About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Single group
Treatments tested in this trial
Cognitive Orientation to Daily Occupational Performance Approach
BehavioralThe 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.
Treatment groups
Trial outcomes
Primary outcomes
Canadian Occupational Performance Measure
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
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 outcomes
Goal Attainment Scale
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
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.
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