{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:04:59Z","timestamp":1773014699877,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001794","name":"University of Queensland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is a longstanding debate about using Ayres Sensory Integration\u00ae (ASI) as an occupational therapy approach, fuelled partly by queries about its alignment with the current occupation\u2010centred paradigm. Despite many voicing their opinions, no studies have considered the extent to which occupational therapy using ASI with children might be implemented in a way that aligns with occupation\u2010centred practice. This study was designed to explore that alignment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This mixed\u2010methods study involved eight occupational therapists certified to implement ASI. Data collection involved (1) an online survey to gather demographic data and rate structural fidelity elements; (2) a review and rating of a video\u2010recorded session using process fidelity elements and the occupation\u2010centred practice checklist for observable items (e.g. therapist\u2013child collaboration); and (3) a review and rating of semi\u2010structured interview data using the same checklist for non\u2010observable items (e.g. child\u2010 or family\u2010chosen goals). Two coders independently analysed the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and Community Involvement<\/jats:title>\n                    <jats:p>No consumers were involved in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The extent to which interventions aligned with occupation\u2010centred practice varied among the participants, with partial uptake of several components observed across therapists. Some occupation\u2010centred practice components were more consistently met, including identifying client concerns, developing trust with the child, and considering the child's unique features when planning interventions. Other components were more consistently missed, such as collaborating with caregivers, co\u2010creating and reviewing goals, establishing occupational outcome measures, considering the client's broader context, and drawing on multiple theories and approaches to guide practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Some participants' therapeutic approach was more closely aligned with occupation\u2010centred practice, evidencing the potential for occupation\u2010centred implementation of ASI. Nevertheless, findings underscore the need to strengthen the occupational focus. Therapists may benefit from occupation\u2010centred practice training and using the checklist presented in this study to self\u2010monitor alignment with the profession's paradigm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70076","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T03:59:38Z","timestamp":1770350378000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the alignment between occupational therapy using Ayres Sensory Integration\u00ae with children and occupation\u2010centred practice: An observational study"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1452-3550","authenticated-orcid":false,"given":"Carolina","family":"Acu\u00f1a","sequence":"first","affiliation":[{"name":"School of Health and Rehabilitation Sciences, Faculty of Health Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Gallegos\u2010Berrios","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences, Faculty of Health Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Chile  Independencia Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5503-4297","authenticated-orcid":false,"given":"Jacqui","family":"Barfoot","sequence":"additional","affiliation":[{"name":"Queensland Cerebral Palsy Research and Rehabilitation Centre, Child Health Research Centre, Faculty of Health Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2981-9189","authenticated-orcid":false,"given":"Pamela","family":"Meredith","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences, Faculty of Health Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Hill","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences, Faculty of Health Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"issue":"5","key":"e_1_2_11_2_1","first-page":"401","article-title":"Critique of sensory integration therapy and its application in mental retardation","volume":"92","author":"Arendt R. 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