effectiveness of play therapy on joint attention of children with autism spectrum disorder

Document Type : Original Article

Authors

1 Master's degree in psychology and education of exceptional children, Faculty of Behavioral Sciences, University of Rehabilitation Sciences and Social Health, Tehran, Iran

2 Master's degree in psychology and education of exceptional children, Faculty of Behavioral Sciences, University of Rehabilitation Sciences and Social Health, Tehran, Iran

3 Ph.D. in Psychology and Education of Exceptional Children, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.

4 Professor, Department of Psychology and Education of Exceptional Children, Faculty of Behavioral Sciences, University of Rehabilitation and Social Health Sciences, Tehran, Iran

5 Associate Professor, Department of Psychology and Education of Exceptional Children, Faculty of Behavioral Sciences, University of Rehabilitation and Social Health Sciences, Tehran, Iran

Abstract

Abstract
Background and Objective: Children with Autism Spectrum Disorder (ASD) face significant challenges in developing communication skills and social interactions. One of the fundamental difficulties in these children is joint attention, which is recognized as a key component in establishing effective communication. Play therapy, as an intervention method, is designed to enhance social skills and promote joint attention. This study aimed to investigate the effectiveness of play therapy on joint attention in children with Autism Spectrum Disorder.
Method: This study is a qualitative experimental research using a single-subject A-B design with a pre-test and post-test structure. To implement the intervention, four children aged 3 to 4 years old (three boys and one girl) were randomly selected. Prior to the intervention, an initial assessment was conducted twice for each child using the Early Social Communication Scales (ESCS) developed by Mundy et al. (2013). The intervention included individual play therapy sessions held over 10 sessions for five weeks (twice a week,60 minutes per session). Follow-up assessments were collected after the second, fifth, eighth, and tenth sessions, and the data were analyzed using Cohen's D effect size.
Findings: The results indicated that play therapy had a significant impact on improving the components of joint attention in children with Autism Spectrum Disorder. Specifically, the findings showed a meaningful increase in initiating joint attention and responding to joint attention in the participating children after the intervention period (P 0/05).
Conclusion: It can be concluded that play therapy is an effective approach for enhancing joint attention. Therefore, play therapy can be used as a therapeutic intervention to increase joint attention in children with Autism Spectrum Disorder.
Keywords: Play Therapy, Joint Attention, Autism Spectrum Disorder (ASD)

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