Table 2

Topic areas from qualitative data at Time 1 and Time 2

Topic area 1 “engaging and motivating”
Time 1Time 2
“Difficulties with engagement, shared attention, motivation for functional tasks” OT1“AA is difficult to implement with more complex cases which make up the majority of my caseload” OT1
“Trying to motivate and support regulation in a setting that may be unfamiliar to the child is really hard”
OT2
“Looking at engaging and highly motivating toys that hook the child in and using these to build rapport”
OT2
“Trying to understand what they are motivated by and the types of tools and activities that they enjoy engaging in” OT5“Definitely see a huge difference in terms of engaging autistic children since I started AA. For younger children at times trying to gain their attention can be difficult if dysregulated” OT5
“Finding the motivators is a challenge” OT6“After using AA in practice, it has informed and enhanced my approach to sessions. It is now one of my go-to tools” OT6
Topic area 2 “Strategies used in intervention”
Time 1Time 2
“Preferred activities, sensory play, Zones of Regulation” OT2“I am using visually attractive items and preparing any adults in the room to help support me during AA sessions” OT2
“I use visuals which I find often help transitions from one activity to another and helps hold attention. I also use sensory input, changing tone of voice, dimming the lights in the room” OT3“Since doing the training, I’m relying more heavily on visual items which is working very well. A lot of my clients aren’t ready for AA yet, but I think using this technique in the future would be very beneficial” OT3
“I am DIR floor time trained, so I use this model and their preference for play”. OT4
*Developmental individual differences and relationship-based model (DIR)
“I use DIR and now I use AA in a school setting with teachers and support staff. I also plan to introduce it with families” OT4
“Finding what interests and bringing that into sessions” OT5“I have found AA brilliant in establishing attention. I still use visual and timers but to gain intrinsic motivation. I find AA the best tool I have tried” OT5

Source:

Author’s own work

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