Abstract:
BACKGROUND:Evidence-based interventions for autism spectrum disorders evaluated in high-income countries typically require highly specialised manpower, which is a scarce resource in most low- and middle-income settings. This resource limitation results in most children not having access to evidence-based interventions. OBJECTIVE:This paper reports on the systematic adaptation of an evidence-based intervention, the Preschool Autism Communication Therapy (PACT) evaluated in a large trial in the United Kingdom for delivery in a low-resource setting through the process of task-shifting. DESIGN:The adaptation process used the Medical Research Council framework for the development and adaptation of complex interventions, focusing on qualitative methods and case series and was conducted simultaneously in India and Pakistan. RESULTS:The original intervention delivered by speech and language therapists in a high-resource setting required adaptation in some aspects of its content and delivery to enhance contextual acceptability and to enable the intervention to be delivered by non-specialists. CONCLUSIONS:The resulting intervention, the Parent-mediated intervention for Autism Spectrum Disorder in South Asia (PASS), shares the core theoretical foundations of the original PACT but is adapted in several respects to enhance its acceptability, feasibility, and scalability in low-resource settings.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Divan G,Hamdani SU,Vajartkar V,Minhas A,Taylor C,Aldred C,Leadbitter K,Rahman A,Green J,Patel Vdoi
10.3402/gha.v8.27278subject
Has Abstractpub_date
2015-08-03 00:00:00pages
27278eissn
1654-9716issn
1654-9880pii
27278journal_volume
8pub_type
杂志文章abstract:BACKGROUND:The International Health Regulations (IHR) (2005) is a legal instrument binding all World Health Organization (WHO) member States. It aims to prevent and control public health emergencies of international concern. Country points of entry (POEs) have been identified as potential areas for effective interventi...
journal_title:Global health action
pub_type: 杂志文章
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更新日期:2013-08-16 00:00:00
abstract:BACKGROUND:The collaborative quality improvement approach proposed by the Institute for Healthcare Improvement has the potential to improve coverage of evidence-based maternal and newborn health practices. The Safe Care, Saving Lives initiative supported the implementation of 20 evidence-based maternal and newborn care...
journal_title:Global health action
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doi:10.1080/16549716.2019.1581466
更新日期:2019-01-01 00:00:00
abstract::Average temperatures around the world are already increasing, and climate change projections suggest that global mean temperatures will continue to rise. As the effects, and projected effects, of climate change are becoming clearer, it is more apparent that the health effects of heat exposure will need further investi...
journal_title:Global health action
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doi:10.3402/gha.v3i0.5632
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abstract:BACKGROUND:Non-communicable chronic diseases (NCDs) have increased in South Africa over the past 15 years. While these usually manifest during mid-to-late adulthood, the development of modifiable risk factors that contribute to NCDs are usually adopted early in life. OBJECTIVE:To describe the urban-rural and gender pa...
journal_title:Global health action
pub_type: 杂志文章
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abstract:BACKGROUND:Nearly all newborn deaths occur in low- or middle-income countries. Many of these deaths could be prevented through promotion and provision of newborn care practices such as thermal care, early and exclusive breastfeeding, and hygienic cord care. Home visit programmes promoting these practices were piloted i...
journal_title:Global health action
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doi:10.3402/gha.v8.23963
更新日期:2015-03-31 00:00:00
abstract:BACKGROUND:Previous studies have reported an association between cigarette advertising and smoking behavior. Although this has been reported extensively in the West, it has been reported less in Southeast Asian countries that have not completely banned tobacco advertising promotion and sponsorship (TAPS). Indonesia is ...
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abstract:BACKGROUND:We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hi...
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abstract:BACKGROUND AND OBJECTIVES:The global architecture for providing development assistance for health (DAH) has become increasing complex in the last decade, with many new funding agencies entering the health sector. This study presents a detailed picture of European Union (EU) and EU member state originating DAH between 2...
journal_title:Global health action
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abstract:BACKGROUND:Nutrition is the intake of food in relation to the body's dietary needs. Malnutrition results from the intake of inadequate or excess food. This can lead to reduced immunity, increased susceptibility to disease, impaired physical and mental development, and reduced productivity. OBJECTIVE:To perform a syste...
journal_title:Global health action
pub_type: 杂志文章,评审
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更新日期:2015-10-29 00:00:00
abstract:INTRODUCTION:The main cardio-metabolic diseases - mostly cardiovascular diseases such as stroke and ischemic heart disease - share common clinical markers such as raised blood pressure and blood glucose. The pathways of development of many of these conditions are also interlinked. In this regard, a higher level of co-o...
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abstract::Community-based research on child survival in sub-Saharan Africa has focussed on the increased provision of curative health services by a formalised cadre of lay community health workers (CHWs), but we have identified a particular configuration, that deserves closer scrutiny. We identified a two-tiered CHW system, wit...
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abstract:INTRODUCTION:Increasing efforts are being made globally on capacity building. North-south research partnerships have contributed significantly to enhancing the research capacity in low- and middle-income countries (LMICs) over the past few decades; however, a lack of skilled researchers to inform health policy developm...
journal_title:Global health action
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更新日期:2010-12-17 00:00:00
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更新日期:2019-01-01 00:00:00
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