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Key elements of interventions included two contextual factors (external accountability and alignment of incentives to reduce disparities) and four factors related to the organization or intervention itself (organizational commitment, population health focus, use of data to inform solutions, and a comprehensive approach to quality).
Characteristic elements of interventions are outlined in Table 1 (Consort items 1 5).
Looking at Table 3, it is obvious that validity elements of interventions were inadequately reported in most papers.
Which (elements of) interventions appear to be effective, how do they work, in what setting and for whom (conversely, why are they ineffective, why don't they work)?
In summary, five elements of interventions that seem beneficial to adults with ASDs are group setting, structure and predictability, psycho-education, social training and ASD-suitable CBT techniques.
Further trials are needed from outside of the UK and USA, including studies of routine psychiatric practices, economic evaluations and some testing of the effectiveness of specific elements of interventions that were identified.
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Yet, certain elements of intervention studies appeared to be effective.
However, intensive elements of intervention programs limit their ready adoption into routine clinical care.
Interestingly, it is unknown which elements of intervention lead to improvement in function.
Initial codes reflected the programme theory elements of intervention, actors, context, mechanism, and outcomes, and new codes emerged.
Regarding motor development, there is even less evidence for efficacy and effective elements of intervention [ 59, 2, 9].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com