Autism Spectrum Disorder
Conditions
Keywords
Autism Spectrum Disorder, Cognitive Orientation to Daily Occupational Performance, Occupational Therapy
Brief summary
Autism spectrum disorder may affect children's participation in daily occupations through difficulties related to motor planning, problem-solving, attention, behavioral regulation, and sensory processing. The Cognitive Orientation to Daily Occupational Performance approach is a goal-oriented intervention that supports children in identifying and using cognitive strategies to improve the performance of personally meaningful activities. This pilot study aims to examine the preliminary effects of a 10-session Cognitive Orientation to Daily Occupational Performance intervention on occupational performance, satisfaction with performance, observed performance quality, and individualized goal attainment in primary school-aged children with autism spectrum disorder. Possible changes in autism-related behavioral characteristics and sensory processing patterns will also be examined.
Detailed description
Children with autism spectrum disorder may experience difficulties in performing and participating in daily occupations due to differences in executive functioning, motor planning, attention, behavioral regulation, and sensory processing. The Cognitive Orientation to Daily Occupational Performance approach is a client-centered, performance-based intervention that uses collaborative goal setting, guided discovery, dynamic performance analysis, domain-specific strategies, and the global problem-solving strategy "Goal-Plan-Do-Check." The approach aims not only to improve performance in selected activities but also to support strategy use, generalization, and transfer of learning to daily life. In this single-group pilot study, eligible children with autism spectrum disorder will receive 10 individual intervention sessions based on the Cognitive Orientation to Daily Occupational Performance approach. Before the intervention, individualized occupational performance goals will be identified with the child and family. Baseline assessments will evaluate perceived occupational performance and satisfaction, observed performance quality, individualized goal attainment, autism-related behaviors, and sensory processing characteristics. Following completion of the 10-session intervention program, the same outcome measures will be administered again. Pre-intervention and post-intervention scores will be compared to estimate the preliminary effects and clinical relevance of the intervention. The findings are expected to provide feasibility and preliminary effect-size data for future studies with larger samples and controlled designs.
Interventions
BEHAVIORALCognitive Orientation to Daily Occupational Performance Approach
The Cognitive Orientation to Daily Occupational Performance approach is an individualized, goal-oriented intervention designed to improve the performance of meaningful daily activities through cognitive strategy use and guided discovery. Participants will complete 10 individual sessions, each lasting approximately 45 to 60 minutes. The intervention will target individualized occupational performance goals identified with the child and family. The global strategy "Goal-Plan-Do-Check" and task-specific strategies will be used to facilitate skill acquisition, problem-solving, generalization, and transfer.
Sponsors
Atlas University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Having a clinical diagnosis of autism spectrum disorder * Being of primary school age * Having communication and cooperation skills sufficient to participate in the - Cognitive Orientation to Daily Occupational Performance intervention * Having at least one daily occupational performance goal identified by the child and/or family * Being able to attend the assessment and intervention sessions regularly * Provision of written informed consent by a parent or legal guardian
Exclusion criteria
* Having a severe neurological, orthopedic, or psychiatric condition that may substantially affect the assessment or intervention process * Having severe behavioral difficulties that prevent safe and consistent participation in the intervention sessions * Having participated in an intensive, structured cognitive strategy-based intervention program within the previous 6 months * Withdrawal of the child or parent/legal guardian from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Canadian Occupational Performance Measure | Baseline and immediately after completion of the 10-session intervention | Satisfaction with performance for each prioritized activity is rated on a scale from 1 to 10, with higher scores indicating greater satisfaction. The mean satisfaction score will be calculated. Change will be determined by comparing baseline and post-intervention scores. |
| Performance Quality Rating Scale | Baseline and immediately after completion of the 10-session intervention | The Performance Quality Rating Scale is an observational measure used to rate the quality of performance of individualized activities. Performance is rated from 1 to 10, with higher scores indicating better performance quality. Each participant's selected occupational goals will be rated at baseline and after the intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Goal Attainment Scale | Baseline and immediately after completion of the 10-session intervention | Goal Attainment Scale is an individualized method for evaluating the extent to which intervention goals are achieved. Performance for each goal is rated on a five-point scale ranging from -2 to +2. A score of 0 represents the expected level of goal attainment, negative scores represent performance below the expected level, and positive scores represent performance above the expected level. |
| Childhood Autism Rating Scale | Baseline and immediately after completion of the 10-session intervention | The Childhood Autism Rating Scale is a caregiver-reported measure of autism-related behavioral characteristics across sensory behavior, relating, body and object use, language, and social and self-help domains. Items are scored using weighted values, and higher total scores indicate a greater number or severity of autism-related behavioral characteristics. |
Countries
Turkey (Türkiye)
Contacts
CONTACTZeynep Çorakcı Yazıcıoğlu
CONTACTCeren Davutoğlu
Outcome results
None listed