Malaysian occupational therapists’ practices with children and adolescents with autism spectrum disorder

Abstract

Introduction

Occupational therapy is one of the health care professions that provides assessments and interventions for children and adolescents with autism spectrum disorder. However, to date, there is no information available regarding occupational therapy practices in Malaysia for this population. The purpose of this study is to describe the occupational therapy services for children and adolescents with autism spectrum disorder in Malaysia, including the perceived training needs of practitioners.

Method

We surveyed the registered members of the Malaysian Occupational Therapy Association using a mailed questionnaire.

Results

A response rate of 15.5% was obtained. The majority of the responses were from those working in hospital settings who had less than 5 years’ experience working as occupational therapists with children and adolescents with autism spectrum disorder. The theories, assessments, interventions, and training that related to respondents’ practices mainly revolved around sensory-based approaches. Encouragingly, more than 70% of the respondents claimed that they performed assessments of daily living activities in their service. Client-centred practice was a further feature of occupational therapist respondents involved in this study.

Conclusion

Future study is needed, especially to engage more respondents and thereby produce more generalizable results and an in-depth exploration of the continuing education needs of occupational therapists in Malaysia.

Keywords

Theory interventions professional development

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References

Allik

Larsson

J-O

Smedje

(2006) Sleep patterns of school-age children with Asperger syndrome or high-functioning autism. Journal of Autism and Developmental Disorders 36(5): 585–595.

Amar

HSS

(2008) Meeting the needs of children with disability in Malaysia. Medical Journal of Malaysia 63(1): 1–3.

American Academy of Pediatrics (2012) Policy statement: Sensory integration therapies for children with developmental and behavioral disorders. American Academy of Pediatrics 129(6): 1186–1189.

American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA: American Psychiatric Association.

American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th ed. – text revision. Washington, DC: American Psychaitric Association.

Arbesman

Lieberman

(2010) Methodology for the systematic reviews of occupational therapy for children and adolescents with difficulty processing and integrating sensory information. American Journal of Occupational Therapy 64: 368–374.

Ashburner J, Ziviani J and Rodger S (2010) Current practices, training and professional development needs of occupational therapists who provide services to people with ASD. Final Report on Research Project; Occupational Therapists Board of Queensland Research grant (2008). Unpublished report, available from the author.

Baron-Cohen

Scott

Allison

(2009) Prevalence of autism-spectrum conditions: UK school-based population study. The British Journal of Psychiatry 194(6): 500–509.

Blumberg SJ, Bramlett MD, Kogan MD, et al. (2013) Changes in Prevalence of Parent-reported Autism Spectrum Disorder in School-aged U.S. Children: 2007 to 2011–2012. National Health Statistics Reports. Hyattsville, MD: National Center for Health Statistics.

10.

Bowker

D’Angelo

Hicks

(2011) Treatments for autism: Parental choices and perceptions of change. Journal of Autism and Developmental Disorders 41(10): 1373–1382.

11.

Boyd

McDonough

Rupp

(2011) Effects of a family-implemented treatment on the repetitive behaviors of children with autism. Journal of Autism and Developmental Disorders 41: 1330–1341.

12.

Brown GT and Rodger S (2011) The Paediatric Occupational Therapy Practitioner Survey^©. Unpublished tool, available from the author.

13.

Case-Smith

(2005) Occupational Therapy for Children, 5th ed. St Louis, Missouri: Elsevier Inc.

14.

Case-Smith

Arbesman

(2008) Evidence-based review of interventions for autism used in or relevance to occupational therapy. American Journal of Occupational Therapy 62(4): 416–429.

15.

Cermak

Curtin

Bandini

(2010) Food selectivity and sensory sensitivity in children with autism spectrum disorders. Journal of the American Dietetic Association 110(2): 238–246.

16.

Diamantis

(2010) Defending occupation in pediatric practice. British Journal of Occupational Therapy 73(8): 343.

17.

Drysdale

Casey

Porter-Armstrong

(2008) Effectiveness of training on the community skills of children with intellectual disabilities. Scandinavian Journal of Occupational Therapy 15: 247–255.

18.

Estes

Pierce

(2012) Pediatric therapists’ perspectives on occupation-based practice. Scandinavian Journal of Occupational Therapy 19: 17–25.

19.

Falkmer

Granlund

Nilholm

(2012) From my perspective – Perceived participation in mainstream schools in students with autism spectrum conditions. Developmental Neurorehabilitation 15(3): 191–201.

20.

Flynn

Healy

(2012) A review of treatments for deficits in social skills and self-help skills in autism spectrum disorder. Research in Autism Spectrum Disorders 6: 431–441.

21.

Fombonne

(2003) Epidemiological surveys of autism and other pervasive developmental disorders: An update. Journal of Autism and Developmental Disorders 33: 365–382.

22.

Green

Charman

Pickles

(2009) Impairment in movement skills of children with autistic spectrum disorders. Developmental Medicine & Child Neurology 51: 311–316.

23.

Huebner

Lane

(2001) Neuropsychological findings, etiology, and implications for autism. In: Huebner

(ed.) Autism: A Sensorimotor Approach to Management, Gaithersburg, MD: Aspen 61–99.

24.

Humphris

Littlejohns

Victor

(2000) Implementing evidence-based practice: Factors that influence the use of research evidence by occupational therapists. British Journal of Occupational Therapy 63(11): 516–522.

25.

Hyatt

Stephenson

Carter

(2009) A review of three controversial educational practices: Perceptual motor programs, sensory integration, and tinted lenses. Education and Treatment of Children 32: 313–342.

26.

Jasmin

Couture

McKinley

(2009) Sensori-motor and daily living skills of preschool children with autism spectrum disorders. Journal of Autism and Developmental Disorders 39(2): 231–241.

27.

Kadar

McDonald

Lentin

(2012) Evidence-based practice in occupational therapy services for children with autism spectrum disorders in Victoria, Australia. Australian Occupational Therapy Journal 59: 284–293.

28.

Kanne

Gerber

Quirmbach

(2011) The role of adaptive behavior in autism spectrum disorders: Implications for functional outcome. Journal of Autism and Developmental Disorders 41: 1007–1018.

29.

Kielhofner

(2008) Model of Human Occupation Theory and Application, 4th ed. Baltimore: Lippincott Williams & Wilkins.

30.

Kielhofner

Burke

(1980) A model of human occupation, part one. Conceptual framework and content. American Journal of Occupational Therapy 34: 572–581.

31.

Kimball

(1999) Sensory integration frame of reference: Theoretical base, function/dysfunction continua and guide to evaluation. In: Kramer

Hinojosa

(eds) Frames of Reference for Pediatric Occupational Therapy, 2nd ed. Philadelphia: Lippincott Williams & Wilkins 119–159.

32.

Kramer

Hinojosa

(2010) Frames of Reference for Pediatric Occupational Therapy, 3rd ed. Baltimore, MD: Lippincott Williams & Wilkins.

33.

Liamputtong

(2009) Qualitative Research Methods, 3rd ed. Victoria, Australia: Oxford University Press.

34.

Liu

(2013) Sensory processing and motor skill performance in elementary school children with autism spectrum disorder. Perceptual and Motor Skills 116(1): 197–209.

35.

Lyons

Casey

Brown

(2010) Research knowledge, attitudes, practices and barriers among paediatric occupational therapists in the United Kingdom. British Journal of Occupational Therapy 73: 200–209.

36.

MacDermott S, Williams K, Ridley G, et al. (2006) The prevalence of an ASD in Australia. Can it be established from existing data? Australian Advisory Board on Autism Spectrum Disorders Ltd & Commonwealth department of Family, Community Services and Indigenous Affairs (FaCSIA).

37.

McLennan

Huculak

Sheehan

(2008) Pilot investigation of service receipt by young children with autistic spectrum disorders. Journal of Autism and Developmental Disorders 38(6): 1192–1196.

38.

Miller-Kuhaneck

(2004) Autism: A Comprehensive Occupational Therapy Approach, 2nd ed. Bethesda, MD: The American Occupational Therapy Association, Inc.

39.

Mohd Kassim AB, Othman S, Lai PG, et al. (2009) Towards an inclusive society: Strengthening the collaboration between social welfare, health and medical systems for children with disabilities. Available at: http://www.jicwels.or.jp/about_jicwels/ASEAN&JapanHighLevelOfficialsMeeting/7th_2009_pdf/Malaysia_Country_Report.pdf (accessed 6 October 2009).

40.

Müllersdorf

Ivarsson

A-B

(2011) Occupation as described by academically skilled occupational therapists in Sweden: A delphi study. Scandinavian Journal of Occupational Therapy 18: 85–92.

41.

Mulligan

(2003) Occupational Therapy Evaluation for Children: A Pocket Guide, Philadelphia: Lippincott Williams & Wilkins.

42.

O'Brien

(2010) Recreation and children with autism: A critical appraisal of the topic. Journal of Occupational Therapy, School, and Early Intervention 3(1): 61–75.

43.

Olson

(1999) Psychological frame of reference. In: Kramer

Hinojosa

(eds) Frames of Reference for Pediatric Occupational Therapy, Philadelphia: Lippincott Williams & Wilkins 323–375.

44.

Perry

Flanagan

Geier

(2009) Brief report: The Vineland adaptive behavior scales in young children with autism spectrum disorders at different cognitive levels. Journal of Autism and Developmental Disorders 39: 1066–1078.

45.

Provost

Heimerl

Lopez

(2007) Levels of gross and fine motor development in young children with autism spectrum disorder. Physical and Occupational Therapy in Pediatrics 27(3): 21–36.

46.

Rinehart

McGinley

(2010) Is motor dysfunction core to autism spectrum disorder? Developmental Medicine and Child Neurology 52(8): 697.

47.

Rodger

(2004) The application of cognitive orientation to daily occupational performance (CO-OP) with children 5–7 years with developmental coordination disorder. British Journal of Occupational Therapy 67(6): 256–264.

48.

Rodger

Brandenburg

(2009) Cognitive orientation to (daily) occupational performance (CO-OP) with children with Asperger's syndrome who have motor-based occupational performance goals. Australian Occupational Therapy Journal 56(1): 41–50.

49.

Rodger

Ashburner

Cartmill

(2010) Helping children with autism spectrum disorders and their families: Are we losing our occupation-centred focus? Australian Occupational Therapy Journal 57: 276–280.

50.

Salant

Dilman

(1994) How to Conduct Your Own Survey, New York: John Wiley & Sons Inc.

51.

Schatz

Hamdan-Allen

(1995) Effects of age and IQ on adaptive behavior domains for children with autism. Journal of Autism and Developmental Disorders 25: 51–60.

52.

Shetreat-Klein

Shinnar

Rapin

(2012) Abnormalities of joint mobility and gait in children with autism spectrum disorders. Brain and Development 36(2): 91–96.

53.

Twachtman-Reilly

Amaral

Zebrowski

(2008) Addressing feeding disorders in children on the autism spectrum in school-based settings: Physiological and behavioral issues. Language, Speech and Hearing Services in the Schools 39(2): 261–272.

54.

Wagenfeld

Kaldenberg

(2005) Foundations of Pediatric Practice for the Occupational Therapy Assistant, Thorofare, NJ: SLACK Inc.

55.

Wallen

Imms

(2006) Critically appraised papers related to children with autism; June 2006 issue. Australian Occupational Therapy Journal 53(3): 237–238.

56.

Watling

Deitz

Kanny

(1999a) Current practice of occupational therapy for children with autism. American Journal of Occupational Therapy 53(5): 498–505.

57.

Watling

Deitz

Kanny

(1999b) Current Practice of Occupational Therapy for Children with Autism: A National Survey of Practitioners, Seattle, WA: University of Washington. Unpublished tool, available from the author.

58.

Weisberg

Krosnick

Bowen

(1996) An Introductory to Survey Research, Polling and Data Analysis, Thousand Oaks, CA: SAGE Publications, Inc.