An interventional study of Cognitive Orientation to Daily Occupational Performance Approach in Autism Spectrum Disorder, sponsored by Atlas University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 7 Years to 10 Years. Per ClinicalTrials.gov, last updated 2026-07-21.
Sponsored by Atlas University · Not applicable, Interventional, and Supportive care
Autism spectrum disorder may affect children's participation in daily occupations through difficulties related to motor planning, problem-solving, attention, behavioral regulation, and sensory processing. The Cognitive Orientation to Daily Occupational Performance approach is a goal-oriented intervention that supports children in identifying and using cognitive strategies to improve the performance of personally meaningful activities.
This pilot study aims to examine the preliminary effects of a 10-session Cognitive Orientation to Daily Occupational Performance intervention on occupational performance, satisfaction with performance, observed performance quality, and individualized goal attainment in primary school-aged children with autism spectrum disorder. Possible changes in autism-related behavioral characteristics and sensory processing patterns will also be examined.
Children with autism spectrum disorder may experience difficulties in performing and participating in daily occupations due to differences in executive functioning, motor planning, attention, behavioral regulation, and sensory processing.
The Cognitive Orientation to Daily Occupational Performance approach is a client-centered, performance-based intervention that uses collaborative goal setting, guided discovery, dynamic performance analysis, domain-specific strategies, and the global problem-solving strategy "Goal-Plan-Do-Check." The approach aims not only to improve performance in selected activities but also to support strategy use, generalization, and transfer of learning to daily life.
In this single-group pilot study, eligible children with autism spectrum disorder will receive 10 individual intervention sessions based on the Cognitive Orientation to Daily Occupational Performance approach. Before the intervention, individualized occupational performance goals will be identified with the child and family. Baseline assessments will evaluate perceived occupational performance and satisfaction, observed performance quality, individualized goal attainment, autism-related behaviors, and sensory processing characteristics.
Following completion of the 10-session intervention program, the same outcome measures will be administered again. Pre-intervention and post-intervention scores will be compared to estimate the preliminary effects and clinical relevance of the intervention. The findings are expected to provide feasibility and preliminary effect-size data for future studies with larger samples and controlled designs.
1,724 studies on the registry are indexed under Autism Spectrum Disorder; 500 are open to participants now.
This study's planned enrollment of 10 is below the median of 52 across 1,368 interventional studies indexed under Autism Spectrum Disorder.
Browse Autism Spectrum Disorder studies →Atlas University is the lead sponsor of 96 studies on the registry; 25 are open to participants now.
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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants will receive 10 individual sessions based on the Cognitive Orientation to Daily Occupational Performance approach. The intervention will focus on child- and family-identified daily occupational performance goals. Sessions will involve collaborative goal setting, dynamic performance analysis, guided discovery, cognitive strategy use, and the global strategy "Goal-Plan-Do-Check." Strategies will be practiced in relation to the selected activities, with emphasis on generalization and transfer to daily life.
Behavioral: Cognitive Orientation to Daily Occupational Performance Approach
The Cognitive Orientation to Daily Occupational Performance approach is an individualized, goal-oriented intervention designed to improve the performance of meaningful daily activities through cognitive strategy use and guided discovery. Participants will complete 10 individual sessions, each lasting approximately 45 to 60 minutes. The intervention will target individualized occupational performance goals identified with the child and family. The global strategy "Goal-Plan-Do-Check" and task-specific strategies will be used to facilitate skill acquisition, problem-solving, generalization, and transfer.
Also known as: CO-OP Approach
Canadian Occupational Performance Measure
Satisfaction with performance for each prioritized activity is rated on a scale from 1 to 10, with higher scores indicating greater satisfaction. The mean satisfaction score will be calculated. Change will be determined by comparing baseline and post-intervention scores.
Time frame: Baseline and immediately after completion of the 10-session intervention
Performance Quality Rating Scale
The Performance Quality Rating Scale is an observational measure used to rate the quality of performance of individualized activities. Performance is rated from 1 to 10, with higher scores indicating better performance quality. Each participant's selected occupational goals will be rated at baseline and after the intervention.
Time frame: Baseline and immediately after completion of the 10-session intervention
Goal Attainment Scale
Goal Attainment Scale is an individualized method for evaluating the extent to which intervention goals are achieved. Performance for each goal is rated on a five-point scale ranging from -2 to +2. A score of 0 represents the expected level of goal attainment, negative scores represent performance below the expected level, and positive scores represent performance above the expected level.
Time frame: Baseline and immediately after completion of the 10-session intervention
Childhood Autism Rating Scale
The Childhood Autism Rating Scale is a caregiver-reported measure of autism-related behavioral characteristics across sensory behavior, relating, body and object use, language, and social and self-help domains. Items are scored using weighted values, and higher total scores indicate a greater number or severity of autism-related behavioral characteristics.
Time frame: Baseline and immediately after completion of the 10-session intervention
Plan to share: Undecided
No publications or documents are linked to this record.
Started Jul 2026 (actual). Primary completion is estimated for Sep 2026, 2 months after the start.
Of 800 non-industry interventional studies with no phase under Autism Spectrum Disorder, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 48. This study's planned 2 months is below that.
Counting every sponsor, half of 823 studies reached it within 25 months; a quarter within 12 and three quarters within 47.
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