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There are well-documented play deficits in autism beginning with infant object and social play. To create effective interventions, the predictors of play deficits in autism must be established. Individuals with autism spectrum disorder (ASD) frequently report sensory processing difficulties including poor praxis; however, these are potential predictors of play that have not been well studied. Using a data set of 162 individuals with ASD, this study examined the direct and indirect relationships between sensory processing and social play performance via structural equation modeling. The best fitting model suggested that sensory system functions predict praxis and play in combination, providing preliminary evidence that sensory functions are related to social play in combination with praxis in children with ASD. The findings suggest future avenues for research.
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Over a decade ago, researchers surveyed pediatric occupational therapists regarding their use of play and concluded that play was addressed inconsistently in the evaluation and treatment of preschool-age clients. Play was primarily used as a modality to achieve a desired performance in another skill area. In the intervening years, a significant body of literature has been published in occupational therapy promoting the use of play as a meaningful outcome of occupational therapy intervention; therefore, practice patterns may have changed. Five hundred pediatric occupational therapists were randomly selected from members of the school system and sensory integration special interest sections of the American Occupational Therapy Association (AOTA) to be surveyed regarding their current usage of play with children ages 3 to 7 years. They received a mailed survey, adapted from the original work of Couch, Dietz, and Kanny with the permission of the primary author. There were 198 surveys returned (40%). Similar to earlier findings, play was used primarily as a means of eliciting improvement in another area, such as fine-motor skill. Although some therapists assessed play, few focused on play as an outcome of importance, or included goals for play. Minimal changes have occurred in the role of play in pediatric occupational therapy. Despite the profession's promotion of our role in play and the suggestion that play is one of the most important occupations of childhood, practitioners continue to report a limited focus on play as an occupation.
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Scientific theory evolves through phases. Scientists observe phenomena, classify their observations, examine and explain causation, and attempt to understand their results in varied circumstances. If anomalies are found that do not mesh with the theory, revision occurs, and the theory is improved (Christensen, Carlile, & Sundahl, 2001). Each stage requires accurate and precise measurement and, therefore, appropriate measurement tools.The body of scientific inquiry developed by A. Jean Ayres is deeply rooted in systematic and methodical measurement, and her work marked the first effort by an occupational therapist to build a theory for clinical application with an evidence-based approach. The trajectory of the growth of Ayres Sensory Integration® (ASI), beginning in the 1950s with continual advancements from the ongoing contributions of the researchers who have built on her seminal work since that time, has occurred simultaneously with the widespread use of more rigorous research methods, attention to measurement of fidelity, greater usage of exploratory and factor analysis, and more routine practice of examining multivariate research problems with computer statistical programs (Century, Rudnick, & Freeman, 2010; Elmore & Woehlke, 1988; Keselman et al., 1998; Ottenbacher & Peterson, 1985; Press, 2013; Tukey, 1980; West, Carmody, & Stallings, 1983).
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This systematic review examined the literature published from January 2006 to April 2013 related to the effectiveness of occupational therapy interventions for children with autism spectrum disorder (ASD) and their parents to improve parental stress and self-efficacy, coping, and resilience and family participation in daily life and routines. From the 4,457 abstracts, 34 articles were selected that matched the inclusion criteria. The results were mixed and somewhat inconclusive because this body of literature is in its infancy. Studies of children with ASD do not routinely measure parental and family outcomes. Recommendations include an emphasis on family measures other than parental stress and a greater focus on measures of parental and family functioning in all future studies of pediatric interventions to more fully understand the impact of interventions in a wider context.
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The Classroom Sensory Environment Assessment (CSEA) is a tool that provides a means of understanding the impact of a classroom’s sensory environment on student behavior. The purpose of the CSEA is to promote collaboration between occupational therapists and elementary education teachers. In particular, students with autism spectrum disorder included in general education classrooms may benefit from a suitable match created through this collaborative process between the sensory environment and their unique sensory preferences. The development of the CSEA has occurred in multiple stages over 2 yr. This article reports on descriptive results for 152 classrooms and initial reliability results. Descriptive information suggests that classrooms are environments with an enormous variety of sensory experiences that can be quantified. Visual experiences are most frequent. The tool has adequate internal consistency but requires further investigation of interrater reliability and validity.
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This systematic review describes the published evidence related to the effectiveness of frequency modulation (FM) devices in improving academic outcomes in children with auditory processing difficulties. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards were used to identify articles published between January 2003 and March 2014. The Cochrane Population, Intervention, Control, Outcome, Study Design approach and the American Occupational Therapy Association process forms were used to guide the article selection and evaluation process. Of the 83 articles screened, 7 matched the systematic review inclusion criteria. Findings were consistently positive, although limitations were identified. Results of this review indicate moderate support for the use of FM devices to improve children’s ability to listen and attend in the classroom and mixed evidence to improve specific academic performance areas. FM technology should be considered for school-age children with auditory processing impairments who are receiving occupational therapy services to improve functioning in the school setting.
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Pediatric occupational therapy practitioners frequently provide interventions for children with differences in sensory processing and integration. Confusion exists regarding how best to intervene with these children and about how to describe and document methods. Some practitioners hold the misconception that Ayres Sensory Integration intervention is the only approach that can and should be used with this population. The issue is that occupational therapy practitioners must treat the whole client in varied environments; to do so effectively, multiple approaches to intervention often are required. This article presents a framework for conceptualizing interventions for children with differences in sensory processing and integration that incorporates multiple evidence-based approaches. To best meet the needs of the children and families seeking occupational therapy services, interventions must be focused on participation and should be multifaceted.
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This systematic review examines the literature published from January 2007 through May 2015 related to the effectiveness of occupational therapy interventions using parental or teacher education and coaching with children with challenges in sensory processing and sensory integration (SP–SI). Of more than 11,000 abstracts and 86 articles that were considered, only 4 met the criteria and were included in this review. Studies of parental training and coaching for children with challenges in SP–SI and comorbid autism spectrum disorder have suggested that educational or coaching programs could result in positive outcomes for both parents and children, often in a relatively short time period. Recommendations include a greater focus on providing educational interventions for parents and teachers and including specific assessment of SP–SI before implementing interventions meant to address those issues. Specific recommendations for future research are provided.
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The Classroom Sensory Environment Assessment (CSEA) is a tool that provides a format for examining the sensory environment of a classroom and considering its impact on student behavior and performance. The purpose of the CSEA is to promote awareness of classroom sensory experiences for general elementary education teachers and to aide collaboration between occupational therapists and teachers. This qualitative study investigated the perceived usefulness of the CSEA for general educators and preservice teachers. The resultant themes included “the process led to greater awareness,” “driven to distraction,” and “the sights and sounds of a classroom.” The results support the potential use of the CSEA as a method of generating greater understanding for teachers regarding sensory processing and the sensory experiences present in their classrooms.
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The American Occupational Therapy Association (AOTA) asserts that occupational therapists and occupational therapy assistants, through the use of occupations and activities, facilitate clients' cognitive functioning to enhance occupational performance, self-efficacy, participation, and perceived quality of life. Cognitive processes are integral to effective performance across the broad range of daily occupations such as work, educational pursuits, home management, and play and leisure. Cognition plays an integral role in human development and in the ability to learn, retain, and use new information to enable occupational performance across the lifespan. This statement defines the role of occupational therapy in evaluating and addressing cognitive functioning to help clients maintain and improve occupational performance. The intended primary audience is practitioners1 within the profession of occupational therapy. The statement also may be used to inform recipients of occupational therapy services, practitioners in other disciplines, and the wider community regarding occupational therapy theory and methods and to articulate the expertise of occupational therapy practitioners in addressing cognition and challenges in adapting to cognitive dysfunction.
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Purpose As there is little research that investigates the experiences of minority boys participating in youth development programs (Fashola, 2003), the current research focused on a sport-based youth development program for early adolescent Black and Latino boys in Hartford, CT. Specifically, the present study explored (a) what attracted minority boys to participate in youth development programs, (b) what kept them involved, and (c) whether their involvement translated into positive developmental outcomes. Method The study used semistructured individual interviews to collect data from 8 participants and their parents. The research team deductively coded interviews in accordance with the a-priori framework of the Five Cs and Sixth C of youth development (i.e., competence, character, caring, confidence, connection, and contribution; Roth & Brooks-Gunn, 2003). In addition, interviews were deductively coded to investigate why participants became involved in the program and why they continued participation. Results Findings from the study indicated that participants became involved with the Sport Hartford Boys (SHB) program mainly due to its emphasis on sport-related activities. Moreover, findings related to the youths' continued involvement revealed their value for the SHB program as a safe place that kept them out of trouble and provided experiences that led to positive personal development. Furthermore, results indicated that participation in the program facilitated the development of each “C” of youth development. Conclusion By promoting positive relationships and providing opportunities for self-exploration in a safe and trusting environment, afterschool programs can cultivate positive youth development in minority boys, at least in the short term.
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Instead of playing in the state tournament, the Fayetteville-Manlius boy's hockey team was disqualified because they played too many games. The New York State Public High School Athletic Association limits hockey teams to 20 regular season games, but Fayetteville-Manlius mistakenly considered one of its competitions to be a scrimmage instead of a regular season game.
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Allport’s (1954) intergroup contact hypothesis states that interactions with members of an out-group, particularly of a different racial and/or ethnic group, are effective in changing attitudes about diversity (Allport, 1954; Pettigrew, 1998). In this study, the intergroup contact hypothesis was applied to the design of a sport management course. The classroom component focused the role of sport in education, health, and leadership development, and the application was structured sport and physical activity programming with school-age children at several urban sites. Data were gathered from 91 college students over 3 years about course-related experiences and how the students’ backgrounds influenced their social identities and understanding of out-group members. Results showed that intergroup contact effectively assisted in developing understanding and cooperation and reducing negative attitudes between groups. The participants received diversity education, via intergroup contact, both inside and outside the classroom, which will potentially equip them to take proactive strategies when managing organizational diversity in the sport industry.
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Very few women have leadership positions in athletic training (ie, head athletic training positions) in intercollegiate athletics. Research exists on the barriers to attaining the role; however, our understanding about the experiences of those currently engaged in the role is limited.To examine the experiences of female head athletic trainers as they worked toward and attained the position of head athletic trainer.Qualitative study.National Collegiate Athletic Association Division I setting.Eight female athletic trainers serving in the role of head athletic trainer participated in our study. The mean age of the participants was 45 ± 12 years, with 5 ± 1.5 years of experience in the role of head athletic trainer and 21 ± 10 years of experience as athletic trainers.We conducted phone interviews with the 8 participants following a semistructured format. Interviews were transcribed verbatim and analyzed following a general inductive approach as described by Thomas. To establish credibility, we used a peer reviewer, member checks, and multiple-analyst triangulation.Six major themes emerged from our analysis regarding the experiences of female head athletic trainers. Opportunities to become a head athletic trainer, leadership qualities, and unique personal characteristics were discussed as factors leading to the assumption of the role of the head athletic trainer. Where women hold back, family challenges, and organizational barriers speak to the potential obstacles to assuming the role of head athletic trainer.Female head athletic trainers did not seek the role, but through persistence and encouragement, they find themselves assuming the role. Leadership skills were discussed as important for success in the role of head athletic trainer. Life balancing and parenting were identified as barriers to women seeking the role of head athletic trainer.
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NFL Evolution is a Corporate Social Responsibility (CSR) program designed to improve the health and safety of football participants at all levels (NFLEvolution. com). Though sport-based CSR initiatives are generally well-received by the public, the internal focus of this particular initiative may affect consumers differently. Using data provided by a sample of university students via an online survey, regression analysis was used to determine if this program affected their intentions to consume NFL-related products and media. Results showed that this form of CSR initiative may influence consumption behaviors, especially related to media consumption and intentions to discuss the NFL with others. ABSTRACT FROM AUTHOR
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Counselor educators and supervisors have a vital role in promoting legislative professional advocacy (LPA). An interpretative qualitative analysis study of counseling graduate students involved in state-level LPA was conducted. Findings revealed six distinct themes: (1) professional counselor identity, (2) knowledge, attitudes and skills, (3) professional support, (4) power of the group, (5) social justice, and (6) personal impact. Study findings may help counselor educators and supervisors educate, guide, and mentor students, thereby increasing the likelihood of professional counselor LPA. © 2024 Chi Sigma Iota.
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