Date of Award

2014

Document Type

Scholarly Project

Degree Name

Master of Occupational Therapy (MOT)

Department

Occupational Therapy

First Advisor

Sarah K. Nielsen

Keywords

Child Development Disorders, Pervasive -- rehabilitation

Abstract

Background: Children with autism spectrum disorders (ASDs) have social, emotional, and organizational deficits. These are frequently addressed through behavioral-based skills training which often does not result in generalization of skills.

Methods: This single case study sought to understand if the Cognitive Orientation for daily Occupational Performance (CO-OP) approach, an approach developed to assist children in problem solving their own motor planning difficulties, is an effective approach for addressing social, emotional, and organizational goals with a child with an ASD.

Results: Pre and post-intervention assessment ratings on the Canadian Occupational Performance Measure and the Performance Quality Rating Scale completed by the participant's parents and the authors indicate an improvement on all three goals. Analysis of video recordings of the intervention sessions indicated the global strategies of Goal-Plan- Do-Check were effective, with the participant spending most time in "plan." A majority of the domain specific strategies did not apply to this case study. The participant utilized "verbal guidance by therapist" most often and spent a majority of dimension of time on task "talking about the task."

Conclusion: The CO-OP approach was demonstrated to be effective in addressing social, emotional, and organizational skills with a child with an ASD. The global strategies were demonstrated to be effective, but further research to identify more applicable domain specific strategies for social, emotional, and organizational goals is recommended.

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