Cochrane · systematic review · CD012089
Parent‐mediated interventions for promoting communication and language development in young children with Down syndrome
O'Toole, C, Lee, ASY, Gibbon, FE, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Developmental, Psychosocial and Learning ProblemsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
11
No studies
3
Included studies
NR
No studies 3 · 21.4%Ungraded 0 · 0%Very low 11 · 78.6%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Parent‐mediated intervention versus treatment as usual for communication and language development in young children with Down syndrome
Population: children with Down syndrome aged between birth and six years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Expressive language (number of (different) target words) Parent‐mediated intervention vs treatment | no estimate extracted | 1 study · 12 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Receptive language (total language; standard scores) Parent‐mediated intervention vs treatment | no estimate extracted | 1 study · 15 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Parental stress Parent‐mediated intervention vs treatment | no estimate extracted | NR | No studies |
Changes in parental behaviour/responsivity Parent‐mediated intervention vs treatment | no estimate extracted | 2 studies · 27 participants | Very low Downgraded: risk of bias, imprecision |
Socialisation Parent‐mediated intervention vs treatment | no estimate extracted | 1 study · 15 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Language attrition Parent‐mediated intervention vs treatment | no estimate extracted | 2 studies · 27 participants | Very low Downgraded: risk of bias, imprecision |
Adherence to treatment Parent‐mediated intervention vs treatment | no estimate extracted | 1 study · 12 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Parent‐ and clinician‐mediated intervention versus clinician‐mediated intervention alone for language development in young children with Down syndrome
Population: children with Down syndrome aged between birth and six years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Expressive language (number of words; standard scores; MLUw; NDW; IPSyn; frequency of unique targets; % target talk) Parent‐ and clinician‐mediated intervention vs clinician‐mediated intervention alone | no estimate extracted | 1 study · 18 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Receptive language (total language; standard scores) Parent‐ and clinician‐mediated intervention vs clinician‐mediated intervention alone | no estimate extracted | 1 study · 18 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Parental stress (total stress scores) Parent‐ and clinician‐mediated intervention vs clinician‐mediated intervention alone | no estimate extracted | 1 study · 18 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Changes in parental behaviour/responsivity Parent‐ and clinician‐mediated intervention vs clinician‐mediated intervention alone | no estimate extracted | 1 study · 18 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Socialisation Parent‐ and clinician‐mediated intervention vs clinician‐mediated intervention alone | no estimate extracted | NR | No studies |
Language attrition Parent‐ and clinician‐mediated intervention vs clinician‐mediated intervention alone | no estimate extracted | 1 study · 18 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adherence to treatment Parent‐ and clinician‐mediated intervention vs clinician‐mediated intervention alone | no estimate extracted | NR | No studies |