Friday, 13 March 2020

Evidence for your Practice: Supporting independence at home of people with autism spectrum disorder


Photo by Leo P. Hidalgo (@yompyz) on Foter.com / CC BY

Article: Marcotte, J., Grandisson, M., Piquemal, C., Boucher, A., Rheault, M., & Milot, É. (2019). Supporting independence at home ofpeople with autism spectrum disorder: Literature review. Canadian Journal of Occupational Therapy, 841741989017. doi:10.1177/0008417419890179

Study Aim: This literature review aims to examine interventions that are effective in helping people age 14+ with autism spectrum disorder (ASD) to develop and maintain independence in the home.

Key Findings: This review identified 20 articles focusing on interventions for building independence in individuals with ASD, including quasi-experimental designs, a qualitative study, mixed method study and a randomized control trial.

7 interventions were found to be effective:
     video modeling
     video self-modeling
     behavioural interventions
     video prompting
     transition planning program
     training in the use of a cognitive aid
     social skills group

Effectiveness of interventions was not compared; however, video prompting is prominent in the literature, and also received positive reviews by study participants and their family members.

Bottom Line for OT: Independence at home is possible for individuals with ASD and occupational therapists are uniquely suited to facilitate it, due to our ability to personalize treatments, focusing on grading and adapting activities and an understanding of the individual within the context of their environment.

Post by Katie Eichar, fieldwork student with CAOT-BC

#OT365

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