acupuncture for children with autism. Methods: The first study was a systematic review of the efficacy and safety of laser acupuncture on children with autism. The second study was an interpretive descriptive qualitative study with conventional healthcare providers in disciplines that provide services for children with autism. We collected data on: (1) knowledge and views about acupuncture, including laser acupuncture, and (2) perceived reasons why ⅱhealthcare providers may or may not recommend acupuncture for children with autism. Results: A total of 13 healthcare providers from Alberta, Canada - physicians, occupational therapists, psychologists, speech-language pathologists and physiotherapists - participated in the qualitative study. Most professionals had not considered acupuncture due to a lack of awareness and knowledge, but had a positive and open attitude in exploring its use and evidence as an adjunct therapy and to help meet existing therapeutic gaps. The systematic review identified only two small randomized controlled trials (RCTs), both of which reported positive effects, however, the quality of evidence for all outcomes was low to very low due to the small number of studies and methodological limitations. Both RCTs reported no adverse effects from laser acupuncture. The systematic review concluded there was inadequate evidence to confirm or refute the efficacy or safety of laser acupuncture at this time. Conclusion: Healthcare professionals in Alberta are open and curious about acupuncture, particularly laser acupuncture, and its evidence for children with autism. Research on laser acupuncture is in its infancy, and it is premature to support or refute its use at this time. Larger, more rigorous studies would help inform health care providers who are interested in laser acupuncture for children with autism.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».