http://hdl.handle.net/123456789/1106 Sun, 05 Apr 2026 19:04:42 GMT 2026-04-05T19:04:42Z http://hdl.handle.net/123456789/1118 Effects of Sensory Processing Problem on Functioning of Children with Autism Spectrum Disorder: A Cross-Sectional Study Akter, Suria Background: Atypical sensory processing is common in children with autism spectrum disorder (ASD), and that often impairs cognitive, behavioral functioning, and social skills. Atypical sensory processing explains a significant part of the variance of functional problems. Method: This study aimed to analyze the effect of sensory problems on the functioning of children with ASD. In this study were 200 children with ASD, aged 4 to 6 years. This study used a cross-sectional method. Standardized questionnaires used the Japanese Sensory Inventory-Revised (JSI-R) and the Social Skill Checklist (SSC) was used to collect data regarding sensory status, cognitive skills, social skills, and behavioral skills. Descriptive analyses of Spearman’s, Kruskal Wallis Test, and Mann-Whitney U test were performed to investigate the correlation effects and group differences among children with ASD. For the statistical analysis, the software Statistical Package for Social Science (SPSS)version 20. Results: The result showed the children with ASD mean age was 5.3194 ± .81110 years. The highest percentage of the sensory area of vision portion was of the participants red (186%), yellow (12%), and green 0nly (2%) among 200 children with ASD. This red category indicates atypical performance of sensory processing among children with ASD. The respondents were very much challenged in cognitive skills, and subcomponents of problem-solving with high percentages of almost never (84.5%), sometimes (10.5%), often (6%), and almost always (2%). The social skills of conversation high percentages were almost always (2%), often (1%), sometimes (13%), almost never (81.5%) among children with ASD. This study showed, were statistically significant and the weak correlation between the vestibular portion with the beginning play was (ρ=.200, p<0.004), very weak negative correlation non-conversation (ρ=-.154, p<.029), and complaints (ρ= -.153, p <.031) among children with ASD. The Spearman’s correlation analysis was statistically significant between the tactile section very weak correlation with beginning pay (ρ=.160, p<.024), very weak negative correlation self-regulation (ρ= -.140, p<.048), and correlation complaints (ρ= -.165, p<.019) among children with ASD. The hearing portion was significant very weak with beginning play behaviour (ρ=.167, p<.018), intermediate play behaviour (ρ=.148, p<.036), and weak negative correlation with conversation (ρ=-.221, p<.002) and non-conversation (ρ=-.207, p<.003) among children with ASD. Another Spearman’s correlation analysis of the statistically significant and very weak correlation between vision part and intermediate play (ρ=.173, p<.014) among children with ASD. Kruskal Wallis Test reported that three variables were among (age and SSC) statistically significant differences at the intermediate (df 4.533, p<.033), self-regulation (df 4.181, p<.041), and flexibility (df 4.745, p<.029) among children with ASD. In sensory areas and 0nly, the (vision and age) showed a statistically major difference between groups, with a df value of (92.88 and a p-value of <0.002). Conclusions: There were some significant effects of the association of atypical sensory processing with cognitive and behavioural problems and social skills among children with ASD. Sensory reactivity is related to the development of the occupational functional areas in children with ASD. Keywords: Autism, Sensory Processing, Social skills, Behavioral and Cognitive skills This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh Sun, 15 Sep 2024 00:00:00 GMT http://hdl.handle.net/123456789/1118 2024-09-15T00:00:00Z http://hdl.handle.net/123456789/1117 Reliability and Validity of Bengali-Translated Child Occupational Self Assessment (BCOSA) Saha, Sudeepa Background: The Child Occupational Self-Assessment (COSA), a self-report of occupational competence and value for activities, may provide occupational therapists with a greater understanding of children’s occupational competence and values. The Bengali-Translated Child Occupational Self-Assessment (BCOSA) is a client-centered instrument designed to assess goal setting and intervention planning for children and youths with a client-centered approach in Bangladeshi context. Aim: This study aimed to assess the content validity, construct validity and internal consistency reliability of the Bengali-translated Child Occupational Self-Assessment (BCOSA). Methods: Adaptation and psychometric properties testing of the Bengali-COSA were conducted with 200 respondents after the translation phase. The content validity of the questionnaire was measured by expert opinion. Cronbach’s alpha statistical test was used to measure the internal consistency of the questionnaire, while the construct validity was measured using Pearson correlation coefficients test. Results: Content validity for all items of the questionnaire was >0.75. Cronbach’s alpha value of the COSA scale for competence .89 and value were .92 with high internal consistency. In Pearson correlation coefficient twenty-two items of the COSA competence were significantly (p<0.05) correlated with all competence items as well as most of the COSA value items were significantly (p<0.05) correlated with all value items. Conclusion: This study demonstrated that the Bengali version of COSA was highly valid, and reliable tool for use in client-centered goal setting and intervention planning for Bengali children and youths. Nonetheless, further research is warranted to conduct more comprehensive analyses that thoroughly assess the functions of the BCOSA in various contexts This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh Wed, 15 May 2024 00:00:00 GMT http://hdl.handle.net/123456789/1117 2024-05-15T00:00:00Z http://hdl.handle.net/123456789/1116 Effectiveness of cognitive group therapy for people living with stroke: a quasi-experimental study Akter, Sarmin Background: Stroke is a complex dysfunction that originates from a lesion in the brain and is characterized by sudden onset of neurological defects. Cognitive impairment is a common impairment after stroke. Cognitive functions are fundamental for performing activities in daily living. Therefore, cognitive rehabilitation is crucial to enhance cognitive functions in stroke patients. Aim: To explore the effectiveness of cognitive group therapy for improving cognitive functions for people living with stroke. Methods: The study used a quantitative, Quasi-experimental one group pre and post-test research design. Total 9 participants were purposively selected for intervention based on inclusion criteria such as person with stroke and who have cognitive impairment. The intervention was “cognitive group therapy protocol” included 30 sessions, 4 times a week across 8 consecutive weeks. Each session took approximately 45 minutes. Bangla Adapted Mini-mental State Examination (BAMSE) was used to evaluate the cognitive functions of the participants before and after the group intervention. The data was analyzed using the SPSS 25 version for descriptive and inferential analysis. Results: The post-test result showed a statistically significant increase in the BAMSE score, where median cognitive function score in pre-test was 18 and in post-test was 24 (Z=-2.527, P=.012) which indicate positive effect of the intervention. All the pre-test and post-test score of BAMSE except recall and copying show the statistically significant difference (p<0.05) in post-test. Socio-demographic factor shows that gender had an association with total BAMSE score in pre-test and post-test where P value was 0.032. Conclusion: The cognitive group therapy intervention has a positive effect and significantly improve the cognitive functions. So, it can be an effective intervention strategy for people living with stroke and can be recommended for occupational therapists to incorporate it in their practice in the field of stroke rehabilitation. Keywords: Cognitive Rehabilitation, Cognitive Group Therapy, People Living with Stroke This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh Sun, 15 Sep 2024 00:00:00 GMT http://hdl.handle.net/123456789/1116 2024-09-15T00:00:00Z http://hdl.handle.net/123456789/1115 The Quality of Life of Children and Adolescents with Spinal Cord Injury in Physical, Emotional, Social and School functioning Lili, Nupur Binte Background: Spinal Cord injury (SCI), whether traumatic or non-traumatic, is a devastating neurological condition (Rahman et al., 2017). SCI are a major public health problem in Bangladesh (Hoque et al., 1999). Having spinal cord injury may impact largely on normal development of children by considering various dimension like their physical health, psychosocial health, social functioning, emotional functioning and their school functioning level, Pediatric SCI (pedSCI) is further complicated by issues related to ongoing physical and emotional growth (Augutis et al., 2006). Spinal cord injury before the age 15 years is a relatively rare occurrence, but it can have important psychological and physiological consequences (Parent et al.,2011). SCI is common problem but SCI among pediatric population is slightly under considerable position in Bangladesh. Globally each year, around the world, 250,000 to 500,000 people experience a spinal cord injury (Spinal Research Institute, 2024). Worldwide most affected age group are males aged 18-32 years. The most affected age group in south Asian countries such as Bangladesh, India and Pakistan are between 20 and 30 years (Ema et al., 2022). Author sought to obtain a more accurate picture about the Quality of Life of children and adolescents with SCI in physical health, emotional functioning, social functioning and school functioning status living with SCI in Bangladesh. Many studies from high-income countries (HICs) have examined the physical, psychological, and social well-being of people following spinal cord injuries (SCI) (Hossain et al., 2019). However, there is very little information about the Quality of Life and functioning status of children and adolescents with SCI. On the other hand, there are no evidence found specifically based on physical, emotional, social and school functioning domains and the factors related to physical, Social, emotional & school functioning of children and adolescents with SCI in Bangladesh. Aim: This study aimed to know the quality of life of children and adolescents with spinal cord injury (SCI) in physical health, psychosocial health, emotional functioning, social functioning and school functioning. Methods and Materials: Quantitative methodology and an analytical Cross sectional study approach followed to conducted the study. The study conducted in the community settings of the participants. The community was selected according to the living areas of patient particularly those were discharge from Centre for the Rehabilitation of Paralysed (CRP) after their initial treatment and currently living in their own community. Purposive sampling technique was used in this study. The calculated sample size was about 384. Data from 48 participants of the study sample were entered for the analysis. Among all participants of the study sample 27 were male and 21 were female children & adolescents with SCI. Find out the Socio-demographic overview of children and adolescence with SCI. An overview of average score of functioning status among children & adolescents with SCI was observed. Independent samples test- t test and one way ANOVA test was conducted for the association of physical, social functioning, emotional, school functioning with socio-demographic factors of children and adolescents with SCI. Results: The socio-demographic profile of children and adolescents with SCI the notable findings are that, a high percentage of participants were male children with SCI and they were reside in rural areas. Among all the participants a significant proportion of the children with SCI (72.9%) were involved in an institution- based study program, while 27.1 % were not. History of school drop was also present among the participants, 43.8% of the children with SCI were reported having dropped out of school. And the children and adolescents face various social, emotional, physical challenges that impact on their school functioning. Children & adolescents with SCI facing moderate level physical functioning difficulties. The average emotional functioning shows 11.56 ± 3.92 that indicates emotional functioning status level is low among them. The Social functioning level is also lower as the average score was 11.02 ± 5.53. On the other hand, the average score of psychosocial health was 57.54 ± 16.140 represents psychosocial functioning status is higher level among the children and adolescents with SCI in Bangladesh. On the other hand, there was no significant association between male & female gender, age group with physical & social functioning of children and adolescents with SCI. Social functioning shows a statistically significant association with the living area (p = .040) among children and adolescents with SCI. Conclusions: The quality of life in psychosocial health functioning status is higher than other functioning dimension such as emotional, social, school functioning among children and adolescents with SCI in Bangladesh. The quality of life in physical functioning is moderate level and the emotional functioning & Social functioning is on average level. Quality of life in school functioning is also lower level and slightly better than emotional & social functioning status among children and adolescents with SCI in Bangladesh. Social functioning shows a statistically significant association with the living area among children and adolescents with SCI in Bangladesh. So, understanding a more accurate picture the Quality of Life of children and adolescents with SCI in physical health, emotional functioning, social functioning and school functioning status will help to set holistic approach to rehabilitation, and help to set multidisciplinary team (MDT) rehabilitation goal effectively for children and adolescents with SCI in Bangladesh. Key words: Quality of life, Children & adolescents with spinal cord injury, physical health, psychosocial health, and emotional, social & school functioning This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh Sun, 15 Sep 2024 00:00:00 GMT http://hdl.handle.net/123456789/1115 2024-09-15T00:00:00Z