Preliminary Effects of the CO-OP Approach in Children With Autism Spectrum Disorder

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age7-10
SponsorAtlas University

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 volunteers

Qualifiers

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

Design model

Single group

Treatments tested in this trial

  • Cognitive Orientation to Daily Occupational Performance Approach

    Behavioral

    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.

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: CO-OP InterventionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
Baseline and immediately after completion of the 10-session intervention
2

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.

Time frame
Baseline and immediately after completion of the 10-session intervention

Secondary outcomes

1

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.

Time frame
Baseline and immediately after completion of the 10-session intervention
2

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.

Time frame
Baseline and immediately after completion of the 10-session intervention

Other outcomes

Sponsors and contacts

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