Systematic Review of Fetal Alcohol Spectrum Disorder Interventions Across the Life Span

Reid, Natasha; Dawe, Sharon; Shelton, D R; Harnett, Paul; Warner, Judith Ann; Armstrong, Eleanor; LeGros, Kim; O’Callaghan, Frances Veronica

doi:10.1111/acer.12903

Cited by 120 publications

(119 citation statements)

References 47 publications

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“…The need for studies on the effect of interventions on measurable effects for individuals with FASD has been concluded in a systematic review by Reid et al 23 The lack of studies on interventions for these individuals could be a result of the fact that these individuals do not receive any interventions. It is, however, worth noting that there is a lack of studies investigating the experiences of interventions for individuals with FASD or for their families.…”

Section: Moderate Confidencementioning

confidence: 99%

Experiences of living with fetal alcohol spectrum disorders: a systematic review and synthesis of qualitative data

Domeij

Fahlström

Bertilsson

et al. 2018

Develop Med Child Neuro

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Section: Moderate Confidencementioning

confidence: 99%

Experiences of living with fetal alcohol spectrum disorders: a systematic review and synthesis of qualitative data

Domeij

Fahlström

Bertilsson

et al. 2018

Develop Med Child Neuro

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“…Early identification of infants who will demonstrate neurobehavioral deficits due to prenatal alcohol exposure (PAE) is of critical importance worldwide as early intervention has been demonstrated to improve various developmental outcomes (Reid et al 2015) and may reduce lifetime health costs associated with PAE (Lupton et al 2004) by taking advantage of early neural plasticity (Fox et al 2010). The vast majority of children who have experienced this early brain insult lie somewhere on a continuum of disruption to their neurobehavioral functioning, and this range of outcomes has led to the use of the term fetal alcohol spectrum of disorders (FASD) to characterize the impact of PAE (Warren et al 2011).…”

Section: Introductionmentioning

confidence: 99%

The Use of Cardiac Orienting Responses as an Early and Scalable Biomarker of Alcohol‐Related Neurodevelopmental Impairment

Mesa

Kable

Coles

et al. 2016

Alcoholism Clin & Exp Res

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Background Considered the leading cause of developmental disabilities worldwide, fetal alcohol spectrum disorders (FASD) are a global health problem. To take advantage of neural plasticity, early identification of affected infants is critical. The cardiac orienting response (COR) has been shown to be sensitive to the effects of prenatal alcohol exposure and is an inexpensive, easy to administer assessment tool. The purpose of this study was to evaluate the CORs effectiveness in assessing individual risk of developmental delay. Methods As part of an ongoing longitudinal cohort study in Ukraine, live born infants of women with some to heavy amounts of alcohol consumption in pregnancy were recruited and compared to infants of women who consumed low or no alcohol. At 6 and 12-months, infants were evaluated with the Bayley Scales of Infant Development, II. CORs were also collected during a habituation/dishabituation learning paradigm. Using a supervised logistic regression classifier, we compared the predictive utility of the COR indices to that of the 6-month Bayley scores for identification of developmental delay based on 12-month Bayley scores. Heart rate collected at each second (Standard COR) was compared to key features (Key COR) extracted from the response. Results Negative predictive values (NPV) were 85% for Standard COR, 82% for Key COR, and 77% for the Bayley, and positive predictive value (PPV) were 66% for Standard COR, 62% for Key COR, and 43% for the Bayley. Conclusions Predictive analysis based on the COR resulted in better NPV and PPV than the 6-month Bayley score. As the resources required to obtain a Bayley score are substantially more than in a COR-based paradigm, the findings are suggestive of its utility as an early scalable screening tool based on the COR. Further work is needed to test its long term predictive accuracy.

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“…Further, research on empirically supported interventions for individuals and families with FASD is still in its early stages. Recent reviews have been published to consolidate this evidence base (Kodituwakku & Kodituwakku, 2011; Paley & O’Connor, 2009; Petrenko, 2015; Reid et al, 2015), but little work has been done to determine the appropriateness and efficacy of these interventions beyond the national context in which they were developed.…”

mentioning

confidence: 99%

Interventions in fetal alcohol spectrum disorders: An international perspective

Petrenko

Alto

2017

European Journal of Medical Genetics

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Fetal alcohol spectrum disorders (FASD) are present across countries and cultures, with prevalence rates threatening to rise in the coming years. In order to support children and families with FASD around the world, researchers must work to disseminate and implement evidence-based interventions. However, each cultural context presents unique elements and barriers to the implementation process. This review considers the challenges of addressing FASD in an international context. It summarizes existing FASD interventions that have empirical support in the domains of parenting and education, attention and self-regulation, adaptive functioning, and nutrition and medication. It then outlines cultural barriers pertaining to FASD that may impede the implementation process and makes suggestions for using purveyors as cultural liaisons between researchers and local stakeholders. The review concludes with recommendations for moving forward with international dissemination and implementation of FASD interventions.

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Systematic Review of Fetal Alcohol Spectrum Disorder Interventions Across the Life Span

Cited by 120 publications

References 47 publications

Experiences of living with fetal alcohol spectrum disorders: a systematic review and synthesis of qualitative data

Experiences of living with fetal alcohol spectrum disorders: a systematic review and synthesis of qualitative data

The Use of Cardiac Orienting Responses as an Early and Scalable Biomarker of Alcohol‐Related Neurodevelopmental Impairment

Interventions in fetal alcohol spectrum disorders: An international perspective

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