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New Zealand Autism Spectrum Disorder Guideline - Ministry of Health

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Appendices<br />

Where a recommendation is based on the clinical and educational experiences <strong>of</strong> members <strong>of</strong> the<br />

<strong>Guideline</strong> Development Team, this is referred to as a good practice point.<br />

Good Practice Point:<br />

Where no evidence is available, best practice recommendations are made based on the<br />

experience <strong>of</strong> the <strong>Guideline</strong> Development Team or feedback from consultation within<br />

<strong>New</strong> <strong>Zealand</strong>.<br />

In interpreting the grades attached to each recommendation, it is important to note:<br />

The strength <strong>of</strong> evidence grading does not reflect the importance <strong>of</strong> the recommendation or<br />

its direction.<br />

For example, it is possible to have A evidence that an intervention works or A evidence that it<br />

doesn’t work (and that therefore the intervention is not recommended). The grading <strong>of</strong> ‘A’ reflects<br />

the ‘strength <strong>of</strong> the evidence’ that supports that recommendation. In other cases, it may not<br />

be practicable or feasible to perform rigorous scientific studies for some types <strong>of</strong> interventions<br />

or programs. Nevertheless, there may be universal consensus among ASD experts that such an<br />

intervention or programme is effective at producing desired outcomes. In this situation, a good<br />

practice point would recommend a certain course <strong>of</strong> action, based on consensus among the<br />

workstreams. Thus, the attached grading reflects the rigour <strong>of</strong> the studies providing the evidence<br />

rather than an indication <strong>of</strong> the importance <strong>of</strong> the recommendation.<br />

Appendices<br />

<strong>New</strong> <strong>Zealand</strong> <strong>Autism</strong> <strong>Spectrum</strong> <strong>Disorder</strong> <strong>Guideline</strong> 271

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