Comprehensive Effects of Occupational Therapy Using Ayres Sensory Integration® in Children With ADHD: A Randomized Controlled Trial.

Importance: Limited information exists on the effects of occupational therapy based on the principles of Ayres Sensory Integration® (OT–ASI) in children with attention deficit hyperactivity disorder (ADHD). Therefore, there is a need for a detailed examination of its effects in areas such as sensori...

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Publicado en:American Journal of Occupational Therapy Vol. 80; no. 1; pp. 1 - 16
Autores principales: Kaplan Kılıç, Büşra, Bumin, Gonca, Öğütlü, Hakan, Türkçapar, Mehmet Hakan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: American Occupational Therapy Association Jan/Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2026
      vid: 80
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Comprehensive Effects of Occupational Therapy Using Ayres Sensory Integration® in Children With ADHD: A Randomized Controlled Trial.
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          Kaplan Kılıç, Büşra
          Bumin, Gonca
          Öğütlü, Hakan
          Türkçapar, Mehmet Hakan
        affil: Büşra Kaplan Kılıç, PhD, is Assistant Professor, Occupational Therapy Department, Ankara Medipol University, Ankara, Turkey
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Therapy
          Occupational Therapy Methods
          Sensory Motor Integration
          Treatment Outcomes
          Human
          Male
          Female
          Child
          Randomized Controlled Trials
          Random Assignment
          Comparative Studies
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          Pretest-Posttest Design
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          Chi Square Test
          Quality Improvement
          Large-Scale Brain Networks
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          Emotional Regulation
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          Clinical Assessment Tools
          Questionnaires
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          Child: 6-12 years
          Male
          Female
      ab: Importance: Limited information exists on the effects of occupational therapy based on the principles of Ayres Sensory Integration® (OT–ASI) in children with attention deficit hyperactivity disorder (ADHD). Therefore, there is a need for a detailed examination of its effects in areas such as sensorimotor functions, attention, executive functions, emotional regulation, and participation. Objective: To perform a comprehensive evaluation of the effects of OT–ASI in children with ADHD. Design: Randomized controlled study, including pretest–posttest and single-blind designs. Setting: Individual occupational therapy clinic. Participants: Ninety-four children (ages 6–8 yr) with ADHD (intervention group, n = 47; control group, n = 47). Intervention: The intervention group received OT–ASI (three sessions per week for 10 wk). The control group was placed on a 10-wk waiting list. Outcomes and Measures: The Sensory Integration and Praxis Test; Bruininks–Oseretsky Test of Motor Proficiency, Second Edition, Brief Form; and goal attainment scaling were used as primary outcome measures. The Childhood Executive Functioning Inventory; Stroop Color and Shape Matching Test, TBAG Form; Emotion Regulation Checklist; and Participation and Environment Measure for Children and Youth were used as secondary outcome measures. Results: Postintervention, the intervention group showed a statistically and clinically significant improvement in all outcome measure results (p <.001, η2 >.25). The control group did not show a statistically significant improvement (p >.05). Conclusions and Relevance: OT–ASI can improve sensorimotor, attention, and executive functions; emotional regulation; and participation in children with ADHD. Therefore, it is an evidence-based occupational therapy approach that occupational therapists may prefer in working with children with ADHD. Plain-Language Summary: This study was conducted to comprehensively evaluate the effects of occupational therapy using Ayres Sensory Integration® (OT–ASI) in children with attention deficit hyperactivity disorder (ADHD). In children with ADHD, OT–ASI improved sensorimotor skills such as praxis, balance, and coordination; cognitive skills such as attention and problem-solving; emotional skills such as coping with negative emotions and impulse control; and participation skills such as independence in home, school, and community activities. This study shows that OT–ASI is an evidence-based occupational therapy approach that can be applied to children with ADHD. Therefore, OT–ASI is recommended as one of the intervention approaches that occupational therapists may prefer in working with children with ADHD. This study comprehensively evaluated the effects of occupational therapy using Ayres Sensory Integration® in children with attention deficit hyperactivity disorder.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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