American Journal of Occupational Therapy最新文献

{"title":"Lifestyle Documentation in Therapy Evaluations for Autistic Children: A Lexicon-Based Analysis of Electronic Health Records.","authors":"Aaron R Dallman, Gregory Santucci, Diana Lai, Caroline Welch, Manuel E Jimenez","doi":"10.1177/19437676261493019","DOIUrl":"https://doi.org/10.1177/19437676261493019","url":null,"abstract":"<p><p>BackgroundWhole person health (WPH) is a multidimensional construct encompassing, physical, and mental health along with relational constructs such as social health that are deeply tied to well-being. Autistic individuals report an overall lower quality of life, but the extent to which these issues are addressed during therapy evaluations has not been examined systematically.MethodologyIn this retrospective, cross-sectional study, we employ a rule-based NLP/lexicon-based approach to examine the areas of focus of therapy evaluations documented by occupational therapy, physical therapy (PT), and speech-language pathology (SLP) professionals. Using electronic health records for children aged 2 to 18 diagnosed with autism spectrum disorder (ASD) (n = 5619 evaluation reports of n = 2021 unique patients), we classified health records based on the domains addressed.ResultsAcross notes, nutrition had the highest average degree of documentation (<i>M</i> = 2.14), compared to activity (<i>M</i> = 0.91), followed by wellness (<i>M</i> = 0.66), and sleep (<i>M</i> = 0.39). In occupational therapy, wellness was the most common (77.62% of notes), followed by physical activity (76.49% of notes), nutrition management (73.33% of notes), and sleep (34.97% of notes). The overall area under the curve (AUC) from the receiver operating characteristic analysis is 0.89.ConclusionsWhile it is encouraging that most evaluations addressed nutrition or physical activity, the near absence of attention to sleep represents a critical gap in care. Given sleep's foundational role in overall health and daily functioning, its omission is particularly concerning. Occupational therapists and interdisciplinary rehabilitation teams should more deliberately integrate WPH frameworks into their evaluations.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"19437676261493019"},"PeriodicalIF":2.4,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Feasibility of Using Virtual Reality With Debriefing as a Treatment Modality for Chronic Pain.","authors":"Nancy A Baker, Joanne Baird, Megan Kenney, Kaley Ortiz, Ajay D Wasan","doi":"10.1177/19437676261495434","DOIUrl":"https://doi.org/10.1177/19437676261495434","url":null,"abstract":"<p><p>ImportanceChronic pain is a leading cause of disability. Traditional rehabilitation approaches may not produce meaningful functional improvement, necessitating innovative approaches.ObjectiveTo assess the feasibility and acceptability of integrating fully immersive virtual reality (FIVR) and debriefing into occupational therapy (OT) for chronic pain management. We hypothesized that FIVR plus debriefing (IVRSOT) would improve pain, fear of movement, and confidence compared to standard OT (SOT).DesignIn this mixed methods feasibility study, participants were randomized to SOT or IVRSOT. Data were analyzed using nonparametric statistics and content analysis.SettingOutpatient interdisciplinary pain clinic using a biopsychosocial model.ParticipantsAdults with chronic pain, with 31 enrolled and 16 having data suitable for analysis.Outcomes and MeasuresPain intensity, pain interference, kinesiophobia, self-efficacy, and social functioning were assessed using validated tools.ResultsIVRSOT participants showed significant improvement in pain self-efficacy, fatigue, and pain interference, accompanied by a decline in physical function; between group comparisons for physical function and social role participation favored SOT. Qualitative data revealed enhanced engagement, insight, and functional carryover.Conclusion and RelevanceFIVR with debriefing is a feasible and engaging approach for chronic pain intervention, with the potential to enhance self-efficacy and functional outcomes.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"19437676261495434"},"PeriodicalIF":2.4,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Mealtime Practices in Children with Autism Spectrum Disorder: A Comparative Study.","authors":"Ezginur Gündoğmuş, Tarık Demirok, Damla E Irmak, Hatice Abaoğlu, Gonca Bumin","doi":"10.1177/19437676261495432","DOIUrl":"https://doi.org/10.1177/19437676261495432","url":null,"abstract":"<p><p>ImportanceFeeding difficulties are highly prevalent among children diagnosed with autism and can significantly affect family well-being. Parental mealtime practices play a critical role in shaping children's eating behaviors, yet their interaction in children diagnosed with autism remains insufficiently understood.ObjectiveTo examine the associations between children's feeding behaviors and parental mealtime practices in children diagnosed with autism and to compare these practices with those of typically developing (TD) children.DesignCross-sectional comparative study.SettingPediatric clinic.ParticipantsA total of 187 parents of children aged 2-7 years participated (97 children diagnosed with autism, 90 TD).Outcomes and MeasuresAutism traits were assessed using the Childhood Autism Rating Scale, feeding behaviors using the Brief Autism Mealtime Behavior Inventory, and parental mealtime practices using the Parent Mealtime Action Scale (PMAS).ResultsCaregivers of children diagnosed with autism reported significantly different mealtime practices compared with caregivers of TD children. After controlling for child age and BMI, significant group differences were observed for the PMAS subscales Positive Persuasion (<i>p</i> < .001), Daily Fruit and Vegetable Availability (<i>p</i> < .001), and Special Meals (<i>p</i> < .001). Higher levels of autistic traits were associated with greater food refusal (<i>r</i> = 0.42, <i>p</i> < .001), autism-related mealtime behaviors (<i>r</i> = 0.30, <i>p</i> = .003), and greater caregiver use of Special Meals (<i>r</i> = 0.38, <i>p</i> < .001).Conclusions and RelevanceAutism traits are associated with feeding difficulties, and parental practices differ between children diagnosed with autism and TD groups. Understanding these relationships is essential for developing family-centered, occupation-based interventions to improve mealtime participation.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"19437676261495432"},"PeriodicalIF":2.4,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Fidelity of AquOTic: An Occupational Therapy-Based Aquatic Intervention for Children on the Autism Spectrum.","authors":"Erika Kemp, Savanna Yates, Lauren Quincy, Amy Watson-Grace, Jewel Crasta","doi":"10.1177/19437676261493015","DOIUrl":"https://doi.org/10.1177/19437676261493015","url":null,"abstract":"<p><p>ImportanceChildren on the autism spectrum face significantly higher risks for unintentional drowning, yet aquatic interventions often lack the standardized specification necessary for evidence-based replication.ObjectiveTo examine the treatment fidelity of AquOTic.DesignDescriptive design based on a larger randomized controlled trial.SettingCounty Board of Developmental Disabilities therapy pool.ParticipantsChildren on the autism spectrum (N = 37) ages 5 to 9 year and graduate-level therapy students (swim buddies, N = 18).InterventionAquOTic is a manualized 10-week occupational therapy-based water competency intervention for children on the autism spectrum.Outcomes and MeasuresAdherence was measured via a 13-item fidelity self-checklist and video-coding analysis.ResultsHigh overall fidelity was achieved, with mean swim buddy adherence at 95.93%. Component-level fidelity averaged 97.36%, with core ingredients such as play-based strategies, modeling, and water property integration consistently appearing in 100% of analyzed sessions.Conclusions and RelevanceThe AquOTic intervention demonstrates high treatment fidelity, confirming that theorized active ingredients are consistently implemented. Use of fidelity practices and intervention specification supports the reproducibility and clinical translation of occupational therapy-led aquatic interventions to improve water safety for autistic children.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"19437676261493015"},"PeriodicalIF":2.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review and Meta-Analysis on the Effectiveness of Horticultural Therapy in Cancer Survivors.","authors":"Adebimpe Obembe, Liliana Alfaro, Haylie Wong, Anna Shelite, Mary Smith, Nicole Chipy","doi":"10.1177/19437676261493016","DOIUrl":"https://doi.org/10.1177/19437676261493016","url":null,"abstract":"<p><p>ImportanceCommon cancer treatments can produce side effects that interfere with daily functioning. In contrast, nature-based therapies such as horticultural therapy may support physical function, psychosocial well-being, and lifestyle behaviors, thereby promoting occupational engagement and quality of life.ObjectiveTo determine the effectiveness of garden-based horticultural therapy among cancer survivors.Data SourcesSearches were conducted in Academic Search Complete, ProQuest, JSTOR, CINAHL Complete, PubMed, Psychology and Behavioral Sciences Collection, <i>American Journal of Occupational Therapy</i>, and <i>Journal of the American Medical Association</i>, as well as reference lists from relevant reviews and full-text articles.Study Selection and Data CollectionThe review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and included primary intervention studies published within the past 10 years that examined soil-based garden interventions for adult cancer survivors.FindingsEight studies involving 634 participants were included in the review and three in the meta-analysis. Intervention duration ranged from 6 weeks to 1 year. Seven studies reported increased fruit and vegetable intake, whereas pain remained unchanged in five studies. Findings for psychosocial well-being and physical functioning were mixed. Three randomized controlled trials demonstrated significant pooled effects for physical health outcomes (standardized mean difference [SMD] = -0.38, 95% confidence interval [CI] = [-0.62, -0.13], <i>Z</i> = 3.02), physical performance (SMD = 0.19, 95% CI = [0.01 to 0.37], <i>Z</i> = 2.10), and lifestyle behaviors (SMD = 0.67, 95% CI = [0.27 to 1.06], <i>Z</i> = 3.32). No significant effect was found for psychosocial health outcomes.Conclusions and RelevanceThese preliminary findings suggest that garden-based horticultural therapy may support improvements in physical functioning and lifestyle behaviors among cancer survivors, though rigorous controlled trials are needed to confirm efficacy. Horticultural therapy warrants consideration as a complementary component of comprehensive occupation-based care to promote meaningful occupational engagement in this population.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"19437676261493016"},"PeriodicalIF":2.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Occupational Therapy Perspective on Environmental Interventions for Community-Dwelling People With Dementia: A Scoping Review.","authors":"Jihye Do, Ingyu Yoo","doi":"10.1177/19437676261493014","DOIUrl":"https://doi.org/10.1177/19437676261493014","url":null,"abstract":"<p><p>ImportanceEnvironmental interventions support \"aging in place\" for people with dementia. However, the specific roles of occupational therapists within multidisciplinary teams providing these interventions require systematic mapping to clarify their value.ObjectiveTo map characteristics of multidisciplinary environmental interventions for community-dwelling people with dementia and clarify specific occupational therapy roles.Data SourcesPubMed, CINAHL, Web of Science, and ScienceDirect were searched for peer-reviewed studies (January 2010-July 2025).Study Selection and Data CollectionFollowing JBI and PRISMA-ScR guidelines, two reviewers independently selected studies and charted data on multidisciplinary environmental interventions.FindingsSeventeen studies were included, featuring interventions like home modifications and technology-based programs. Occupational therapists primarily conducted functional and environmental assessments, utilized person-environment-occupation perspectives for intervention planning, and facilitated multidisciplinary team processes. Key outcomes included functional performance, fall risk, and caregiver measures.Conclusions and RelevanceOccupational therapists crucially link functional abilities with environmental conditions. This review highlights their contributions while identifying gaps in how multidisciplinary collaboration and occupational therapy roles are operationalized and reported.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"19437676261493014"},"PeriodicalIF":2.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Associations Between Hearing and Visual Function and ADL and IADL Independence in Older Adults.","authors":"Hanul Kim, Kimberly Hreha, Ickpyo Hong","doi":"10.1177/19437676261464087","DOIUrl":"10.1177/19437676261464087","url":null,"abstract":"<p><p>ImportanceAge-related declines in hearing and vision are common among older adults and are increasingly recognized as key determinants of functional independence. However, limited evidence exists on how sensory function (vision and hearing) shapes longitudinal trajectories of daily functioning over time.ObjectiveTo examine longitudinal associations between hearing and vision function and the trajectories of activities of daily living (ADLs) and instrumental activities of daily living (IADLs) among community-dwelling older adults.DesignLongitudinal cohort study using latent growth curve modeling.SettingCommunity-based sample.Participants2,961 adults aged ≥ 65 years.Outcomes and MeasuresSelf-reported sensory function, and functional performance in ADLs and IADLs.ResultsThe mean age of participants was 73.637 years (<i>SD</i> = 5.990; 1,207 men, 1,754 women). Both ADL and IADL performance declined over time, with a steeper declines observed for IADLs (slope = -0.517, <i>p</i> < .001) than for ADLs (slope = -0.317, <i>p</i> < .001). Poorer hearing and vision function were associated with lower functional performance across waves, with stronger associations observed for IADL trajectories (<i>β</i> = 0.063-0.119). All latent growth models demonstrated acceptable fit.Conclusions and RelevanceSensory function was associated with adverse longitudinal functional trajectories, particularly for IADLs. These findings highlight the importance of routine sensory screening in occupational therapy (OT) practice and support older adults across the life span in order to help promote functional independence via stage-specific, individualized OT interventions that target the sensory impairment.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"837-844"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance and Commitment Therapy in Occupational Therapy: A Scoping Review.","authors":"John V Rider, Abigail E LaVerdure, Jackie Fox","doi":"10.1177/19437676261464099","DOIUrl":"10.1177/19437676261464099","url":null,"abstract":"<p><p>ImportanceAcceptance and Commitment Therapy (ACT) emphasizes psychological flexibility and engagement in valued activities, aligning with occupational therapy's focus on participation. However, the published literature describing occupational therapy practitioners' use of ACT has not been synthesized.ObjectiveTo map the existing literature describing occupational therapy practitioners' use of ACT, including its use in evaluation and intervention, client concerns addressed, practice settings, and reported outcomes.Data SourcesA comprehensive search was conducted across PubMed, Embase, Scopus, CINAHL, PsycINFO, OTSeeker, OTDBase, SciELO, ProQuest Dissertations and Theses, MedNar, and Google Scholar from 1982 through 2025.Study Selection and Data CollectionThis scoping review followed Joanna Briggs Institute methodology and PRISMA-ScR guidelines. Studies were included if they described the use of ACT by occupational therapy practitioners. Two reviewers independently screened and extracted data using a standardized tool.FindingsTwenty-five sources were included, primarily involving adults with chronic pain in interdisciplinary rehabilitation settings. ACT was most often used within intervention, with limited description of its role in evaluation. Outcomes predominantly reflected improvements in psychological flexibility, acceptance, emotional distress, and participation. Occupation-specific outcomes were infrequently reported, and occupational therapy-specific contributions were often unclear within interdisciplinary models.Conclusions and RelevanceAcross the included studies, ACT was reported to be used by occupational therapy practitioners within intervention approaches, particularly in chronic pain and mental health contexts. However, its application remains inconsistently articulated in occupation-based evaluation and outcomes. Greater clarity in occupational therapy-specific implementation and measurement is needed to advance ACT as an occupation-centered approach.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"867-881"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Suitcase Packing Activity: A Novel Outcome Measure for Individuals With Upper Limb Loss.","authors":"Paige Paulus, W Lee Childers, Marisa Pontillo","doi":"10.1177/19437676261464069","DOIUrl":"10.1177/19437676261464069","url":null,"abstract":"<p><p>ImportancePoor prosthetic satisfaction in individuals with upper limb loss has been linked to delayed or nonspecific rehabilitation. The Suitcase Packing Activity (SPA) is a functional outcome measure which has been validated in healthy individuals and assesses bimanual and unilateral upper limb function through a goal-directed task.ObjectiveTo validate the SPA by investigating the relationship between SPA scores and patient-reported outcomes (PROs).DesignCross-sectional cohort study.SettingMilitary treatment facilities, community events, and prosthetic clinics.ParticipantsIndividuals over the age of 18 with major upper limb loss or limb difference who could speak/read English.Outcomes and MeasuresParticipants completed the SPA and questionnaires on patient characteristics, Patient-Reported Outcomes Measurement Information System (PROMIS^®), and Disabilities of the Arm, Shoulder and Hand (DASH). SPA categories are time, accuracy, and efficiency. Pearson correlations evaluated relationships between SPA subscales and continuous variables. Linear regression determined if DASH score and age could predict SPA scores. Commonality analyses determined the unique, common, and total variance of SPA subscales explained by predictor variables.ResultsTwenty-nine individuals with upper limb loss and limb difference (18 M, age:37.8 ± 12.0, time since amputation:15.7 ± 14.7years) participated in this study. Age, PROMIS^® Social Subscale, and DASH were associated with SPA scores. Age and DASH predicted SPA Time and Efficiency.Conclusions and RelevanceSPA scores align with better PRO scores and demonstrate that the SPA has sufficient concurrent validity to evaluate function in patients with limb loss. Further investigation is warranted to use this measure to compare baseline function or changes over time.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"795-803"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Play and Daily Activities in Autistic Children: Family-Centered Occupational Therapy in a Hospital Setting.","authors":"Ya-Lin Hsieh, Mei-Hui Tseng, Fu-Mei Chiang, Wei-Tian Huang, Wen-Hsin Lai, I-Ming Hsiao","doi":"10.1177/19437676261464088","DOIUrl":"10.1177/19437676261464088","url":null,"abstract":"<p><p>ImportanceFamily-centered occupational therapy (FCOT) Coaching Intervention improves child participation and parental skills, yet its use in hospital-based early intervention (EI) in Taiwan is limited.ObjectiveTo evaluate FCOT Coaching Intervention for enhancing daily participation and play in autistic children.DesignQuasi-experimental, pretest-posttest design.SettingNational Taiwan University Children's Hospital.ParticipantsNineteen autistic children (aged 2-6) and their parents. Families self-selected into FCOT Coaching Intervention group (<i>n</i> = 9) or control group (<i>n</i> = 10) based on transportation convenience.InterventionFCOT Coaching Intervention group comprised twice-weekly, 30-min sessions over 6 months, focusing on parent coaching and family-centered goals. Controls received traditional therapy in community clinics.Outcomes and MeasuresChild outcomes were assessed via Psychoeducational Profile-Third Edition (PEP-3), Vineland Adaptive Behavior Scale (VABS), and Revised Knox Preschool Play Scale (RKPPS). Parenting stress and family outcomes were measured with Parenting Stress Index-Short Form (PSI-SF) and Family Outcomes Survey-Revised (FOS-R). Goal Attainment Scaling (GAS) assessed individualized goals in FCOT Coaching Intervention group.ResultsChildren who received FCOT Coaching Intervention showed significant gains in adaptive behaviors (<i>p</i> = .021), daily living skills (<i>p</i> = .026), and attention during play (<i>p</i> = .035). GAS revealed notable progress in play and daily activity participation. Parenting stress and family outcomes showed no significant group differences.Conclusions and RelevanceFCOT Coaching Intervention effectively enhanced parts of functional participation and play in young autistic children in a hospital setting. Findings support expanding FCOT Coaching Intervention in EI and underscore the need for long-term follow-up.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"758-770"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}