Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

644 questions · 665 findings · 65 reviews · Developmental, Psychosocial and Learning Problems

No studies found 168 · 25.3%GRADE not reported 23 · 3.5%Very low 251 · 37.7%Low 148 · 22.3%Moderate 70 · 10.5%High 5 · 0.8%

Summary of findings: Picture Exchange Communication System (PECS) vs treatment

Spoken communication Measured by: frequency of speech, including non‐word vocalisations (expressed as rates per minute)a · minimally verbal children with autism spectrum disorder

It is very uncertain whether summary of findings: Picture Exchange Communication System (PECS) changes spoken communication Measured by: frequency of speech, including… compared with treatment (very low certainty).

1 finding from 1 review

Summary of findings: Picture Exchange Communication System (PECS) vs treatment

Non‐verbal communication/AAC Measured by: frequency of use of PECS symbols (expressed as rates per minute)a · minimally verbal children with autism spectrum disorder

It is very uncertain whether summary of findings: Picture Exchange Communication System (PECS) changes non‐verbal communication/AAC Measured by: frequency of use of PECS… compared with treatment (very low certainty).

1 finding from 1 review

Summary of findings: Picture Exchange Communication System (PECS) vs treatment

Combined spoken and non‐verbal communication/AAC · minimally verbal children with autism spectrum disorder

It is very uncertain whether summary of findings: Picture Exchange Communication System (PECS) changes combined spoken and non‐verbal communication/AAC Measured by: verbal… compared with treatment (very low certainty).

1 finding from 1 review

Summary of findings: Picture Exchange Communication System (PECS) vs treatment

Social communication and pragmatic language skills · minimally verbal children with autism spectrum disorder

It is very uncertain whether summary of findings: Picture Exchange Communication System (PECS) changes social communication or pragmatic language Measured by: reciprocal… compared with treatment (very low certainty).

1 finding from 1 review