Father-Child Playfulness: A Secondary Analysis of a Multiple-Baseline Single-Subject Study of Three Children With Autism Spectrum Disorder
Ayres Sensory Integration® (ASI) is commonly used with children on the autism spectrum to promote sensory processing and improved occupational performance, including play. To date, there has been no explicit effort to examine improvements in playfulness through ASI. To explore whether ASI, coupled w...
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| Vydané v: | The American journal of occupational therapy Ročník 77; číslo 2 |
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| Hlavní autori: | , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
01.03.2023
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| ISSN: | 0272-9490 |
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| Abstract | Ayres Sensory Integration® (ASI) is commonly used with children on the autism spectrum to promote sensory processing and improved occupational performance, including play. To date, there has been no explicit effort to examine improvements in playfulness through ASI.
To explore whether ASI, coupled with parent training, improves child playfulness and fathers' support of child playfulness.
Single-subject A-B-BC design secondary analysis of a nonconcurrent multiple-baseline study.
Occupational therapy clinic.
Three father-child dyads; children were ages 3 to 6 yr, with autism spectrum disorder (ASD) and documented sensory processing concerns.
After a baseline phase, each child received at least 24 sessions of ASI, and fathers received parent training focusing on sensory processing issues and play via an online presentation.
The Parent/Caregiver's Support of Children's Playfulness and the Test of Playfulness.
Visual analysis of the baseline phase, ASI phase, and ASI with parent training phase shows that all 3 fathers demonstrated an increase in the way they supported their child's playfulness; however, this change was not maintained. Children's playfulness fluctuated, reaching a peak after fathers received training, but none of the children maintained that change.
Additional support by the therapist is required for fathers to learn and use new strategies to promote consistent change in child playfulness during play. Pilot data can be used to inform future studies. What This Article Adds: Occupation- and family-centered frameworks may be useful in guiding practice when working with families of children with ASD. |
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| AbstractList | Ayres Sensory Integration® (ASI) is commonly used with children on the autism spectrum to promote sensory processing and improved occupational performance, including play. To date, there has been no explicit effort to examine improvements in playfulness through ASI.
To explore whether ASI, coupled with parent training, improves child playfulness and fathers' support of child playfulness.
Single-subject A-B-BC design secondary analysis of a nonconcurrent multiple-baseline study.
Occupational therapy clinic.
Three father-child dyads; children were ages 3 to 6 yr, with autism spectrum disorder (ASD) and documented sensory processing concerns.
After a baseline phase, each child received at least 24 sessions of ASI, and fathers received parent training focusing on sensory processing issues and play via an online presentation.
The Parent/Caregiver's Support of Children's Playfulness and the Test of Playfulness.
Visual analysis of the baseline phase, ASI phase, and ASI with parent training phase shows that all 3 fathers demonstrated an increase in the way they supported their child's playfulness; however, this change was not maintained. Children's playfulness fluctuated, reaching a peak after fathers received training, but none of the children maintained that change.
Additional support by the therapist is required for fathers to learn and use new strategies to promote consistent change in child playfulness during play. Pilot data can be used to inform future studies. What This Article Adds: Occupation- and family-centered frameworks may be useful in guiding practice when working with families of children with ASD. Ayres Sensory Integration® (ASI) is commonly used with children on the autism spectrum to promote sensory processing and improved occupational performance, including play. To date, there has been no explicit effort to examine improvements in playfulness through ASI.IMPORTANCEAyres Sensory Integration® (ASI) is commonly used with children on the autism spectrum to promote sensory processing and improved occupational performance, including play. To date, there has been no explicit effort to examine improvements in playfulness through ASI.To explore whether ASI, coupled with parent training, improves child playfulness and fathers' support of child playfulness.OBJECTIVETo explore whether ASI, coupled with parent training, improves child playfulness and fathers' support of child playfulness.Single-subject A-B-BC design secondary analysis of a nonconcurrent multiple-baseline study.DESIGNSingle-subject A-B-BC design secondary analysis of a nonconcurrent multiple-baseline study.Occupational therapy clinic.SETTINGOccupational therapy clinic.Three father-child dyads; children were ages 3 to 6 yr, with autism spectrum disorder (ASD) and documented sensory processing concerns.PARTICIPANTSThree father-child dyads; children were ages 3 to 6 yr, with autism spectrum disorder (ASD) and documented sensory processing concerns.After a baseline phase, each child received at least 24 sessions of ASI, and fathers received parent training focusing on sensory processing issues and play via an online presentation.INTERVENTIONAfter a baseline phase, each child received at least 24 sessions of ASI, and fathers received parent training focusing on sensory processing issues and play via an online presentation.The Parent/Caregiver's Support of Children's Playfulness and the Test of Playfulness.OUTCOMES AND MEASURESThe Parent/Caregiver's Support of Children's Playfulness and the Test of Playfulness.Visual analysis of the baseline phase, ASI phase, and ASI with parent training phase shows that all 3 fathers demonstrated an increase in the way they supported their child's playfulness; however, this change was not maintained. Children's playfulness fluctuated, reaching a peak after fathers received training, but none of the children maintained that change.RESULTSVisual analysis of the baseline phase, ASI phase, and ASI with parent training phase shows that all 3 fathers demonstrated an increase in the way they supported their child's playfulness; however, this change was not maintained. Children's playfulness fluctuated, reaching a peak after fathers received training, but none of the children maintained that change.Additional support by the therapist is required for fathers to learn and use new strategies to promote consistent change in child playfulness during play. Pilot data can be used to inform future studies. What This Article Adds: Occupation- and family-centered frameworks may be useful in guiding practice when working with families of children with ASD.CONCLUSIONS AND RELEVANCEAdditional support by the therapist is required for fathers to learn and use new strategies to promote consistent change in child playfulness during play. Pilot data can be used to inform future studies. What This Article Adds: Occupation- and family-centered frameworks may be useful in guiding practice when working with families of children with ASD. |
| Author | Waldman-Levi, Amiya Kuhaneck, Heather |
| Author_xml | – sequence: 1 givenname: Amiya surname: Waldman-Levi fullname: Waldman-Levi, Amiya email: amiya.waldmanlevi@yu.edu organization: Amiya Waldman-Levi, PhD, OTR/L, is Clinical Associate Professor/Director of Scholarship and Research, Occupational Therapy Doctorate Program, Katz School of Science and Health, Yeshiva University, Bronx, NY. At the time the research was completed, Waldman-Levi was Associate Professor of Occupational Therapy, Long Island University, NY; amiya.waldmanlevi@yu.edu – sequence: 2 givenname: Heather surname: Kuhaneck fullname: Kuhaneck, Heather organization: Heather Kuhaneck, PhD, OTR/L, FAOTA, is Founding Program Director and Professor of Occupational Therapy, Department of Recreation, Tourism, and Sports Management, Southern Connecticut State University, New Haven, CT. At the time the research was completed, Kuhaneck was Associate Professor of Occupational Therapy, College of Health Professions, Sacred Heart University, Fairfield, CT |
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| Title | Father-Child Playfulness: A Secondary Analysis of a Multiple-Baseline Single-Subject Study of Three Children With Autism Spectrum Disorder |
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