About this trial
This study aims to develop and evaluate a school-based occupational therapy program focused on sensory processing and activities of daily living for children with Autism Spectrum Disorder and Intellectual Disability. Sensory processing difficulties often affect school participation, behavior regulation, and independence in daily tasks. Although occupational therapy interventions have shown benefits in clinical settings, evidence for their use in schools is limited.
The trial will take place at Vali Ayhan Çevik Special Education School and will enroll students aged 6 to 14 years. Participants will be randomly assigned to either an intervention group or a control group. The intervention group will receive weekly 50-minute occupational therapy sessions for 10 to 12 weeks, including sensory preparation, task-oriented practice, and strategies to support everyday skills. The control group will receive family education, a written home program, and routine school observation.
Outcomes will be assessed at baseline, after the intervention, and at 4 to 6-week follow-up. The main outcome is change in Goal Attainment Scaling scores, which reflect progress toward individualized goals. Additional measures include functional ability, sensory processing, and demographic and clinical information. The study will also monitor feasibility and how closely the program is delivered as planned.
This research is expected to provide evidence on the feasibility and effects of a standardized occupational therapy program in a school setting and to support the use of similar approaches in educational contexts.
Eligibility criteria
Qualifiers
Regular school attendance (Anticipated ability to attend at least 70% of the planned intervention sessions during the study period);
Written informed consent obtained from the family;
Formal diagnosis of Autism Spectrum Disorder or Intellectual Disability, documented by an official disability report;
Presence of observable difficulties in sensory processing and activities of daily living (ADL), verified through the student's Individualized Education Program (IEP) records;
Disqualifiers
Uncontrolled epilepsy or other medical conditions that may interfere with participation or safety during sessions.
Medical contraindications to modalities such as swinging or deep pressure or severe musculoskeletal limitations preventing participation in task-oriented ADL practice.
Being in a period of severe acute behavioral crisis;
Concurrent participation in occupational therapy or special education programs for ≥2 hours per week that would compromise data interpretation;
Trial design
Treatments tested in this trial
- Individual School-Based Occupational Therapy Sessions
- Sensory Preparation Using Proprioceptive, Vestibular, and Tactile Input
- Task-Oriented Activities of Daily Living Training
- Generalization and Classroom-Based Sensory Support Strategies
- Family Education and Written Home Program