The Effect of Cognitive Orientation Approach on Daily Occupational Performance With Autism Spectrum Disorder
Condition: Autism Spectrum Disorder; Executive Function; Patient Participation
MeSH terms: Autistic Disorder; Autism Spectrum Disorder; Child Development Disorders, Pervasive
Study type: Interventional

Summary: 
      The goal of this clinical trial is by using the Cognitive Orientation Approach on Daily
      Occupational Performance, which is also supported by the literature and applied by
      occupational therapists, in children diagnosed with Autism Spectrum Disorder, it is aimed to
      determine how children's executive function scores and occupational participation change.

      The main questions it aims to answer are:

        -  Does the Cognitive Orientation Approach on Daily Occupational Performance have an effect
           on executive functions?

        -  Does the Cognitive Orientation Approach on Daily Occupational Performance have an effect
           on occupational performance?

      Participants will:

        -  Evaluations will be applied to all participants

        -  Divided into intervention and control groups

        -  The intervention group will be given "Cognitive Orientation Approach on Daily
           Occupational Performance" and "Ayres Sensory Integration Therapy" followed up for about
           10 weeks.

        -  The control group will be given "Ayres Sensory Integration Therapy" followed up for
           about 10 weeks.

        -  After 10 weeks, the results between the two groups will be compared.

        -  After the second evaluation, both groups will be followed for 1 month and the same
           evaluations will be repeated.

      Researchers will compare intervention and control groups to see executive functions and
      occupational participation.
    

Detailed description: 
      Autism spectrum disorder is a complex developmental disorder that can lead to dysfunctions in
      cognitive, emotion regulation, and communication skills.

      At the beginning of the cognitive problems seen in children with autism, the pathophysiology
      in executive functions, which is affected by individual differences, comes to the fore.
      Difficulties related to executive functions such as cognitive flexibility and problem solving
      cause limitations in many basic areas, especially in daily life in autism.

      The Cognitive Orientation Approach on Daily Occupational Performance, designed by Polatajko
      and others, is an activity-oriented problem-solving approach that uses cognitive strategies
      to develop motor skills in children who have difficulties during daily activities; It is a
      therapy method that focuses on the goal or the task itself, rather than the acquisition of
      functions within the activity performance. It is known that the approach is effective on
      social, emotional and organizational skills, especially cognitive skills in children with
      autism spectrum disorder.
    

Intervention name(s): Cognitive Orientation Approach; Ayres Sensory Integration Therapy
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Cognitive training will be given for the selected occupation; Sensory integration therapy will be applied.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Autism Spectrum Disorder; Cognitive Orientation; Ayres Sensory Integration