Volume 2, Issue 1 (Winter 2019)                   Func Disabil J 2019, 2(1): 54-63 | Back to browse issues page


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Saneii S H, Karamali Esmaili S. Rehabilitation in Autism Spectrum Disorder: A Look at Current Occupational Therapy Services in Iran. Func Disabil J. 2019; 2 (1) :54-63
URL: http://fdj.iums.ac.ir/article-1-73-en.html
1- Assistant Professor, Department of Basic Sciences in Rehabilitation, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Assistant Professor, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran, Assistant Professor, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran , esmaeili.s@iums.ac.ir
Abstract:   (120 Views)
Background and Objectives:  The progressive prevalence of Autism Spectrum Disorder and the high cost of its treatment suggest that health services should be purposefully provided to people with this disorder. Occupational therapists play a key role in the rehabilitation of autism. This study sought to monitor occupational therapy services provided to individuals with autism.
Materials and Methods: A survey about occupational therapy services for people with autism spectrum disorder was distributed to therapists. They completed a researcher-made questionnaire asking them about working conditions, knowledge sources, assessments, and interventions that have been used in autism. 225 questionnaires were distributed among occupational therapists who had the inclusion criteria.
Results: The number of the full-filled questionnaires was 124. The therapists worked more individual therapy (95%) than group sessions (23%). Household economic problems were reported as the most common cause of occupational therapy discontinuation. They focused more on sensory approaches and cognitive models. The education level of the therapist was significantly correlated with autism-specific experience (r=0.376, P=0.00). Of the respondents, 50.8% reported their competency to treat autism as higher than average. Perceived competency was significantly correlated with providing consultation by the therapists (r=0.256, P=0.004).
Conclusion: Occupational therapists apply sensory and cognitive approaches in autism. Therapists should try to resolve the problems that exist for group therapy sessions. The use of sensory-based therapies and their impact on the participation in everyday life is controversial. Finding a solution to compensate for the high cost of occupational therapy for autism can make people more likely to receive occupational therapy services.
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✅ Occupational therapists apply sensory and cognitive approaches in autism. Therapists should try to resolve the problems that exist for group therapy sessions. The use of sensory-based therapies and their impact on the participation in everyday life is controversial. Finding a solution to compensate for the high cost of occupational therapy for autism can make people more likely to receive occupational therapy services.
Subject: Occupational Therapy
Received: 2019/04/16 | Accepted: 2019/05/29

References
1. Ashburner, J., Rodger, S., Ziviani, J., & Hinder, E. (2015). Optimising Participation Of Children With Autism Spectrum Disorder Experiencing Sensory Challenges: A Clinical Reasoning Framework. Australian Occupational Therapy Journal, 62, 147.
2. Ashburner, J., Rodger, S., Ziviani, J., & Jones, J. (2014). Occupational therapy services for people with autism spectrum disorders: Current state of play, use of evidence and future learning priorities. Australian Occupational Therapy Journal, 61(2), 110-120. [DOI:10.1111/1440-1630.12083] [PMID]
3. Asher, A. (2014). Teaching social skills to people with autism Best practices in individualizing interventions. Canadian Journal of Occupational Therapy, 81(5), 329-329. [DOI:10.1177/0008417414559393]
4. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (fifth ed.). Arlington VA: American Psychiatric Association. [DOI:10.1176/appi.books.9780890425596]
5. Bagatell, N. J., Cram, M., Alvarez, C. G., & Loehle, L. (2014). Routines of families with adolescents with autistic disorders: A comparison study: Étude comparative des routines des familles ayant des adolescents atteints de troubles autistiques. Canadian Journal of Occupational Therapy, 81(1), 62-67. [DOI:10.1177/0008417414520691] [PMID]
6. Bowker, A., D'Angelo, N. M., Hicks, R., & Wells, K. (2011). Treatments for autism: Parental choices and perceptions of change. Journal of Autism and Developmental Disorders, 41(10), 1373-1382. [DOI:10.1007/s10803-010-1164-y] [PMID]
7. Case-Smith, J., & Arbesman, M. (2008). Evidence-based review of interventions for autism used in or of relevance to occupational therapy. American Journal of Occupational Therapy, 62(4), 416-429. [DOI:10.5014/ajot.62.4.416] [PMID]
8. Case-Smith, J., & Miller, H. (1999). Occupational therapy with children with pervasive developmental disorders. American Journal of Occupational Therapy, 53(5), 506-513. [DOI:10.5014/ajot.53.5.506] [PMID]
9. Case-Smith, J., Weaver, L. L., & Fristad, M. A. (2015). A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism, 19(2), 133-148. [DOI:10.1177/1362361313517762] [PMID]
10. Cottrell, R. F. (1990). Perceived competence among occupational therapists in mental health. American Journal of Occupational Therapy, 44(2), 118-124. [DOI:10.5014/ajot.44.2.118] [PMID]
11. Dammann, C., Althoff, C., Hope, S., & Ausderau, K. (2017). Parent-Mediated Interventions With Children With Autism Spectrum Disorder: A Systematic Review. American Journal of Occupational Therapy, 71(4_Supplement_1), 7111515226p1. [DOI:10.5014/ajot.2017.71S1-PO2175]
12. Dionne, M., & Martini, R. (2011). Floor time play with a child with autism: A single-subject study. Canadian Journal of Occupational Therapy, 78(3), 196-203. [DOI:10.2182/cjot.2011.78.3.8] [PMID]
13. Epp, K. M. (2008). Outcome-based evaluation of a social skills program using art therapy and group therapy for children on the autism spectrum. Children & Schools, 30(1), 27-36. [DOI:10.1093/cs/30.1.27]
14. Henning, B., Cordier, R., Wilkes‐Gillan, S., & Falkmer, T. (2016). A pilot play‐based intervention to improve the social play interactions of children with autism spectrum disorder and their typically developing playmates. Australian Occupational Therapy Journal, 63(4), 223-232. [DOI:10.1111/1440-1630.12285] [PMID]
15. Hock, R., Kinsman, A., & Ortaglia, A. (2015). Examining treatment adherence among parents of children with autism spectrum disorder. Disability and health journal, 8(3), 407-413. [DOI:10.1016/j.dhjo.2014.10.005] [PMID]
16. Hodgetts, S., & Hodgetts, W. (2007). Somatosensory stimulation interventions for children with autism: Literature review and clinical considerations. Canadian Journal of Occupational Therapy, 74(5), 393-400. [DOI:10.2182/cjot.07.013] [PMID]
17. Ismael, N., Lawson, L. M., & Hartwell, J. (2018). Relationship Between Sensory Processing and Participation in Daily Occupations for Children With Autism Spectrum Disorder: A Systematic Review of Studies That Used Dunn's Sensory Processing Framework. American Journal of Occupational Therapy, 72(3), 7203205030p7203205031-7203205030p7203205039. [DOI:10.5014/ajot.2018.024075] [PMID]
18. Jaffe, E. G., & Epstein, C. F. . (2011). Consultation: Collaborative interventions for change. In K. Jacobs & G. L. Mc-Cormack (Eds.), The occupational therapy manager (5th ed., pp. 521-545). Bethesda, MD: AOTA Press.
19. Joosten, A. V., & Safe, A. P. (2014). Management strategies of mothers of school‐age children with autism: Implications for practice. Australian Occupational Therapy Journal, 61(4), 249-258. [DOI:10.1111/1440-1630.12116] [PMID]
20. Kadar, M., McDonald, R., & Lentin, P. (2012). Evidence‐based practice in occupational therapy services for children with autism spectrum disorders in Victoria, Australia. Australian Occupational Therapy Journal, 59(4), 284-293. [DOI:10.1111/j.1440-1630.2012.01015.x] [PMID]
21. Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel psychology, 28(4), 563-575. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
22. Miller-Kuhaneck, H. (2015). Autism spectrum disorder. In J. Case-Smith & J. C. O'Brien (Eds.), Occupational therapy for children and adolescents (7th ed., pp. 766-792). Canada: Elsevier: Mosby.
23. Myers, C. (2017). Occupational Therapists' Use of Research and Evidence Sources Associated With an Online Competence Assessment. American Journal of Occupational Therapy, 71(4_Supplement_1). [DOI:10.5014/ajot.2017.71S1-PO5155]
24. Pfeiffer, B. A., Koenig, K., Kinnealey, M., Sheppard, M., & Henderson, L. (2011). Effectiveness of sensory integration interventions in children with autism spectrum disorders: A pilot study. American Journal of Occupational Therapy, 65(1), 76-85. [DOI:10.5014/ajot.2011.09205] [PMID]
25. Rodger, S., & Brandenburg, J. (2009). Cognitive Orientation to (daily) Occupational Performance (CO‐OP) with children with Asperger's syndrome who have motor‐based occupational performance goals. Australian Occupational Therapy Journal, 56(1), 41-50. [DOI:10.1111/j.1440-1630.2008.00739.x] [PMID]
26. Rodger, S., Ireland, S., & Vun, M. (2008). Can Cognitive Orientation to daily Occupational Performance (CO-OP) help children with Asperger's syndrome to master social and organisational goals? British Journal of Occupational Therapy, 71(1), 23-32. [DOI:10.1177/030802260807100105]
27. Samadi, S. A., Mahmoodizadeh, A., & McConkey, R. (2012). A national study of the prevalence of autism among five-year-old children in Iran. Autism, 16(1), 5-14. [DOI:10.1177/1362361311407091] [PMID]
28. Schaaf, R. C., Benevides, T., Mailloux, Z., Faller, P., Hunt, J., van Hooydonk, E., . . . Kelly, D. (2014). An intervention for sensory difficulties in children with autism: A randomized trial. Journal of Autism and Developmental Disorders, 44(7), 1493-1506. [DOI:10.1007/s10803-014-2111-0]
29. Thompson-Hodgetts, S., & Magill-Evans, J. (2018). Sensory-Based Approaches in Intervention for Children With Autism Spectrum Disorder: Influences on Occupational Therapists' Recommendations and Perceived Benefits. American Journal of Occupational Therapy, 72(3), 7203205020p7203205021-7203205020p7203205028. [DOI:10.5014/ajot.2018.024729] [PMID]
30. Tomchek, S., & Koenig, K. (2016). Occupational therapy practice guidelines for children and adolescents with Autism Spectrum Disorders. Bethesda, MD: American Occupational Therapy Association, Inc. [DOI:10.5014/ajot.2017.711003] [PMID]
31. Watling, R., Deitz, J., Kanny, E. M., & McLaughlin, F. (1999). Current practice of occupational therapy for children with autism. American Journal of Occupational Therapy, 53(5), 498-505. [DOI:10.5014/ajot.53.5.498] [PMID]
32. Watling, R., & Hauer, S. (2015). Effectiveness of Ayres Sensory Integration® and sensory-based interventions for people with autism spectrum disorder: A systematic review. American Journal of Occupational Therapy, 69(5), 6905180030p6905180031-6905180030p6905180012. [DOI:10.5014/ajot.2015.018051] [PMID]
33. Watling, R., Tomchek, S., & LaVesser, P. (2005). The scope of occupational therapy services for individuals with autism spectrum disorders across the lifespan. The American journal of occupational therapy: official publication of the American Occupational Therapy Association, 59(6), 680-683. [DOI:10.5014/ajot.59.6.680] [PMID]
34. Weitlauf, A. S., Sathe, N., McPheeters, M. L., & Warren, Z. E. (2017). Interventions targeting sensory challenges in autism spectrum disorder: a systematic review. Pediatrics, 139(6), e20170347. [DOI:10.1542/peds.2017-0347] [PMID]
35. Wilkes‐Gillan, S., & Joosten, A. (2016). Technology‐based interventions were found to have evidence of effectiveness on a range of outcomes, including social problem solving and facial and emotional processing skills for individuals with autism spectrum disorders. Australian Occupational Therapy Journal, 63(2), 135-136. [DOI:10.1111/1440-1630.12274] [PMID]
36. Zablotsky, B., Black, L. I., Maenner, M. J., Schieve, L. A., & Blumberg, S. J. (2015). Estimated prevalence of autism and other developmental disabilities following questionnaire changes in the 2014 National Health Interview Survey. National health statistics report, 1-20.

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