A Feasibility Trial of a Telehealth-Adapted Ayres Sensory Integration® Intervention for Autistic Children

Telehealth delivery of OT-ASI is feasible and acceptable while maintaining strong fidelity. It can extend the reach and impact of occupational therapy services to autistic children and their families, particularly those facing barriers to in-person care. Plain-Language Summary: Many autistic children process or respond to sensation differently from other children, which can affect their participation in daily life activities. Occupational therapy using Ayres Sensory Integration® (OT-ASI) is an evidence-based intervention that can help these children participate more fully in daily life activities and reach personal goals. During the coronavirus disease 2019 pandemic, the OT-ASI intervention was updated for online delivery. This online approach was rated by parents and interventionists as feasible and helpful. Children met goals and improved social communication and responsibility skills. More research is needed to confirm and expand on these results.