AI Article Synopsis
- Autistic children often face challenges in participation and skill development compared to nonautistic peers, and the impact of occupation-based coaching (OBC) on their participation is unclear.
- A study involving 13 autistic children and 12 caregivers tested the feasibility and effects of telehealth OBC, showing high rates of recruitment, retention, and caregiver engagement, exceeding expected benchmarks.
- Results indicated significant improvements in child performance and satisfaction, with moderate effects on sleep disturbances and smaller impacts on participation and family quality of life, highlighting the need for further large-scale research to refine the intervention.
Article Abstract
Autistic children participate less and have fewer opportunities to develop participation skills than nonautistic peers. The extent to which occupation-based coaching (OBC), a metacognitive strategy training intervention, affects participation in school-age autistic children is unknown. We conducted a single-group pretest-posttest design to evaluate the feasibility and preliminary effect of telehealth OBC for autistic children ( = 13) and primary caregivers ( = 12). Participants completed eight telehealth OBC sessions to address activity-based goals; they completed child, caregiver, and family outcomes pre- and post-intervention. Recruitment, retention, caregiver measure completion, and intervention adherence rates exceeded feasibility benchmarks. OBC had large effects on child performance (Hedge's = 1.65) and satisfaction (Hedge's = 1.89), a moderate effect on child sleep disturbance (Hedge's = 0.60), and small effects on child participation (Hedge's = 0.23) and family quality of life (Hedge's = 0.26). Further research in a large-scale study is warranted with changes to better support child measure completion and enhance the study protocol.
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| http://dx.doi.org/10.1177/15394492241309322 | DOI Listing |
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