Non-Specialist Psychosocial Interventions for Children and Adolescents with Intellectual Disability or Lower-Functioning Autism Spectrum Disorders: A Systematic Review
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{"title"=>"Non-Specialist Psychosocial Interventions for Children and Adolescents with Intellectual Disability or Lower-Functioning Autism Spectrum Disorders: A Systematic Review", "type"=>"generic", "authors"=>[{"first_name"=>"Brian", "last_name"=>"Reichow", "scopus_author_id"=>"20434809100"}, {"first_name"=>"Chiara", "last_name"=>"Servili", "scopus_author_id"=>"36618157200"}, {"first_name"=>"M. Taghi", "last_name"=>"Yasamy", "scopus_author_id"=>"6508357128"}, {"first_name"=>"Corrado", "last_name"=>"Barbui", "scopus_author_id"=>"36886312000"}, {"first_name"=>"Shekhar", "last_name"=>"Saxena", "scopus_author_id"=>"35430382900"}], "year"=>2013, "source"=>"PLoS Medicine", "identifiers"=>{"pmid"=>"24358029", "doi"=>"10.1371/journal.pmed.1001572", "sgr"=>"84892896812", "isbn"=>"4201200264", "scopus"=>"2-s2.0-84892896812", "issn"=>"15491676", "pui"=>"372180334"}, "id"=>"af686ae4-935f-3e78-a124-ed3b2e4fd3c1", "abstract"=>"BACKGROUND: The development of effective treatments for use by non-specialists is listed among the top research priorities for improving the lives of people with mental illness worldwide. The purpose of this review is to appraise which interventions for children with intellectual disabilities or lower-functioning autism spectrum disorders delivered by non-specialist care providers in community settings produce benefits when compared to either a no-treatment control group or treatment-as-usual comparator.\\n\\nMETHODS AND FINDINGS: We systematically searched electronic databases through 24 June 2013 to locate prospective controlled studies of psychosocial interventions delivered by non-specialist providers to children with intellectual disabilities or lower-functioning autism spectrum disorders. We screened 234 full papers, of which 34 articles describing 29 studies involving 1,305 participants were included. A majority of the studies included children exclusively with a diagnosis of lower-functioning autism spectrum disorders (15 of 29, 52%). Fifteen of twenty-nine studies (52%) were randomized controlled trials and just under half of all effect sizes (29 of 59, 49%) were greater than 0.50, of which 18 (62%) were statistically significant. For behavior analytic interventions, the best outcomes were shown for development and daily skills; cognitive rehabilitation, training, and support interventions were found to be most effective for improving developmental outcomes, and parent training interventions to be most effective for improving developmental, behavioral, and family outcomes. We also conducted additional subgroup analyses using harvest plots. Limitations include the studies' potential for performance bias and that few were conducted in lower- and middle-income countries.\\n\\nCONCLUSIONS: The findings of this review support the delivery of psychosocial interventions by non-specialist providers to children who have intellectual disabilities or lower-functioning autism spectrum disorders. Given the scarcity of specialists in many low-resource settings, including many lower- and middle-income countries, these findings may provide guidance for scale-up efforts for improving outcomes for children with developmental disorders or lower-functioning autism spectrum disorders.\\n\\nPROTOCOL REGISTRATION: PROSPERO CRD42012002641", "link"=>"http://www.mendeley.com/research/nonspecialist-psychosocial-interventions-children-adolescents-intellectual-disability-lowerfunctioni-14", "reader_count"=>95, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Researcher"=>15, "Student > Doctoral Student"=>7, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>8, "Other"=>11, "Student > Master"=>26, "Student > Bachelor"=>5, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Researcher"=>15, "Student > Doctoral Student"=>7, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>8, "Other"=>11, "Student > Master"=>26, "Student > Bachelor"=>5, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Agricultural and Biological Sciences"=>4, "Arts and Humanities"=>3, "Chemistry"=>1, "Computer Science"=>1, "Environmental Science"=>1, "Nursing and Health Professions"=>5, "Biochemistry, Genetics and Molecular Biology"=>2, "Medicine and Dentistry"=>24, "Neuroscience"=>5, "Psychology"=>33, "Social Sciences"=>10, "Linguistics"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>24}, "Social Sciences"=>{"Social Sciences"=>10}, "Psychology"=>{"Psychology"=>33}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>3}, "Chemistry"=>{"Chemistry"=>1}, "Neuroscience"=>{"Neuroscience"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Linguistics"=>{"Linguistics"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}}, "reader_count_by_country"=>{"United States"=>1, "Japan"=>1, "Mexico"=>1, "South Africa"=>2, "France"=>1}, "group_count"=>9}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1319483"], "description"=>"<p>Review authors' judgments about each risk of bias item, presented as percentages across all included studies.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology"], "article_id"=>880353, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g002", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_of_bias_graph_/880353", "title"=>"Risk of bias graph.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319499"], "description"=>"<p>ASD, autism spectrum disorders; ES, effect size; ID, intellectual disability; MIX, autism spectrum disorders and intellectual disability; QE, quasi-experimental study; RCT, randomized controlled trial.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "matrix", "children"], "article_id"=>880368, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g006", "stats"=>{"downloads"=>2, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Harvest_plot_matrix_comparison_of_effects_by_mean_age_of_participants_for_children_under_6_y_old_/880368", "title"=>"Harvest plot matrix comparison of effects by mean age of participants for children under 6 y old.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319479"], "description"=>"<p>Study inclusion decision tree (using PRISMA flow diagram <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001572#pmed.1001572-Moher1\" target=\"_blank\">[20]</a>).</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "inclusion", "prisma", "diagram"], "article_id"=>880349, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g001", "stats"=>{"downloads"=>6, "page_views"=>161, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Study_inclusion_decision_tree_using_PRISMA_flow_diagram_20_/880349", "title"=>"Study inclusion decision tree (using PRISMA flow diagram [20]).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319496"], "description"=>"<p>ASD, autism spectrum disorders; ES, effect size; ID, intellectual disability; MIX, autism spectrum disorders and intellectual disability; QE, quasi-experimental study; RCT, randomized controlled trial.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "matrix", "estimates"], "article_id"=>880366, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g005", "stats"=>{"downloads"=>4, "page_views"=>26, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Harvest_plot_matrix_of_effect_size_estimates_by_outcome_category_for_parent_training_interventions_/880366", "title"=>"Harvest plot matrix of effect size estimates by outcome category for parent training interventions.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319494"], "description"=>"<p>ASD, autism spectrum disorders; ES, effect size; ID, intellectual disability; MIX, autism spectrum disorders and intellectual disability; QE, quasi-experimental study; RCT, randomized controlled trial.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "matrix", "estimates"], "article_id"=>880363, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g004", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Harvest_plot_matrix_of_effect_size_estimates_by_outcome_category_for_cognitive_rehabilitation_training_and_support_studies_/880363", "title"=>"Harvest plot matrix of effect size estimates by outcome category for cognitive rehabilitation, training, and support studies.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319511"], "description"=>"<p><sup>a</sup> LMIC status according to the World Bank.</p><p>ASD, autism spectrum disorder; ID, intellectual disability; T1, T2, treatment groups for studies with multiple treatments.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "hours"], "article_id"=>880380, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.t004", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Intervention_description_intervention_density_and_total_hours_of_intervention_for_parent_training_intervention_studies_/880380", "title"=>"Intervention description, intervention density, and total hours of intervention for parent training intervention studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319507"], "description"=>"<p>ASD, autism spectrum disorders; ES, effect size; ID, intellectual disability; QE, quasi-experimental study; RCT, randomized controlled trial.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "matrix"], "article_id"=>880377, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g010", "stats"=>{"downloads"=>4, "page_views"=>87, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Harvest_plot_matrix_comparison_of_effect_by_treatment_density_/880377", "title"=>"Harvest plot matrix comparison of effect by treatment density.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319525", "https://ndownloader.figshare.com/files/1319526", "https://ndownloader.figshare.com/files/1319527", "https://ndownloader.figshare.com/files/1319529", "https://ndownloader.figshare.com/files/1319530", "https://ndownloader.figshare.com/files/1319531", "https://ndownloader.figshare.com/files/1319532", "https://ndownloader.figshare.com/files/1319533", "https://ndownloader.figshare.com/files/1319534"], "description"=>"<div><p>Background</p><p>The development of effective treatments for use by non-specialists is listed among the top research priorities for improving the lives of people with mental illness worldwide. The purpose of this review is to appraise which interventions for children with intellectual disabilities or lower-functioning autism spectrum disorders delivered by non-specialist care providers in community settings produce benefits when compared to either a no-treatment control group or treatment-as-usual comparator.</p><p>Methods and Findings</p><p>We systematically searched electronic databases through 24 June 2013 to locate prospective controlled studies of psychosocial interventions delivered by non-specialist providers to children with intellectual disabilities or lower-functioning autism spectrum disorders. We screened 234 full papers, of which 34 articles describing 29 studies involving 1,305 participants were included. A majority of the studies included children exclusively with a diagnosis of lower-functioning autism spectrum disorders (15 of 29, 52%). Fifteen of twenty-nine studies (52%) were randomized controlled trials and just under half of all effect sizes (29 of 59, 49%) were greater than 0.50, of which 18 (62%) were statistically significant. For behavior analytic interventions, the best outcomes were shown for development and daily skills; cognitive rehabilitation, training, and support interventions were found to be most effective for improving developmental outcomes, and parent training interventions to be most effective for improving developmental, behavioral, and family outcomes. We also conducted additional subgroup analyses using harvest plots. Limitations include the studies' potential for performance bias and that few were conducted in lower- and middle-income countries. </p><p>Conclusions</p><p>The findings of this review support the delivery of psychosocial interventions by non-specialist providers to children who have intellectual disabilities or lower-functioning autism spectrum disorders. Given the scarcity of specialists in many low-resource settings, including many lower- and middle-income countries, these findings may provide guidance for scale-up efforts for improving outcomes for children with developmental disorders or lower-functioning autism spectrum disorders.</p><p>Protocol Registration</p><p>PROSPERO <a href=\"http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42012002641\" target=\"_blank\">CRD42012002641</a></p><p><i>Please see later in the article for the Editors' Summary</i></p></div>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "psychosocial", "interventions", "children", "adolescents", "lower-functioning", "autism", "systematic"], "article_id"=>880394, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001572.s001", "https://dx.doi.org/10.1371/journal.pmed.1001572.s002", "https://dx.doi.org/10.1371/journal.pmed.1001572.s003", "https://dx.doi.org/10.1371/journal.pmed.1001572.s004", "https://dx.doi.org/10.1371/journal.pmed.1001572.s005", "https://dx.doi.org/10.1371/journal.pmed.1001572.s006", "https://dx.doi.org/10.1371/journal.pmed.1001572.s007", "https://dx.doi.org/10.1371/journal.pmed.1001572.s008", "https://dx.doi.org/10.1371/journal.pmed.1001572.s009"], "stats"=>{"downloads"=>40, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Non_Specialist_Psychosocial_Interventions_for_Children_and_Adolescents_with_Intellectual_Disability_or_Lower_Functioning_Autism_Spectrum_Disorders_A_Systematic_Review_/880394", "title"=>"Non-Specialist Psychosocial Interventions for Children and Adolescents with Intellectual Disability or Lower-Functioning Autism Spectrum Disorders: A Systematic Review", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319505"], "description"=>"<p>ASD, autism spectrum disorders; ES, effect size; ID, intellectual disability; MIX, autism spectrum disorders and intellectual disability; QE, quasi-experimental study; RCT, randomized controlled trial.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "matrix"], "article_id"=>880374, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g009", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Harvest_plot_matrix_comparison_of_effects_by_intervention_setting_/880374", "title"=>"Harvest plot matrix comparison of effects by intervention setting.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319516"], "description"=>"<p>DQ calculated as mean mental age/mean chronological age × 100.</p><p><sup>a</sup> Total number of children in study (<i>n</i>) and the number of children in the treatment (T) and control (C) groups.</p><p><sup>b</sup> IQ estimate based on our interpretation of participant characteristics.</p><p><sup>c</sup> LMIC status according to the World Bank.</p><p><sup>d</sup> This study contained three treatment groups and one control group (<i>n</i> = 10).</p><p><sup>e</sup> This study contained two treatment groups and one control group (<i>n</i> = 24).</p><p>ASD, autism spectrum disorder; ID, intellectual disability; n/a, not available; SD, standard deviation.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "studies"], "article_id"=>880385, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.t001", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Included_studies_and_participant_characteristics_/880385", "title"=>"Included studies and participant characteristics.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319501"], "description"=>"<p>ASD, autism spectrum disorders; ES, effect size; ID, intellectual disability; MIX, autism spectrum disorders and intellectual disability; QE, quasi-experimental study; RCT, randomized controlled trial.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "matrix", "children"], "article_id"=>880370, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.g007", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Harvest_plot_matrix_comparison_of_effects_by_mean_age_of_participants_for_children_6_y_and_older_/880370", "title"=>"Harvest plot matrix comparison of effects by mean age of participants for children 6 y and older.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-12-17 03:27:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/1319514"], "description"=>"<p><sup>a</sup> LMIC status according to the World Bank.</p><p>ASD, autism spectrum disorder; ID, intellectual disability; T1, T2, T3, treatment groups for studies with multiple treatments; TEACCH, Treatment and Education of Autistic and Related Communication Handicapped Children.</p>", "links"=>[], "tags"=>["Global health", "Mental health", "psychiatry", "psychology", "therapies", "Public health", "Child health", "behavior", "Clinical psychology", "hours"], "article_id"=>880383, "categories"=>["Medicine", "Sociology"], "users"=>["Brian Reichow", "Chiara Servili", "M. Taghi Yasamy", "Corrado Barbui", "Shekhar Saxena"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001572.t003", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Intervention_description_intervention_density_and_total_hours_of_intervention_for_cognitive_rehabilitation_training_and_support_intervention_studies_/880383", "title"=>"Intervention description, intervention density, and total hours of intervention for cognitive rehabilitation, training, and support intervention studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-12-17 03:27:28"}

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[269, 466, 588, 697, 800, 896, 988, 1076, 1165, 1254, 1340, 1417]}, {"subject_area"=>"/Biology and life sciences/Behavior", "average_usage"=>[306, 490, 611, 718, 817, 916, 999, 1091, 1185, 1258, 1341, 1412, 1476]}, {"subject_area"=>"/People and places", "average_usage"=>[270, 456, 573, 676, 773, 867, 955, 1037, 1120, 1205, 1286, 1363, 1436]}, {"subject_area"=>"/Social sciences", "average_usage"=>[289, 475, 593, 703, 805, 902, 990, 1078, 1158, 1250, 1336, 1417, 1482]}, {"subject_area"=>"/Social sciences/Psychology", "average_usage"=>[294, 460, 580, 683, 777, 868, 957, 1044, 1124, 1202, 1276, 1356, 1422]}]}
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Net::HTTPTooManyRequests

Source
Scopus
Time
2019-08-27 21:08:32 UTC
Target URL
https://api.elsevier.com/content/search/index:SCOPUS?query=DOI(10.1371%2Fjournal.pmed.1001572)
Trace

/app/models/concerns/networkable.rb:21:in `get_result'
/app/models/source.rb:165:in `get_data'
/app/models/retrieval_status.rb:47:in `perform_get_data'
/app/jobs/source_job.rb:52:in `block (2 levels) in perform'
/app/jobs/source_job.rb:51:in `block in perform'
/app/jobs/source_job.rb:35:in `each'
/app/jobs/source_job.rb:35:in `perform'