Effectiveness of the SCERTS Model for autism (Yi et al., 2022)

Purpose: This systematic review aimed to examine the effectiveness of the Social Communication, Emotional Regulation, and Transactional Support (SCERTS) Model–based interventions in supporting developmental skills of children who were diagnosed with or at increased likelihood of autism.
Method: We searched six electronic databases, in addition to Google Scholar and the reference lists, using terms related to SCERTS, the Early Social Interaction project, and autism spectrum disorder. Of the 70 articles, six published between 2014 and 2021 (a total of 455 children) were eligible for inclusion and were analyzed in terms of study design, type of publication, participant characteristics, intervention procedures, and major findings.
Results: Most reviewed studies that were relatively less vulnerable to the given risk of bias suggested that SCERTS may be an effective approach for promoting children’s social communication skills, and implementers were able to achieve an adequate level of intervention fidelity through training. Further implications could not be drawn concerning children’s language, reduction in restricted repetitive behaviors, emotional regulation, adaptive behavior, play, cognitive skills, academic competence, and motor skills due to contradicting findings within limited evidence.
Conclusions: Although SCERTS is a promising intervention with emerging evidence, more methodologically rigorous studies are needed to progress the research base of SCERTS and draw firm conclusions about its effectiveness in improving a wide range of skills for children and implementers. Several areas for future research are discussed.

Supplemental Material S1. Critical appraisal of included studies of SCERTS using quality indicators.

Yi, J., Kim, W., & Lee, J. (2022). Effectiveness of the SCERTS Model–based interventions for autistic children: A systematic review. Journal of Speech, Language, and Hearing Research. Advance online publication. https://doi.org/10.1044/2022_JSLHR-21-00518

目的：本系统性综述旨在审视基于社交沟通、情绪调节和交易支持（SCERTS）模型干预措施的有效性，以支持被诊断为或存在较高自闭症患病风险的儿童的发展技能。
方法：我们检索了六个电子数据库，包括Google Scholar和参考文献列表，使用与SCERTS、早期社交互动项目以及自闭症谱系障碍相关的术语。在70篇文章中，有6篇（2014年至2021年发表，共计455名儿童）符合纳入标准，并从研究设计、出版物类型、参与者特征、干预程序和主要发现等方面进行了分析。
结果：大多数经审查的研究表明，SCERTS可能是一种有效的促进儿童社交沟通技能的方法，实施者通过培训能够达到足够的干预一致性水平。由于有限证据中存在相互矛盾的结果，无法就儿童的言语、限制性重复行为的减少、情绪调节、适应性行为、游戏、认知技能、学术能力和运动技能等方面得出进一步的结论。
结论：尽管SCERTS是一种具有新兴证据的潜在干预措施，但需要更多方法上严谨的研究来推进SCERTS的研究基础，并得出关于其有效改善儿童及实施者广泛技能的明确结论。讨论了未来研究的几个领域。
补充材料S1：使用质量指标对包括SCERTS在内的研究进行批判性评估。
Yi, J., Kim, W., & Lee, J. (2022). 基于SCERTS模型的干预措施对自闭症儿童的有效性：一项系统性综述。言语、语言和听力研究杂志。在线预发表。https://doi.org/10.1044/2022_JSLHR-21-00518