{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:31:15Z","timestamp":1789425075262,"version":"build-2803163510"},"reference-count":89,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T00:00:00Z","timestamp":1682035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    Play is an area of difficulty for autistic children, and occupational therapy practitioners need evidence to guide interventions to improve play for this population. Ayres Sensory Integration\n                    <jats:sup>\u00ae<\/jats:sup>\n                    (ASI) intervention has not yet been studied for its impact on play outcomes.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To examine the impact of ASI intervention on play types in autistic children.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    Nonconcurrent, multiple-baseline design across subjects.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Outpatient occupational therapy clinic in New England.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    Three autistic children, ages 5, 6, and 6 yr.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Intervention:<\/jats:bold>\n                    Twenty-four ASI sessions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Outcomes and Measures:<\/jats:bold>\n                    Frequency of play type was coded using partial interval coding. Progress monitoring used Goal Attainment Scaling.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    All three participants demonstrated changes in the frequency of specific types of play, but changes varied among them.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    Findings suggest that ASI intervention may alter a child\u2019s patterns of play.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>What This Article Adds:<\/jats:bold>\n                    This study is the first to examine the impact of ASI on play and the third that documents the feasibility of single-subject research for studying ASI. If confirmed in future studies, ASI could become an evidence-based intervention for improving play, an important outcome for autistic children and the profession of occupational therapy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Positionality Statement:<\/jats:bold>\n                    This article uses the identity-first language\n                    <jats:italic toggle=\"yes\">autistic people.<\/jats:italic>\n                    This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (\n                    <jats:xref ref-type=\"bibr\">Bottema-Beutel et al., 2021<\/jats:xref>\n                    ;\n                    <jats:xref ref-type=\"bibr\">Kenny et al., 2016<\/jats:xref>\n                    ).\n                  <\/jats:p>","DOI":"10.5014\/ajot.2023.050169","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T13:28:06Z","timestamp":1682083686000},"page":"277-288","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Ayres Sensory Integration\n                    <sup>\u00ae<\/sup>\n                    for Addressing Play in Autistic Children: A Multiple-Baseline Examination"],"prefix":"10.1177","volume":"77","author":[{"given":"Heather M.","family":"Kuhaneck","sequence":"first","affiliation":[{"name":"Heather M. 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