Occupational therapy in Autism Spectrum Disorder: A scoping umbrella review of randomized controlled trials / Marta MARCILLA-JORDÁ in Research in Autism, 132 (April 2026)  

Public ISBD [article]  inResearch in Autism > 132 (April 2026) . - 202866 Titre : Occupational therapy in Autism Spectrum Disorder: A scoping umbrella review of randomized controlled trials Type de document : texte imprimé Auteurs : Marta MARCILLA-JORDÁ, Auteur ; Susana MONTAÑES-MARTÍ, Auteur ; César RUBIO-BELMONTE, Auteur ; Micaela MORO-IPOLA, Auteur Article en page(s) : 202866 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Occupational Therapy  Systematic Review  Randomized Controlled Trials  Outcome Measures  Assessment Résumé : Introduction The rising prevalence of Autism Spectrum Disorder (ASD) highlights the need for effective interventions. Occupational therapists (OTs) are increasingly called upon to provide assessments and interventions for individuals with ASD. While many systematic reviews (SRs) have explored evidence-based OT interventions for ASD, there is a gap in the literature regarding the methodological quality of SRs, the outcome measures used in their included studies, and the degree of involvement of OT in the associated randomized controlled trials (RCTs). To address this, a scoping umbrella review of RCTs was developed. Methods The review adhered to PRISMA guidelines and was registered in PROSPERO (CRD42023387068). A search for SRs on OT and children/ youth with ASD was performed (October-November 2024). SRs quality was assessed using AMSTAR-2 tool and RCTs were extracted from the SRs. Results Ten SRs met the inclusion criteria, from which 43 RCTs were extracted and analysed. The most frequent professional profile in RCTs was "undefined profile" (54.5 %) and a total of 109 distinct assessment tools were identified. The three most frequently used outcome measures were the Vineland Adaptive Behaviour Scales, the Autism Diagnostic Observation Schedule, and the Social Responsiveness Scale-2. Conclusion Findings reveal a need for high-quality OT research and a lack of RCTs where OTs play a leading role. Furthermore, while the three aforementioned tools are indispensable for diagnosis, their original purpose was not to measure intervention effectiveness. To conduct a quality assessment in ASD, assessment tools that can measure functionality and are sensitive to changes in symptomatology are needed. En ligne : https://doi.org/10.1016/j.reia.2026.202866 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=583 [article] Occupational therapy in Autism Spectrum Disorder: A scoping umbrella review of randomized controlled trials [texte imprimé] / Marta MARCILLA-JORDÁ, Auteur ; Susana MONTAÑES-MARTÍ, Auteur ; César RUBIO-BELMONTE, Auteur ; Micaela MORO-IPOLA, Auteur . - 202866. Langues : Anglais (eng) in Research in Autism > 132 (April 2026) . - 202866 Mots-clés : Autism Spectrum Disorder  Occupational Therapy  Systematic Review  Randomized Controlled Trials  Outcome Measures  Assessment Résumé : Introduction The rising prevalence of Autism Spectrum Disorder (ASD) highlights the need for effective interventions. Occupational therapists (OTs) are increasingly called upon to provide assessments and interventions for individuals with ASD. While many systematic reviews (SRs) have explored evidence-based OT interventions for ASD, there is a gap in the literature regarding the methodological quality of SRs, the outcome measures used in their included studies, and the degree of involvement of OT in the associated randomized controlled trials (RCTs). To address this, a scoping umbrella review of RCTs was developed. Methods The review adhered to PRISMA guidelines and was registered in PROSPERO (CRD42023387068). A search for SRs on OT and children/ youth with ASD was performed (October-November 2024). SRs quality was assessed using AMSTAR-2 tool and RCTs were extracted from the SRs. Results Ten SRs met the inclusion criteria, from which 43 RCTs were extracted and analysed. The most frequent professional profile in RCTs was "undefined profile" (54.5 %) and a total of 109 distinct assessment tools were identified. The three most frequently used outcome measures were the Vineland Adaptive Behaviour Scales, the Autism Diagnostic Observation Schedule, and the Social Responsiveness Scale-2. Conclusion Findings reveal a need for high-quality OT research and a lack of RCTs where OTs play a leading role. Furthermore, while the three aforementioned tools are indispensable for diagnosis, their original purpose was not to measure intervention effectiveness. To conduct a quality assessment in ASD, assessment tools that can measure functionality and are sensitive to changes in symptomatology are needed. En ligne : https://doi.org/10.1016/j.reia.2026.202866 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=583

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