Jamali Ali Reza, Alizadeh Zarei Mehdi, Sanjari Mohammad Ali, AkbarFahimi Malahat, Saneii Seyed Hassan
Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Biomechanics Lab., Rehabilitation Research Center, and Department of Basic Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Br J Occup Ther. 2022 May;85(5):308-315. doi: 10.1177/03080226211061492. Epub 2021 Dec 31.
This study examined the effectiveness of occupational performance coaching, which was delivered through telerehabilitation, in improving children with autism spectrum disorders (ASD) occupational performance, behavior problems, and prosocial behavior in addition to parental self-efficacy and quality of life.
Forty-three children were matched and randomized to occupational performance coaching or waitlist groups. Occupational performance, parental self-efficacy, behavioral problems, and prosocial behaviors were assessed using the Canadian Occupational Performance Measure, Child adjustment and parent efficacy scale-developmental disability (CAPES-DD), the Short-Form Health Survey, and goal attainment scale.
The intervention group showed greater improvement on occupational performance, specified goals, and behavioral problems. No progress was seen on the CAPES-DD prosocial behavior subscale. In addition, parental quality of life improvement was not maintained after the follow-up phase.
Occupation performance coaching, which was delivered through telerehabilitation, was effective on children with ASD occupational performance and parental self-efficacy, but it was not effective on the prosocial behaviors of these children.
本研究探讨了通过远程康复提供的职业表现指导对改善自闭症谱系障碍（ASD）儿童的职业表现、行为问题和亲社会行为以及父母自我效能感和生活质量的有效性。
43名儿童被匹配并随机分为职业表现指导组或候补名单组。使用加拿大职业表现测量量表、儿童适应与父母效能感量表-发育障碍版（CAPES-DD）、简短健康调查问卷和目标达成量表对职业表现、父母自我效能感、行为问题和亲社会行为进行评估。
干预组在职业表现、特定目标和行为问题方面有更大改善。在CAPES-DD亲社会行为子量表上未见进展。此外，随访阶段后父母生活质量的改善未得到维持。
通过远程康复提供的职业表现指导对ASD儿童的职业表现和父母自我效能感有效，但对这些儿童的亲社会行为无效。
