Interventions in fetal alcohol spectrum disorders: An international perspective

Eur J Med Genet. 2017 Jan;60(1):79-91. doi: 10.1016/j.ejmg.2016.10.005. Epub 2016 Oct 11.


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: Cultural barriers; FASD; Fetal alcohol syndrome; Implementation; Interventions.

Publication types

  • Review

MeSH terms

  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / pathology
  • Alcohol Drinking / psychology*
  • Child
  • Female
  • Fetal Alcohol Spectrum Disorders / epidemiology
  • Fetal Alcohol Spectrum Disorders / pathology
  • Fetal Alcohol Spectrum Disorders / psychology*
  • Humans
  • Pregnancy