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Beyond vision: Exploring the impact of visual perception on participation in children with autism spectrum disorder.

PloS one2025

Çelik Sümeyye Belhan, Özkan Esma

What this study means for families

This study looked at how visual perception (how children process what they see) affects daily participation in 61 children with autism. Children with better visual perception skills were more likely to participate in activities at home, school, and in the community. Boys participated more at home and school, while girls were more active in community settings. Children from intact families participated more than those from separated families.

Visual perception explained over half the differences in participation levels between children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This cross-sectional study examined the relationship between visual perception skills and participation in daily activities among 61 children with autism (mean age 8.21 years). Using standardized assessments (MVPT-4 for visual perception, CASP for participation), researchers found visual perception strongly predicted participation levels, explaining 55.8% of variance. Better visual perception correlated with higher participation across home, school, and community settings. Gender differences emerged, with boys participating more at home and school, while girls engaged more in community activities.

Children from nuclear families showed higher participation than those from separated families. The correlational design limits causal inferences, emphasizing need for longitudinal research.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Visual perception strongly predicted participation levels, accounting for 55.8% of variance in total participation scores

    Confidence: highRelevance: high
  • 2

    Significant positive correlations between visual perception and participation in home (r=0.358), school (r=0.313), and community (r=0.361) settings

    Confidence: highRelevance: high
  • 3

    Gender differences in participation patterns: boys more active at home/school, girls more engaged in community activities

    Confidence: moderateRelevance: moderate
  • 4

    Children from nuclear families had higher participation levels than those from separated families

    Confidence: moderateRelevance: moderate

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Visual perception assessment should be prioritized in autism evaluations. Interventions targeting visual perception skills may enhance participation across settings. Gender-specific and family-sensitive approaches may optimize participation outcomes. Visual perception training could be integrated into comprehensive intervention programs.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Cross-sectional design prevents causal conclusions. Small sample size (n=61) from single special education center limits generalizability. Study relies on correlational data rather than interventional evidence. Family structure effects not fully explored.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Visual perception plays a crucial role in the daily participation of children with Autism Spectrum Disorder (ASD) in everyday activities. Exploring the relationship between visual perception skills and participation levels can provide valuable insights into effective intervention strategies to enhance engagement in various settings. This study aimed to evaluate visual perception and participation levels in children with ASD in terms of demographic variables and to examine the relationships between visual perception skills and participation in daily life activities. Sixty-one children with autism (mean age = 8.21 ± 1.05 years) enrolled in a special education center were assessed using the Motor-Free Visual Perception Test - 4 (MVPT-4) for visual perception and the Child and Adolescent Scale of Participation (CASP) for participation levels across home, school, neighborhood, and community settings.

Statistical analyses included correlation and regression analyses to examine relationships between variables. Findings indicated that boys participated more in home and school activities, whereas girls were more engaged in community settings. Additionally, children from nuclear families had higher participation levels than those from separated families. Regression analysis indicated that visual perception was strongly associated with participation levels (β = 0.617, p < 0.001), accounting for 55.8% of the variance in CASP Total scores.

A significant positive correlation was found between visual perception and participation in home (r = 0.358, p < 0.001), school (r = 0.313, p = 0.014), and community activities (r = 0.361, p = 0.004), suggesting that better visual perception is linked to higher participation levels. The results suggest that visual perception is a significant factor influencing participation levels in children with ASD. Furthermore, family type showed a significant contribution to participation variance in the regression analysis. These findings underscore the importance of incorporating visual perception-based interventions to enhance the participation of children with ASD in everyday activities, yet they should be interpreted as correlational rather than causal, highlighting the need for future longitudinal or interventional research.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
PloS one
Year
2025
PMID
40880362
DOI
10.1371/journal.pone.0330457

MeSH Terms

HumansMaleFemaleAutism Spectrum DisorderChildVisual PerceptionAdolescentActivities of Daily Living