The Effect of Cognitive Orientation Approach on Daily Occupational Performance With Autism Spectrum Disorder

NCT06038435 | Completed

• 1 other identifier: CORAKCİ-004
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is by using the Cognitive Orientation Approach on Daily Occupational Performance, which is also supported by the literature and applied by occupational therapists, in children diagnosed with Autism Spectrum Disorder, it is aimed to determine how children's executive function scores and occupational participation change. The main questions it aims to answer are:

• Does the Cognitive Orientation Approach on Daily Occupational Performance have an effect on executive functions?
• Does the Cognitive Orientation Approach on Daily Occupational Performance have an effect on occupational performance? Participants will:
• Evaluations will be applied to all participants
• Divided into intervention and control groups
• The intervention group will be given "Cognitive Orientation Approach on Daily Occupational Performance" and "Ayres Sensory Integration Therapy" followed up for about 10 weeks.
• The control group will be given "Ayres Sensory Integration Therapy" followed up for about 10 weeks.
• After 10 weeks, the results between the two groups will be compared.
• After the second evaluation, both groups will be followed for 1 month and the same evaluations will be repeated. Researchers will compare intervention and control groups to see executive functions and occupational participation.

Conditions

Autism Spectrum Disorder; Executive Function; Patient Participation

Keywords

Autism Spectrum Disorder; Cognitive Orientation; Ayres Sensory Integration

Outcome Measures

Primary Outcomes (3)

• The Behavior Rating Inventory of Executive Function

  It is a rating used to evaluate the behavior of children and adolescents in the home and school environment, taking into account executive functions. It is a likert scale between 1-3 points and a score between 86-258 is obtained. High score is associated with impaired executive function.

  10 weeks

• The Executive Function and Occupational Routines Scale

  It evaluates children's skills such as impulsivity, verbal and non-verbal memory, self-regulation, planning and problem solving. It consists of 4 subtests including the total score. It is obtained by dividing each subtest score by the number of questions. It gives a score between 1-5 points. A high score indicates improvement.

  10 weeks

• The Short Child Occupational Profile

  The profile provides a comprehensive assessment of the child's activity participation and a holistic consideration of the factors that facilitate or limit occupational participation. It consists of 7 subtests including the total score. It is a likert scale between 1-4 points. While the "environmental" subtest is between 5-20 points, the other subtests are between 4-16 points. A higher score is associated with increased occupational performance.

  10 weeks

Secondary Outcomes (1)

• Canadian Occupational Performance Measure

  10 weeks

Study Arms (2)

Cognitive Orientation Approach + Ayres Sensory Integration Therapy

EXPERIMENTAL

Cognitive Orientation Approach on Daily Occupational Performance (CO-OP) and Ayres Sensory Integration (ASI) Therapy will be applied together

Behavioral: Cognitive Orientation Approach; Behavioral: Ayres Sensory Integration Therapy

Ayres Sensory Integration Therapy Only

ACTIVE COMPARATOR

Only Ayres Sensory Integration (ASI) Therapy will be applied

Behavioral: Ayres Sensory Integration Therapy

Interventions

Cognitive Orientation Approach BEHAVIORAL

Cognitive training will be given for the selected occupation

Cognitive Orientation Approach + Ayres Sensory Integration Therapy

Ayres Sensory Integration Therapy BEHAVIORAL

Sensory integration therapy will be applied.

Ayres Sensory Integration Therapy Only; Cognitive Orientation Approach + Ayres Sensory Integration Therapy

Eligibility Criteria

• Age: 7 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Being diagnosed with Autism Spectrum Disorder according to DSM-V by the Department of Child and Adolescent Mental Health
• Being between the ages of 7 years and 10 years and 11 months
• Score 30-36 points on the Childhood Autism Rating Scale
• Participation must be approved by the parent.

You may not qualify if:

• Having a concomitant neurological, psychiatric or orthopedic diagnosis
• Attending a program other than individual education

Sponsors & Collaborators

• Bezmialem Vakif University: lead

Study Sites (1)

Bezmialem Vakıf University

Istanbul, İ̇stanbul, 34762, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Autism Spectrum Disorder; Patient Participation; Orientation, Spatial

Condition Hierarchy (Ancestors)

Child Development Disorders, Pervasive; Neurodevelopmental Disorders; Mental Disorders; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Spatial Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: September 7, 2023
• First Posted: September 14, 2023
• Study Start: September 4, 2023
• Primary Completion: January 31, 2024
• Study Completion: January 31, 2024
• Last Updated: February 7, 2024

Record last verified: 2024-02

Locations

TU (1)