Peters B Caitlin, Gabriels Robin, Schmid Arlene A, Lassell Rebecca K F, Pan Zhaoxing, Hoffman Ari, Hepburn Susan
Colorado State University, Fort Collins, USA.
University of Colorado Denver, USA.
OTJR (Thorofare N J). 2024 Oct;44(4):597-609. doi: 10.1177/15394492241246549. Epub 2024 Apr 25.
There is a lack of peer-reviewed research on occupational therapy using Zones of Regulation™ concepts for autistic youth. The purpose of this article is to describe the feasibility of a newly-developed occupational therapy intervention using Zones of Regulation™ concepts (OT-ZOR) for autistic youth. Specifically, we aimed to evaluate: (a) participant recruitment, retention, and attendance; (b) intervention fidelity, safety, and assessment completion; (c) intervention acceptability; and (d) preliminary participant outcomes. A single-arm feasibility study was completed with outcome measures before and after 10 weeks of OT-ZOR. Fourteen autistic youth ages 6 to 13 completed the study. Youth attended 94% of OT-ZOR sessions. Providers achieved 97% fidelity to the intervention. Occupational therapists and caregivers expressed overall satisfaction with the OT-ZOR intervention. Youth demonstrated significant decreases in irritability, hyperactivity, emotional reactivity, and dysphoria. OT-ZOR is feasible to implement, acceptable to providers and caregivers, and may improve self-regulation in autistic youth.
目前缺乏关于将“调节区”（Zones of Regulation™）概念应用于自闭症青少年的职业治疗的同行评审研究。本文的目的是描述一种新开发的、使用“调节区”概念（OT-ZOR）的职业治疗干预措施对自闭症青少年的可行性。具体而言，我们旨在评估：（a）参与者的招募、留存率和出勤率；（b）干预的保真度、安全性和评估完成情况；（c）干预的可接受性；以及（d）参与者的初步结果。在进行10周的OT-ZOR干预前后，采用结果测量指标完成了一项单臂可行性研究。14名年龄在6至13岁的自闭症青少年完成了该研究。青少年参加了94%的OT-ZOR课程。提供者对干预的保真度达到了97%。职业治疗师和照顾者对OT-ZOR干预总体表示满意。青少年在易怒、多动、情绪反应和烦躁方面有显著下降。OT-ZOR实施起来是可行的，得到了提供者和照顾者接受，并且可能改善自闭症青少年的自我调节能力。
