Family Centered Occupational Therapy on Play Skills and Participation of Children With ASD

Effectiveness of Family Centered Occupational Therapy on Play Skills and Participation of Children With Autism Spectrum Disorder

Play skills and participation of children with Autism Spectrum Disorder (ASD) have been restricted by their core symptoms, resulting in heightened parenting stress and affected family daily life. This research aims to improve play skills and participation of children with ASD through 'family-centered occupational therapy', thereby leading to positive outcome for not only the child but also the whole family.

Study Overview

• Status: Completed
• Conditions: Autism Spectrum Disorder
• Intervention / Treatment: Behavioral: Family-centered occupational therapy; Behavioral: regular occupational therapy; Other: intervention done outside our hospital

Detailed Description

Play skills and participation of children with Autism Spectrum Disorder (ASD) have been restricted by their core symptoms, resulting in heightened parenting stress and affected family daily life. This research aims to improve play skills and participation of children with ASD through 'family-centered occupational therapy', thereby leading to positive outcome for not only the child but also the whole family.

60 children age 2~6 with ASD will be recruited in our research, and divided into either experimental or control groups according to primary caregivers' (will be referred to as caregivers thereafter) decision whether to receive treatment in our hospital (NTUH) or not. Caregivers' decision is based on the convenience of transportation to NTUH. The children with ASD in the experimental group will receive family-centered occupational therapy three times a week for 6 months. The intervention goals, determined by discussing with caregivers, will often be the most important aspect of play skill and participation of children with ASD, which concern caregivers most. Caregivers will be equipped with the skills of guiding children with ASD in play and participation in their daily life. The outcome assessments will include : (1) The child's developmental skills and the severity of ASD as measured with Psychoeducational Profile, third edition (PEP-3) and Childhood Autism Rating Scale (CARS) respectively, (2) the child's play skill and participation as measured with Goal Attainment Scale (GAS), Vineland Adaptive Behavior Scale-Chinese version (VABS-C) and Revised Knox Preschool Play Scale (RKPPS) respectively, (3) Family related factors as measured with Parenting Stress Index Short Form (PSI/SF), Family Outcomes Survey (FOS), Family Empowerment Scale (FES) and Home Observation for Measurement of the Environment (HOME).

Pre- and post-intervention comparison on the outcome measures within the experimental group, and group comparison on the outcome measures will be conducted to examine the effectiveness of family-centered occupational therapy. Results of the study will provide empirical evidence for evidence-based occupational therapy practice in the field of play skills and participation of children with ASD.

• Study Type: Interventional
• Enrollment (Actual): 23
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Zhongzheng
    • Taipei, Zhongzheng, Taiwan, 100
      • National Taiwan University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 2 years to 6 years (CHILD)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• patient diagnosed with Autism spectrum disorder
• age 2~6 years old

Exclusion Criteria:

• patient with other disease, like seizure or other systemic disease

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: TRIPLE

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Treatment group; Patients who receive 'family-centered occupational therapy' in our hospital	Behavioral: Family-centered occupational therapy; Caregivers will be equipped with the skills of guiding children with ASD in play and participation in their daily life.
ACTIVE_COMPARATOR: Control group 1; Patients who receive regular occupational therapy in our hospital	Behavioral: regular occupational therapy; regular occupational therapy
OTHER: Control group 2; Patients who don't receive intervention in our hospital	Other: intervention done outside our hospital; intervention done outside our hospital

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Goal Attainment Scale (GAS)	GAS is a measure we used to assessed change between three time points ("Change from Baseline and at 3 months and at 6 months").	pre-test before intervention and post-test after 3 months and 6 months of intervention
Revised Knox Preschool Play Scale (RKPPS)	RKPPS is a measure we used to assessed change between two time points ("Change from Baseline and at 6 months)	pre-test before intervention and post-test after 6 months of intervention
Vineland Adaptive Behavior Scale-Chinese version (VABS-C)	VABS-C is a measure we used to assessed change between two time points ("Change from Baseline and at 6 months)	pre-test before intervention and post-test after 6 months of intervention

Secondary Outcome Measures

Outcome Measure	Time Frame
Parenting Stress Index Short Form (PSI/SF)	pre-test and post-test after 6 month
Family Outcomes Survey (FOS)	pre-test and post-test after 6 month
Family Empowerment Scale (FES)	pre-test and post-test after 6 month
Home Observation for Measurement of the Environment (HOME)	pre-test and post-test after 6 month

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital
• Investigators: Study Director: Mei-Hui Tseng, PhD, National Taiwan University School of Occupational Therapy

Study record dates

Study Major Dates

• Study Start: May 1, 2016
• Primary Completion (ACTUAL): December 1, 2017
• Study Completion (ACTUAL): December 1, 2017

Study Registration Dates

• First Submitted: May 22, 2016
• First Submitted That Met QC Criteria: June 6, 2016
• First Posted (ESTIMATE): June 10, 2016

Study Record Updates

• Last Update Posted (ACTUAL): December 28, 2017
• Last Update Submitted That Met QC Criteria: December 26, 2017
• Last Verified: December 1, 2017

More Information

Terms related to this study

• Keywords: Occupational therapy; Participation; Autism spectrum disorder; Play; Family-centered
• Additional Relevant MeSH Terms: Mental Disorders; Neurodevelopmental Disorders; Autistic Disorder; Autism Spectrum Disorder; Child Development Disorders, Pervasive
• Other Study ID Numbers: 201509008RINC

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO