Autism Spectrum Disorder (ASD) is a prevalent neurological syndrome observed even in childhood stages. Children with autism have a certain range of deficits on social interaction, communication and coordination. Exercise program has been commonly adopted as an intervention for ASD children on developing both of their motor and social skills, as well as maintaining a certain fitness level. This project is a systematic review and meta-analysis study which summarizes the recent fifteen years (2000-2015) of control-trial exercise-based interventions for ASD children and evaluates their effectiveness from three aspects (according to the outcome measures): 1) Exercise Performance & Sport/Skill-related Fitness (EXE); 2) Physiological & Biometric Indicator (PHY); and 3) Social Cognition & Psychological Well-being (SOC). The results showed a positive effect in all three aspects: .763, .412, and .505 respectively. Further studies were recommended on investigating the mechanism explaining the psycho-social and physiological effects of exercise programs on ASD children.

Autism Spectrum Disorder (ASD) affects one out of every 68 children in the United States. The disorder is characterized by persistent deficits in social communication, social interaction, and restricted, repetitive patterns of behavior, interest, or activities that together limit and impair everyday functioning. Research has shown that the use of visual resources, such as video modeling procedures, can support individuals with ASD to acquire and maintain a variety of daily living skills leading to enhanced levels of independence. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection

University of Macau / Faculty of Social Sciences and Humanities / Department of Psychology

Under federal law, students with disabilities have the right to be educated in classrooms with students without disabilities. For students with autism, social, communication, and behavioral deficits make inclusion difficult. The severity of deficits change over time, and therefore, so too do the effects of these deficits upon inclusion. Although most research indicates autism symptoms improve with age, some studies suggest symptoms worsen, thereby affecting classroom placement. Students with autism use a multitude of interventions, most of which are not evidenced-based. Behavioral interventions are among the small number of treatments that can decrease autism severity and foster inclusion. However, behavioral interventions have not been compared to other widely used treatments, and in practice, they are rarely used in isolation. The purpose of the present study was threefold. First, relations between age, and autism severity were examined. Second, the study investigated whether relations between autism severity and time spent in regular education classrooms differed according to age. Third, it investigated types of treatments students used, and whether using behavioral treatments moderated relations between age, autism severity and amount of time in regular education classrooms. Using a national database (Interactive Autism Network), data about the severity of social, communication and behavior deficits, treatment type, and amount of time spent in regular education classrooms were extracted from school-age students (n = 2646) with autism. The results of the study showed that as age increased, social deficits increased. Furthermore, younger students, and students with more severe social impairment spent less time in regular education classrooms. Age also predicted use of behavioral treatment, and students who used behavioral treatment spent more time in special education classrooms. The findings of this study reflect the current climate of autism knowledge, which emphasizes early, intensive intervention. Consequently, students who were younger, and used behavioral treatments, were likely to be in special education classrooms that could maximize individualization, and associated treatment benefits. This is important, as social deficits increase with age, and reduce the amount of time students spend in inclusive classrooms. Additional studies are needed to further understand how behavioral treatment, compared to or used in conjunction with other commonly used treatments, affects inclusion. / Department of Educational Psychology

Aim: The aim of the study is to gain deeper understanding into the lived experiences of parents at a stimulation centre in KwaZulu-Natal, South Africa, and the coping strategies they employ in caring for their children with Autism Spectrum Disorder (ASD). Significance: As literature has focused on international studies this study has provided deeper understanding of the lived experiences and coping strategies of parents of children with ASD in a local setting within South Africa. Experiences across the age spectrum of children, gendered differences in coping and the meaning behind having a child with ASD provides a unique outlook on ASD as opposed to literature that focuses on other areas. Methods: Eleven parents participated in semi-structured interviews. These interviews were triad, dyad or one-on-one interviews. Interviews were audiotaped and transcribed verbatim once completed. Thematic analysis was used to analyze the data and extract themes. Findings: The lived experiences of parents included stressful and devastating experiences as well as positive meaning. Daily challenges were navigated by positive and negative coping strategies with gendered differences in coping being evident. Parents expressed mixed feelings about the benefits of support groups and provided a road map of advice for other parents of children with ASD. Conclusion: Parents of children with ASD undergo enormous stress and emotional upheaval in caring for their children. However in addition to negative experiences, they gain some positive meaning and see it as character building. Their experiences provide useful information for other parents undergoing the same journey. / Thesis (M.O.T.)-University of KwaZulu-Natal, Durban, 2013.

Background. The experience of parenting children with Autism Spectrum Disorder (ASD) is generally understood to encompass higher levels of parenting stress relative to families of typically developing children and, in many instances, when viewed in comparison to children with other disabilities. Emerging evidence suggests that when children with ASD present with elevated attention problems, parents may be more likely to engage in harsh parenting during dyadic interactions (Donnelly, 2015). Despite this, few studies have examined the relationship between attention problems and observed parenting in families of children with ASD, which has been well-described in the literature as a particularly challenging context for parents. This dissertation investigated the relationship between child attention and observed parenting behaviors in a community sample of mothers of children with ASD in early childhood. The extent and nature of this relationship was further explored by observing whether parenting stress and depression played a role in mediating this relationship, and by investigating whether the relationship varied by child behavior and level of functioning. Parenting behaviors were directly observed across three dyadic tasks selected to approximate naturalistic situations in which parents and their children interact. It was hypothesized that increased attention problems would be linked to greater parenting stress, decreased positive parenting, and increased harsh parenting. Increased understanding of how attention problems relate to parenting within an ASD population will inform the selection and design of interventions uniquely suited to meet the needs of children and their families. Methods. This sample of 42 mother-child dyads included children with ASD attending a specialized preschool, where they received Applied Behavior Analysis educational programming. Child participants ranged in age from two years, six months to five years, six months, and all diagnostic classifications were corroborated through the Autism Diagnostic Observation Schedule, Second Edition (Lord et al., 2012). Parent and child behaviors during dyadic interactions were video recorded and then coded using the Psychological Multifactor Care Scale — ASD Adapted Preschool Version (Brassard, Donnelly, Hart, & Johnson, 2016). These direct observations of parent and child behavior were used to examine quality of parenting, child negativity toward the mother, and child engagement in tasks during parent-child interactions. Following the interaction, mothers completed a number of self-report measures assessing demographic characteristics, Parenting Stress Index, Fourth Edition, Short Form (PSI-4: SF; Abidin, 2012, maternal depressive symptoms on the PHQ9 (Kroenke, Spitzer, & Williams, 2001), and the Attention Problems scale on the Child Behavior Checklist (Achenbach & Rescorla, 2001). Classroom teachers completed the Communication domain of the Vineland Adaptive Behavior Scales –Third Edition (Vineland-3; Sparrow, Cicchetti, & Saulnier, 2016). Results. Children with ASD and clinically elevated attention problems (n = 19) had signifiantly lower verbal ability, more CBCL aggression, and their mothers reported signficantly more stress than children with ASD only (n = 23). Observed child engagement was significntly correlated with CBCL attention problems in the overall sample (r = -.42, p<.01), although the groups (ASD only v. ASD plus elevated attention problems) did not differ significantly (p < .06). Increased attention problems were significantly negatively related to positive parenting in this sample, even when ASD severity and verbal ability were controlled. Although a mediation model failed to support a model where attention problems predicted differences in observed parenting through parenting stress, reverse models showed increased positive parenting predicted decreased child attention problems through its effect on parenting stress. The role of maternal depressive symptoms as a mediator of this relationship was unsupported. Perhaps unsurprisingly, observed child behavior was found to be an important factor in understanding parenting behavior; however, the nature of its role was multifaceted. While observed child negativity was directly linked to lower levels of positive parenting, it moderated the relationship between child attention problems and harsh parenting, as mediated by parenting stress. In particular, attention problems were positively linked to greater stress, but this stress was more likely to be accompanied by a greater increase in harsh parenting behavior when children demonstrated negativity toward their mothers. The relationship between child attention problems and positive parenting varied by child verbal ability. For children with higher verbal ability, attention problems were linked to a drop in positive parenting, while this relationship was unsupported in children with underdeveloped communication skills. Conclusions. Child attention problems are a powerful predictor of parenting stress and less positive parenting. While it was expected that variation in attention problems would predict differences in parenting, reverse models showed more promise in identifying and defining the relationship between these variables, where mothers who exhibited more harsh parenting and less positive parenting experienced higher levels of parenting stress and their children demonstrated increased attentional problems and decreased engagement during dyadic interactions. The strength of this relationship varied according to observed child negativity and level of functioning. Clinical implications for practitioners and future directions for research investigating parenting children with ASD are discussed.

ackground Previous research has shown that parents of children with learning disabilities (LD) and/ or autism spectrum disorders (ASD) are more psychologically distressed than parents of neuro‐typical children. The literature suggests that there is significant variation in the rates of maladjustment within this population, and the research into factors that influence parental adjustment is developing. This study aims to add to the research into the factors influencing adjustment to parenting a child with LD/ ASD. In particular, relatively under‐researched concepts such as parental acceptance, time since diagnosis, and the influence of informational support to understand a child’s needs, will be explored. Method Two hundred and thirty five parents of children aged 4‐19 participated in a questionnaire study, conducted through local additional support needs (ASN) schools and bases. Measures of psychological adjustment were gathered alongside measures of acceptance, positive gains, level of child’s challenging behaviour and demographic information. Results Along with other variables, psychological acceptance and was found to account for significant variance in parental adjustment. There were no observed relationships between adjustment and time since diagnosis, or level of informational support. Conclusions The results have implications for the understanding of the role of acceptance in parent adjustment. Implications for intervention development and future research directions are discussed, in addition to the methodological limits of the study.

During the last decade, the number of children diagnosed with Autism Spectrum Disorders (ASD) has increased and more and more children with ASD are educated in inclusive classrooms. Although their inclusion can have several benefits, teachers face some challenges. The main reason is these students’ problem behavior or lack of a desirable behavior. The aim of this systematic literature review was to analyze interventions for behavior management of students with ASD, since the ratification of Salamanca Statement and Framework for Action (UNESCO, 1994), in inclusive preschool and primary school classrooms. The aim was also to examine the outcomes of these interventions. Four databases were searched and nine articles were included for data extraction. Results indicated the implementation of different interventions such as function-based interventions, peer support, visual cue cards, structured teaching with graduated guidance, social stories and social scripts. The target behavior was principally assessed through Functional Behavioral Assessment (FBA) or it was not assessed at all. Some interventions were provided by the researcher or the teacher only, some were provided by different people in different phases and some were provided by two or more people together. Interventions’ goals were to decrease problem behavior, to increase desirable behavior and both to decrease problem behavior and to increase desirable behavior. It was observed that all interventions reached their goals, even though at a low level in some cases. In conclusion, this literature review provided a summary of interventions and their outcomes for behavior management of students with ASD in inclusive classrooms with a further purpose to help the teachers identify the strategies most useful for their classroom.

Thesis (MOccTher)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: Prior to the commencement of this study, an abundance of information on the topic of autism spectrum disorders and its symptoms, its prevalence and the effect on the family’s psychosocial- and emotional wellbeing were available. However, studies to describe the impact of a child with autism spectrum disorder on the occupations of families were limited, especially within the South-African context, and the researcher could find no information describing the impact of such a child specifically relating to the daily occupations of their mothers. This qualitative study used a phenomenological approach to explore how mothers with children on the spectrum of autism experience the impact of the child on their own daily occupations, and the meaning they derive from these experiences. Purposive sampling was used in selecting eleven mothers whose children attended therapeutic and medical follow up at one of the tertiary public hospitals in the Western Cape. In-depth semi-structured interviews following an interview guideline were conducted with each of the participants. The interviews were audio taped, and thereafter transcribed verbatim. A process of open coding was used to analyze the transcribed interviews. The findings emerging from the data-analysis process, uncovered three themes, namely ‘mothering as an identity’, mothering as an occupation’, and ‘making sense and moving forward’. These themes emphasized the immense changes the mothers had to face with regards to their occupational engagement, as well as on a personal level due their children’s diagnosis of autism spectrum disorder. It also brought to light the factors influencing the experiences and actions of mothers, shaping their mothering identities, as well as their needs and barriers in terms of successful participation in their everyday occupations. The study reported on the occupational risk factors these mothers face, as well as the enabling elements with regards to successful and meaningful occupational engagement. Occupational therapists working with children should be especially conscious of the inseparable relationship between the occupations of the child they are treating, and the occupations of the primary caregiver when implementing therapy programs. Only through ensuring the successful and meaningful participation in occupations of both the mother and the child, the occupational therapist will be able to improve the health and well-being in the one or the other. Careful selection and collaborative goal setting when planning therapy programs are therefore essential. / AFRIKAANSE OPSOMMING: Verskeie studies het in die verlede rapporteer oor die diagnose, simptome en prevalensie van outisme spektrum steurnisse. Studies wat die impak van hierdie toestand op die emosionele en psigo-sosiale welstand van families ondersoek het, was ook volop. Beperkte inligting, veral binne die Suid-Afrikaanse konteks, was egter beskikbaar om die impak van ‘n kind op die spektrum van outisme op families se deelname in alledaagse aktiwiteite te ondersoek. Met die aanvang van hierdie studie, kon die navorser geen inligting vind wat spesifiek na die impak van ‘n kind met outisme op hulle moeder se deelname in alledaagse aktiwiteite ondersoek ingestel het nie. Hierdie kwalitatiewe studie het gebruik gemaak van ‘n phenomelogiese benadering om die ervarings van moeders, met ‘n kind op die spektrum van outisme, te ondersoek rakende die impak van hierdie kind op die deelname van hulle eie alledaagse aktiwiteite, asook die betekenis wat die moeders aan hierdie ervarings kon heg. Doelgerigte steekproeftrekking is gebruik in die seleksie van elf moeders wie se kinders terapeuties en medies opgevolg word by ‘n tersiêre publieke hospital in die Wes-Kaap. In-diepte, semi-gestruktureerde onderhoude is gevoer met elk van die deelnemers aan die hand van ‘n onderhoud riglyn. Die onderhoude is op band opgeneem, waarna dit verbatim getranskribeer is. ‘n Proses van oop kodering is gebruik om die getranskribeerde onderhoude te analiseer. Die resultate wat verkry is gedurende die data-analise proses, het die volgende temas uitgelig, naamlik ‘moederskap as indentiteit’, ‘moederskap as beroep’, en ‘om sin maak en aan te beweeg’. Hierdie temas het die geweldige veranderinge vir die moeders in terme van deelname aan hulle alledaagse aktiwiteite, sowel as op persoonlike vlak, beklemtoon. Die faktore wat die deelnemers se ervarings en aksies, en dus hulle identiteit as moeders beïnvloed het, was ook geïdentifiseer. Die resultate het ook die struikelblokke en behoeftes van hierdie moeders in terme van suksesvolle deelname aan hulle alledaagse aktiwiteite, aangedui. Die studie het die risiko faktore, sowel as die elemente wat benodig word vir suksesvolle deelname aan alledaagse aktiwiteite, uitgelig. Arbeidsterapeute werksaam in die veld van pediatrie, behoort bewus te wees van die onafskeidbare verhouding tussen die deelname aan alledaagse aktiwiteite van die kind wat hulle behandel, en dié van die primêre versorger. Slegs wanneer suksesvolle deelname aan aktiwiteite deur beide die kind én die moeder verseker word, kan die welstand en gesondheid in die een of die ander bevorder word. Die seleksie van terapie doelwitte in samewerking met die familie en primêre versorger, is dus kardinaal.

Thesis (MA)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: Movement plays an important role in a child’s life. Typically developing children develop motor skills as they explore their environment. Motor skills are important, as they contribute to a child’s overall wellbeing, assisting in play, academics, social development and physical activity. These motor milestones developed during childhood, and can be used as indicators of atypical development. Children with a complex neurodevelopmental disorder such as Autism Spectrum Disorder (ASD) show signs of atypical development, as they are recognised as being clumsy and uncoordinated in their gross and fine motor skills. Besides motor delays, parents and caregivers report that children with ASD also exhibit delays in social communication, interaction and repetitive behaviours and interests, during the early stages of development. Research has suggested a possible relationship between motor and social development. For example, motor skills are important as they provide children with the necessary tools to successfully engage in physical activity, socially communicate and interact with peers. Children with ASD, however, participate in physical activity less often than typically developing children which hinders the mastery of motor skills, in turn causing social isolation and further social dysfunction. Interventions are, therefore, necessary to provide children with ASD opportunities to learn the essential gross motor skills, which could help them improve their self-esteem, leading to increased participation in physical activity and further social skill development. The purpose of the current study was to implement a 12-week specialised group intervention programme to improve the gross motor and social skills of selected children diagnosed with ASD between the ages of 8 and 13 years. In the Cape Town area, a governmental school for autistic learners was recruited to take part in this study, as the school divided learners into classes based on their level of autistic function. Therefore, the sample in the current study was a sample of convenience. Two classes (N=7) at the school participated; 1 formed the experimental group (n=4) and the other the control group (n=3). The children completed the Movement Assessment Battery for Children-2 (MABC-2), and parents or legal guardians and teachers of participants filled out the Social Responsiveness Scale-2 (SRS-2) questionnaire. This was done to provide an overview of the children’s fine and gross motor and social skill proficiency. A 12-week group intervention programme was designed and then implemented by the researcher, with the focus on improving overall gross motor proficiency and social skills of participants in the experimental group. The effect of the 12-week group intervention programme was determined by analysing and comparing the pre- to post-test results. The group-time interaction effect was examined to determine if the experimental group presented a different effect from the control group over time. The main findings of the current study showed that the 12-week group intervention programme made significant improvements in the total motor proficiency as well as in the balance subtest of the MABC-2 in children with ASD. Significance was also found within the experimental group in the aiming and catching subtest of the MABC-2. Unfortunately, the current study found no significant improvements after the 12-week group intervention programme in total social skill competency, as well as in all subtests of the SRS-2 in children with ASD. The current study shows the effectiveness of a 12-week group intervention programme on the gross motor skills of children with ASD. The findings also suggest that social skills should be taught alongside motor skills, in order to achieve positive outcomes in both aspects of development. Further investigation is needed with regards to the relationship between motor and social skills, as well as additional examinations as to whether improved motor skills, results in improved social development. / AFRIKAANSE OPSOMMING: Beweging speel ʼn belangrike rol in ʼn kind se ontwikkeling tot ʼn volwaardige volwassene. Kinders sal tipiese motoriese vaardighede aanleer soos hulle hul omgewing verken. Motoriese vaardighede is belangrik omdat dit tot akademiese, sosiale, fisieke, speel aktiwiteite en ʼn kind se algehele welstand bydra. Die mylpale wat gedurende die kinderjare bereik word, is ʼn belangrike aanwyser van atipiese ontwikkeling. Kinders met ʼn komplekse neuro-ontwikkelingsversteuring soos Outisme Spektrum Versteuring (OSV), toon tipies tekens van atipiese ontwikkeling omdat hulle onbeholpe en ongekoördineerd in hul groot en fynmotoriese vaardighede voorkom. Afgesien van motoriese agterstande rapporteer ouers en versorgers dat kinders met OSV gedurende die vroeë kinderjare ook agterstande in sosiale kommunikasie, interaksie en herhalende gedrag en belangstellings toon. Navorsing toon ʼn moontlike verhouding tussen motoriese en sosiale ontwikkeling. Motoriese vaardighede is belangrik omdat dit kinders met die nodige vaardighede toerus om fisieke aktiwiteite suksesvol uit te voer, om te kan speel, om te sosialiseer en om met hulle eweknieë te kan verkeer. Kinders met OSV sal tipies aan minder fisieke aktiwiteite as kinders wat normaal op dié gebiede ontwikkel, deelneem en sodoende sal dit tot verdere sosiale isolasie en sosiale disfunksie aanleiding gee. Intervensies is daarom, belangrik om kinders met OSV geleenthede te bied om die noodsaaklike grootmotoriese vaardighede, wat hul selfagting kan verhoog, hul deelname aan fisieke aktiwiteite kan verhoog en verbetering in sosiale ontwikkeling kan aanmoedig, aan te leer. Die doel van die huidige studie was om met ʼn gespesialiseerde groep intervensieprogram die grootmotoriese en sosiale vaardighede van ʼn geselekteerde groep kinders, tussen die ouderdom van 8 en 13 jaar, wat met OSV, gediagnoseer is te implementeer. Een regeringskool vir Outistiese leerders in die Kaapstad omgewing is geselekteer om aan hierdie studie deel te neem. Omdat die skool die leerders in klasse op grond van hul graad vlak van Outisme verdeel, is daar van ʼn gerieflikheidsteekproef gebruik gemaak. Leerder in twee klasse (N=7) van die skool het deelgeneem; 1 groep was die eksperimentele groep (n=4) en die ander groep (n=3) die kontrolegroep. Die kinders het die Movement Assesment Battery for Children-2 (MABC-2), voltooi en die ouers of die wettige voogde en onderwysers het die Social Responsiveness Scale-2 (SRS=2), vraelys voltooi. Die is gedoen om ʼn oorsig van die kinders se fyn- en grootmotoriese- sowel as sosiale vaardighede te bekom. Die 12-week groep intervensieprogram wat op die algehele verbetering van groot motoriese- en sosiale vaardighede van al die deelnemers in die eksperimentele groep gefokus het, is deur die navorser ontwikkel en geïmplementeer. Die effek van die 12-week groep intervensieprogram is deur die ontleding en vergelyking van die voor- en na-toets data bepaal. Die groep-tyd interaksie-effek is ondersoek om te bepaal of die eksperimentele groep 'n ander effek as die kontrole groep met verloop van tyd toon het. Die belangrikste bevindinge van die huidige studie het getoon dat die 12-week groep intervensieprogram aansienlike verbeteringe in die totale motoriese vaardigheid, sowel as in die balans sub-toets van die MABC-2, by kinders met OSV te weeg gebring het. Betekenis is ook binne die eksperimentele groep by die mik- en vang sub-toets van die MABC-2 gevind. Ongelukkig is geen betekenisvolle verbeteringe in sosiale vaardighede, sowel as in al die sub-toetse van die SRS-2 by die kinders met OSV gevind nie. Die huidige studie het die doeltreffendheid van 'n 12-week groep intervensieprogram op die grootmotoriese vaardighede van kinders met OSV getoon. Die bevindinge dui ook daarop dat sosiale vaardighede saam met motoriese vaardighede aangeleer moet word, om sodoende positiewe uitkomste in beide aspekte van ontwikkeling te kan bereik. Verdere navorsing met betrekking tot die verhouding tussen motoriese en sosiale vaardighede is nodig, sowel as verdere navorsing om te bepaal of verbeterde motoriese vaardighede ʼn verbetering in sosiale ontwikkeling sal toon.