Preliminary Effects of the CO-OP Approach in Children With Autism Spectrum Disorder
Preliminary Effects of the Cognitive Orientation to Daily Occupational Performance Approach on Occupational Performance in Children With Autism Spectrum Disorder: A Pilot Study
1 other identifier
interventional
10
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2026
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 10, 2026
CompletedFirst Submitted
Initial submission to the registry
July 16, 2026
CompletedFirst Posted
Study publicly available on registry
July 21, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2026
July 21, 2026
July 1, 2026
3 months
July 16, 2026
July 16, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
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.
Baseline and immediately after completion of the 10-session intervention
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.
Baseline and immediately after completion of the 10-session intervention
Secondary Outcomes (2)
Goal Attainment Scale
Baseline and immediately after completion of the 10-session intervention
Childhood Autism Rating Scale
Baseline and immediately after completion of the 10-session intervention
Study Arms (1)
CO-OP Intervention
EXPERIMENTALParticipants will receive 10 individual sessions based on the Cognitive Orientation to Daily Occupational Performance approach. The intervention will focus on child- and family-identified daily occupational performance goals. Sessions will involve collaborative goal setting, dynamic performance analysis, guided discovery, cognitive strategy use, and the global strategy "Goal-Plan-Do-Check." Strategies will be practiced in relation to the selected activities, with emphasis on generalization and transfer to daily life.
Interventions
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.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Atlas Universitylead
Study Sites (1)
Atlas University
Istanbul, Istanbul, 34762, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
July 16, 2026
First Posted
July 21, 2026
Study Start
July 10, 2026
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
September 30, 2026
Last Updated
July 21, 2026
Record last verified: 2026-07