Optimizing participation of children with autism spectrum disorder experiencing sensory challenges: A clinical reasoning framework

Ashburner, Jill Katherine, Rodger, Sylvia A., Ziviani, Jenny M. and Hinder, Elizabeth A. (2014) Optimizing participation of children with autism spectrum disorder experiencing sensory challenges: A clinical reasoning framework. Canadian Journal of Occupational Therapy, 2014 . doi:10.1177/0008417413520440


Author Ashburner, Jill Katherine
Rodger, Sylvia A.
Ziviani, Jenny M.
Hinder, Elizabeth A.
Title Optimizing participation of children with autism spectrum disorder experiencing sensory challenges: A clinical reasoning framework
Journal name Canadian Journal of Occupational Therapy   Check publisher's open access policy
ISSN 0008-4174
1911-9828
Publication date 2014-02-01
Year available 2014
Sub-type Article (original research)
DOI 10.1177/0008417413520440
Volume 2014
Total pages 10
Place of publication Thousand Oaks, CA United States
Publisher Sage Publications, Inc.
Language eng
Formatted abstract
Remedial sensory interventions currently lack supportive evidence and can be challenging to implement for families and clinicians. It may be timely to shift the focus to optimizing participation of children with autism spectrum disorders (ASD) through accommodation and self-regulation of their sensory differences. Purpose. A framework to guide practitioners in selecting strategies is proposed based on clinical reasoning considerations, including (a) research evidence, (b) client- and family-centredness, (c) practice contexts, (d) occupation-centredness, and (e) risks. Key issues. Information-sharing with families and coaching constitute the basis for intervention. Specific strategies are identified where sensory aversions or seeking behaviours, challenges with modulation of arousal, or sensory-related behaviours interfere with participation. Self-regulatory strategies are advocated. The application of universal design principles to shared environments is also recommended. Implications. The implications of this framework for future research, education, and practice are discussed. The clinical utility of the framework now needs to be tested.
Keyword Asperger syndrome
Autistic Disorder
Client-centred enablement
Clinical reasoning; Sensation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Sat, 01 Mar 2014, 02:56:51 EST by Professor Sylvia Rodger on behalf of School of Health & Rehabilitation Sciences