Interventions to improve executive functions in children aged 3 years and under: A systematic review.
Background: Early executive functioning (EF) skills are foundational capabilities that predict school readiness, academic development and psychiatric risk. Early interventions enhancing these capabilities could have critical import in improving outcomes. However, to develop interventions, it is nece...
| Publicado en: | Child: Care, Health & Development Vol. 50; no. 4; pp. 1 - 24 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178531948&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178531948 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Jul2024 vid: 50 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 178531948 178531948 178531948 10.1111/cch.13298 178531948 ppf: 1 ppct: 23 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Interventions to improve executive functions in children aged 3 years and under: A systematic review. aug: au: Duncan, Andrea F. Gerner, Gwyn J. Neel, Mary Lauren Burton, Vera J. Byrne, Rachel Warschausky, Seth affil: Department of Pediatrics, Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia Pennsylvania,, USA sug: subj: Executive Function In Infancy and Childhood Early Intervention Quality Improvement Cognition Human Infant Child, Preschool Systematic Review Meta Synthesis PubMed Embase CINAHL Database Psycinfo Attention Self Regulation Physical Activity Memory, Short Term Problem Solving Outcome Assessment Impulse Control Disorders Data Analysis Software Funding Source Infant: 1-23 months Child, Preschool: 2-5 years ab: Background: Early executive functioning (EF) skills are foundational capabilities that predict school readiness, academic development and psychiatric risk. Early interventions enhancing these capabilities could have critical import in improving outcomes. However, to develop interventions, it is necessary to identify specific EF skills that will vary with child age. Thus, we aimed to examine the characteristics and efficacy of interventions targeting EF in infancy and early childhood up to age 3. Methods: A comprehensive search of PubMed, Embase, CINAHL and APA PsycINFO databases was performed for studies published before December 2022. Randomized and non‐randomized studies of interventions designed to improve at least one EF skill in children ≤3 years were included. EF skills included attentional control, inhibition/self‐regulation, activity initiation, working memory, cognitive flexibility, planning ability, problem‐solving and performance monitoring. We independently extracted data, used the revised Cochrane Risk‐of‐Bias tool to assess the quality of the evidence and conducted Synthesis Without Meta‐analysis (SWiM). The overall quality of the evidence and the strength of recommendations was determined using elements of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results: Thirty‐five studies met inclusion criteria (original n = 7467). Studies were highly variable in the EF skill targeted, target subject (i.e., child, parent and teacher), nature and dosage of the intervention, and timing of outcome assessment. Most interventions focused on improving impulse control and self‐regulation. The overall quality of evidence was low to moderate with a high risk of bias, though six studies had low risk of bias but yielded mixed findings of efficacy. Conclusions: The relatively small number of early EF intervention studies uses such variable methods that there is currently no converging evidence of efficacy to recommend a specific intervention. Thus, findings support the need for a more systematic, targeted approach to the design and implementation of early EF interventions for target populations. pubtype: Academic Journal doctype: research systematic review tables/charts meta synthesis Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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