Sensory Supported Swimming for Children With ASD

Study Overview
=================
Brief Summary
-----------------
The purpose of Sensory Supported Swimming is to provide a sustainable, low cost recreational swim program for children with ASD. A secondary purpose is to train general recreation providers and swim instructors to meet the unique needs of children. Specific aims include both program development and research aims as described below. Specific Aims: 1. Provide more opportunities for families of children with ASD to access a recreational swim program at low cost. (program development) 2. Increase the capacity of swim instructors and general recreation providers working with children with ASD. (Research) 3. Increase physical activity for children with ASD in a way that is a good match for their individual sensory needs. (Research) 4. Increase safety among children with ASD in and around the water so they and their families can swim safely. (Research) 5. Transition swimmers with ASD from a learn-to-swim program to an inclusive swim team. (Program Development) Hypotheses The Sensory Supported Swim Program will increase physical activity of children with ASD. The Sensory Supported Swim Program will increase safety of children with ASD in and around the water. The Sensory Supported Swim Program will increase the capacity of general recreation providers and swim instructors to serve children with ASD.

Detailed Description
-----------------
To decrease risk of drowning, increase opportunities to engage in a lifelong sport, and increase the capacity of general recreation providers, investigators developed a recreational swim program for children with ASD. The purpose of this program is to provide swimming and water safety instruction for children with ASD. A secondary purpose is to train general recreation providers and swim instructors to meet the unique needs of children. Research of this program includes investigating the effects of swimming on health outcomes (i.e., fitness, BMI) of children with ASD. SSS lessons are provided in eight week sessions six times per year. Lessons are individualized according to the child's sensory preferences (as measured by the Sensory Profile). Instructors use evidence-based teaching methods (i.e., visual supports, demonstration, peer and video modelling, sensory modifications) to teach swimming and water safety skills. Children may enroll for as many sessions as desired. Research includes retrospective review of program records.

Official Title
-----------------
Sensory Supported Swimming-Swimming and Water Safety for Children With Autism Spectrum Disorder

Conditions
-----------------
Autism Spectrum Disorders

Intervention / Treatment
-----------------
* Behavioral: Sensory Supported Swimming


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Autism diagnosis (any autism spectrum diagnosis) Order of response Exclusion Criteria: Children with sensory impairments (i.e., blindness, deafness) Based on the discretion of the program directors, participants that display aggressive or harmful behaviors may be excluded for safety purposes

Ages Eligible for Study
-----------------
Minimum Age: 4 Years
Maximum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SSS Intervention<br>Sensory Supported Swimming-eight, 30 minute lessons | Behavioral: Sensory Supported Swimming<br>* A swimming and water safety program for children with autism spectrum disorders. Individualized instruction utilizing evidence-based teaching methods and sensory modifications.<br>* Other names: Sensory Enhanced Aquatics;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Skill Acquisition Form | This outcome measure was created for the study to measure changes in swimming and water safety skills. The skill acquisition form is supplemented with weekly progress notes. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Instructor Survey | Instructors are surveyed at least annually to determine if Sensory Supported Swimming is increasing their competence to serve children with autism spectrum disorders | 16 weeks | 
| Parent Survey | Parents of program participants are surveyed at least annually to determine if Sensory Supported Swimming is increasing children's physical activity and safety around water | 16 weeks | 
| Program Records | demographics forms, enrollment & attendance records | 8 weeks |