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Evidence-based practice: Quality indicator analysis of antecedent exercise in autism spectrum disorders
Authors:Melanie Kasner  Greg Reid  Cathy MacDonald
Affiliation:1. McGill University, 475 Pine Avenue West, Montreal, QC H2W 1S4, Canada;2. State University of New York at Cortland, P.O. Box 2000, Cortland, NY 13045-0900, United States;1. Division of Speech and Hearing Sciences, The University of Hong Kong, Hong Kong SAR;2. Department of Special Education and Counseling, Institute of Education, Hong Kong SAR;1. Department of Hematology, Kanagawa Cancer Centre, Yokohama, Japan;;2. Department of Hematology, Yokohama City University Medical Centre, Yokohama, Japan;3. Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Yokohama, Japan;1. Department of Physical Therapy, Biomechanics and Movement Sciences, University of Delaware, Newark, DE, USA;2. Department of Psychology, University of Connecticut, Storrs, CT, USA;3. Physical Therapy Program, Department of Kinesiology, University of Connecticut, Storrs, CT, USA;4. Center for Health, Intervention, and Prevention (CHIP), Department of Psychology, University of Connecticut, Storrs, CT, USA;1. Young Researchers and Elite Club, Mashhad Branch, Islamic Azad University, Mashhad, Iran;2. Department of Physical Education, University of Tehran, Iran;3. Department of Physical Education, Kharazmi University, Iran;4. Department of Physical Education, Islamic Azad University of Tehran, Iran;5. Research Center for Psychiatry and Behavioral Sciences, Department of Psychiatry, Shiraz University of Medical Sciences, School of Medicine, Shiraz, Iran;1. Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong;2. Physical Education Unit, Shenzhen University, China;1. Amarant Groep, P.O. Box 715, 5000 AS Tilburg, The Netherlands;2. Radboud University Nijmegen, Behavioral Science Institute, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands
Abstract:The purpose of the research was to conduct a quality indicator analysis of studies exploring the effects of antecedent exercise on self-stimulatory behaviors of individuals with autism spectrum disorders (ASD). Educational Resources Information Center (ERIC), Google Scholar, SPORTDiscus, PsychINFO, and PubMed/MedLine databases from 1980 to October 2010 and reference lists of included articles were searched. Twelve research studies employing group experimental (Gersten et al., 2005) or single-subject designs (Horner et al., 2005) met inclusion criteria. Each study was assessed for the presence and clarity of quality indicators. Group experimental and single-subject designs met 48% and 82% of quality indicators, respectively. This suggests that the effects of antecedent exercise on self-stimulatory behaviors of individuals with ASD is incomplete and claims of exercise being an evidence-based practice are premature. Several indicators were difficult to interpret or lacking clear definitions. Recommendations for clarifying and applying the quality indicators are offered.
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