Out-of-school participation patterns in children with high-functioning autism spectrum disorders

Claudia List Hilton, Mary Catherine Crouch, Heidi Israel

Research output: Contribution to journalArticlepeer-review

102 Scopus citations


PURPOSE. This study examined differences in out-of-school activity participation between typically developing children and those with high-functioning autism spectrum disorders (HFASD). METHOD. Children with HFASD, ages 6 to 12 (W= 52), and a control group (N= 53) were assessed using the Children's Assessment of Participation and Enjoyment and the Social Responsiveness Scale. RESULTS. Significant differences were seen in participation between typical and HFASD groups in number of activities in which children participate, the numbers of individuals with whom they participate, and the variety of environments in which they participate. CONCLUSIONS. These findings indicate that out-of-school participation is significantly different for children with HFASD than for typically developing peers. Findings suggest that social impairment is related to some aspects of participation and that addressing social skills in intervention could contribute to increased participation in out-of-school activities by children with HFASD, which would contribute to their long-term mental and physical health.

Original languageEnglish (US)
Pages (from-to)554-563
Number of pages10
JournalAmerican Journal of Occupational Therapy
Issue number5
StatePublished - 2008
Externally publishedYes


  • Autism
  • Interpersonal relations
  • Leisure activities
  • Pediatrics
  • Socialization

ASJC Scopus subject areas

  • Occupational Therapy


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