Summary of best evidence for the management of eating behaviors in children with autism spectrum disorders
10.3760/cma.j.cn211501-20230918-00578
- VernacularTitle:孤独症儿童饮食行为管理最佳证据总结
- Author:
Yu WANG
1
;
Xiujie JIANG
;
Jing YIN
;
Xianwei DING
;
Hongwei XU
Author Information
1. 佳木斯大学康复医学院护理专业,佳木斯 154000
- Keywords:
Autistic disorder;
Child;
Eating behavior management;
Summary of evidence;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2024;40(18):1382-1390
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate and summarize the best evidence of intervention and management of eating behavior in children with autism, so as to provide evidence for medical staff and caregivers of children with autism to manage eating behavior problems.Methods:According to the evidence pyramid "6S" model, the clinical decisions, recommended practices, guidelines, evidence summaries, expert consensus, systematic reviews and randomized controlled trials on the intervention and management of eating behavior in children with ASD were systematically searched from domestic and foreign databases, related guide websites and professional association websites. The search period was from the establishment of the database to March 31th, 2023. The quality of the guide was independently evaluated by 4 researchers, and the remaining articles were evaluated by 2 researchers. Content extraction, evidence integration and grading of the included articles were carried out, and the level of evidence recommendation was formed through the expert meeting.Results:A total of 19 articles were included, including 3 guidelines, 1 expert consensus, 13 systematic reviews and 2 randomized controlled trials. This paper summarized 25 best evidence from 5 aspects, including the common eating behavior problems of children with autism, the assessment of eating behavior problems, causes, consequences and intervention methods.Conclusions:The best evidence summarized in this study provides a basis for the management of eating behavior problems in children with autism. It is suggested that clinical staff should fully consider the clinical context when applying the evidence, and formulate more detailed and feasible eating behavior intervention programs combined with the children and their families.