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Interventions in fetal alcohol spectrum disorders: An international perspective
Affiliation:1. Social and Epidemiological Research Department, Centre for Addiction and Mental Health, 33 Russell St., Toronto, ON M5S 2S1, Canada;2. Dalla Lana School of Public Health, University of Toronto, 155 College St., Toronto, ON M5T 3M7, Canada;3. Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St. W., Toronto, ON M5S 1V4, Canada;4. Institute of Medicine, University of Toronto, 1 King''s College Circle, Toronto, ON M5S 1A8, Canada;5. Department of Pediatrics, University of North Dakota School of Medicine, 501 North Columbia Rd., Grand Forks, ND 58203, United States;6. Epidemiological Research Unit, Klinische Psychologie and Psychotherapie, Technische Universität Dresden, Chemnitzer Str. 46, D-01187 Dresden, Germany
Abstract:Fetal alcohol spectrum disorders (FASD) are present across countries and cultures, with prevalence rates threatening to rise in the coming years. In order to support children and families with FASD around the world, researchers must work to disseminate and implement evidence-based interventions. However, each cultural context presents unique elements and barriers to the implementation process. This review considers the challenges of addressing FASD in an international context. It summarizes existing FASD interventions that have empirical support in the domains of parenting and education, attention and self-regulation, adaptive functioning, and nutrition and medication. It then outlines cultural barriers pertaining to FASD that may impede the implementation process and makes suggestions for using purveyors as cultural liaisons between researchers and local stakeholders. The review concludes with recommendations for moving forward with international dissemination and implementation of FASD interventions.
Keywords:Fetal alcohol syndrome  FASD  Interventions  Cultural barriers  Implementation
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