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Anadolu Türk Eğitim Dergisi 2025, Clt. 7(2) 241-261

The Effect of Floortime Therapy on Social Communication Skills in Autism Spectrum Disorder

Hülya Çelik, Barış Metin

ss. 241 - 261

Yayın Tarihi: Aralık 31, 2025  |   Görüntüleme Sayısı: 0/0   |   İndirilme Sayısı: 0/0


Özet

The aim of this study is to examine the effect of Floortime therapy on social communication skills in children with Autism Spectrum Disorder (ASD). The research was conducted using a quasi-experimental pretest-posttest control group design. Two groups were formed through random assignment: an experimental group and a control group. The experimental group received "Floortime Therapy," whereas no experimental intervention was applied to the control group. Data were collected from both groups before and after the intervention using the "ABC Checklist" and the "Social Communication Checklist." The intervention process was planned over a total of five months, with sessions held twice a week, each lasting 40 minutes. Descriptive analyses, Mann-Whitney U test, and Wilcoxon signed-rank test were used for data analysis. The results of the study indicate that Floortime therapy led to significant positive developments in reducing autism-related behaviors in children with ASD when compared to the control group. Moreover, Floortime therapy contributed to improvements in social communication and related skills. Based on these findings, recommendations have been provided for educators, families, educational policymakers, and researchers.

Anahtar kelimeler: Autism Spectrum Disorder, Floortime, Social Communication


Bu makaleye nasıl atıf yapılır

APA 7th edition
Celik, H., & Metin, B. (2025). The Effect of Floortime Therapy on Social Communication Skills in Autism Spectrum Disorder. Anadolu Türk Eğitim Dergisi, 7(2), 241-261.

Harvard
Celik, H. and Metin, B. (2025). The Effect of Floortime Therapy on Social Communication Skills in Autism Spectrum Disorder. Anadolu Türk Eğitim Dergisi, 7(2), pp. 241-261.

Chicago 16th edition
Celik, Hulya and Baris Metin (2025). "The Effect of Floortime Therapy on Social Communication Skills in Autism Spectrum Disorder". Anadolu Türk Eğitim Dergisi 7 (2):241-261.

Kaynakça

    Akın Bülbül, I., & Özdemir, S. (2017). Ortak dikkat becerileri ve otizm spektrum bozukluğu. Ondokuz Mayıs Üniversitesi Eğitim Fakültesi Dergisi, 36(1).

    Barghi, F., Safarzadeh, S., Marashian, F. S., & Bakhtiarpour, S. (2023). Effectiveness of DIR/Floortime play therapy in social skills and emotion regulation of children with autism spectrum disorder. Middle East Journal of Rehabilitation and Health Studies. (Advance online publication / in press).

    Bean, J. L., & Eigsti, I.-M. (2012). Assessment of joint attention in school-age children and adolescents. Research in Autism Spectrum Disorders, 6(4), 1304–1310.

    Beki, M. (2024). Riskli gelişimi olan çocuklarda DIR/Floortime™ terapi programına ek olarak uygulanan sosyal iletişim alan tarama testi eğitim programının etkisinin incelenmesi (Tez No. 872153) [Yüksek lisans tezi, Biruni Üniversitesi, Lisansüstü Eğitim Enstitüsü]. Yükseköğretim Kurulu Ulusal Tez Merkezi.

    Bolghan-Abadi, M., & Erfanyfar, B. (2022). Effectiveness of floor time play therapy on oppositional defiant and hyperactivity disorders in preschool children. Biannual Journal of Applied Counseling, 11(2), 1–20.

    Boshoff, K., Bowen, H., Paton, H., Cameron-Smith, S., Graetz, S., Young, A., & Lane, K. (2020). Child development outcomes of DIR/Floortime™-based programs: A systematic review. Canadian Journal of Occupational Therapy, 87(2), 153–164. https://doi.org/10.1177/0008417419899224

    Büyüköztürk, Ş. (2022). Deneysel desenler: Öntest-sontest kontrol gruplu model. Pegem Akademi.

    Carpente, J. A. (2009). Contributions of Nordoff-Robbins music therapy within a Developmental, Individual-Differences, Relationship-based (DIR®)/Floortime™ framework to the treatment of children with autism: Four case studies [Doctoral dissertation, Temple University].

    Casagrande, K. A., & Ingersoll, B. R. (2017). Parent-mediated interventions for social communication in young children with ASD. In Handbook of social skills and autism spectrum disorder: Assessment, curricula, and intervention(pp. 285–312).

    Cevher, Z., & Kurnaz, E. (2024). Otizm spektrum bozukluğu olan çocuklarda duyusal işlemleme bozuklukları. Cumhuriyet International Journal of Education. https://doi.org/10.30703/cije.1437401

    Çelikbaş, F. (2020). Otizm tanılı 2–5 yaş arası çocuklarda DIR/Floortime ve oyunla tedavi eğitim programlarının etkililiğinin incelenmesi (Tez No. 697135) [Yüksek lisans tezi, Üsküdar Üniversitesi, Sosyal Bilimler Enstitüsü]. Yükseköğretim Kurulu Ulusal Tez Merkezi.

    Dionne, M., & Martini, R. (2011). Floor time play with a child with autism: A single-subject study. Canadian Journal of Occupational Therapy, 78(3), 196–203.

    Divya, K. Y., Begum, F., John, S. E., & Francis, F. (2023). DIR/Floortime in engaging autism: A systematic review. Iranian Journal of Nursing and Midwifery Research, 28(2), 132–138. https://doi.org/10.4103/ijnmr.ijnmr_272_21

    Durukan, İ., & Türkbay, T. (2008). Otizmde ortak dikkat becerileri: Gözden geçirme. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 15(2), 117–126.

    Fredericks, B. M., Sng, S. S. Y., Parry-Cruwys, D., & MacDonald, R. P. F. (2023). Teaching joint attention: Assessing generalization and maintenance of effects using multiple exemplar training. Journal of Autism and Developmental Disorders, 53(3), 1117–1129. https://doi.org/10.1007/s10803-022-05615-x

    Freeman, S. F. N., Gulsrud, A., & Kasari, C. (2015). Brief report: Linking early joint attention and play abilities to later reports of friendships for children with ASD. Journal of Autism and Developmental Disorders, 45(7), 2259–2266. https://doi.org/10.1007/s10803-015-2369-x

    Greenspan, S., & Wieder, S. (2008). DIR®/Floortime™ model. The International Council on Developmental and Learning Disorders. https://legacy.lighthousearabia.com/lh-content/uploads/What-is-DIR-Floortime.pdf

    Hess, E. (2012). DIR/Floortime: A developmental/relational play therapy approach for treating children impacted by autism. In Play-based interventions for children and adolescents with autism spectrum disorders (pp. 231–248). Routledge.

    Hirota, T., & King, B. H. (2023). Autism spectrum disorder: A review. JAMA, 329(2), 157–168. https://doi.org/10.1001/jama.2022.23661

    Homer-Smith, E. (2006). Social problems and interventions in pervasive developmental disorders: A case study of Floortime therapy [Master’s thesis, Sarah Lawrence College].

    Ingersoll, B., & Dvortcsak, A. (2010). Teaching social communication to children with autism: A manual for parents(Vol. 2). Guilford Press.

    Irmak, T. Y., Sütçü, S. T., Aydın, A., & Soriaş, O. (2007). Otizm Davranış Kontrol Listesi’nin (ABC) geçerlik ve güvenirliğinin incelenmesi. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 14(1), 13–23.

    İnan, B., Ökcün-Akçamuş, M. Ç., Bakkaloğlu, H., & Yalçın, S. (2020). Otizm spektrum bozukluğu olan çocuklar için Sosyal İletişim Kontrol Listesi–Revize’nin Türkçeye uyarlama ve geçerlik-güvenirlik çalışması. Erken Çocukluk Çalışmaları Dergisi, 4(1), 172–196.

    Kotila, A., Hyvärinen, A., Mäkinen, L., Leinonen, E., Hurtig, T., Ebeling, H., Korhonen, V., Kiviniemi, V. J., & Loukusa, S. (2020). Processing of pragmatic communication in ASD: A video-based brain imaging study. Scientific Reports, 10(1), 21739. https://doi.org/10.1038/s41598-020-78874-2

    Krier, J., & Lambros, K. M. (2021). Increasing joint attention and social play through peer-mediated intervention: A single-case design. Psychology in the Schools, 58(3), 494–514. https://doi.org/10.1002/pits.22460

    Krug, D. A., Arick, J. R., & Almond, P. J. (1993). Autism screening instrument for educational planning: An assessment and educational planning system for autism and developmental disabilities: Examiner’s manual (2nd ed.). Pro-Ed.

    Kumazaki, H., Yoshikawa, Y., Yoshimura, Y., Ikeda, T., Hasegawa, C., Saito, D. N., Tomiyama, S., An, K., Shimaya, J., Ishiguro, H., Matsumoto, Y., Minabe, Y., & Kikuchi, M. (2018). The impact of robotic intervention on joint attention in children with autism spectrum disorders. Molecular Autism, 9(1), 46. https://doi.org/10.1186/s13229-018-0230-8

    Lal, R., & Chhabria, R. (2013). Early intervention of autism: A case for Floortime approach. In Recent advances in autism spectrum disorders (Vol. I). IntechOpen.

    Liao, S.-T., Hwang, Y.-S., Chen, Y.-J., Lee, P., Chen, S.-J., & Lin, L.-Y. (2014). Home-based DIR/Floortime™ intervention program for preschool children with autism spectrum disorders: Preliminary findings. Physical & Occupational Therapy in Pediatrics, 34(4), 356–367.

    Losardo, A., Janko, S., & Cripe, J. (2000). Social communication domain. In J. Cripe, K. Slentz, & D. Bricker (Eds.), AEPS curriculum for birth to three years (5th ed., pp. 337–429). Paul H. Brookes.

    Mercer, J. (2017). Examining DIR/Floortime™ as a treatment for children with autism spectrum disorders: A review of research and theory. Research on Social Work Practice, 27(5), 625–635. https://doi.org/10.1177/1049731515583062

    Ökcün Akçamuş, M. Ç. (2016). Otizm spektrum bozukluğu olan çocukların sosyal iletişim becerileri ve dil gelişim özellikleri. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 17(2), 163–190. https://doi.org/10.21565/ozelegitimdergisi.246293

    Öngider, N. (2013). Anne-baba ile okul öncesi çocuk arasındaki ilişki. Psikiyatride Güncel Yaklaşımlar, 5(4), 420–440.

    Özden, N. (2022). Otizm spektrum bozukluğu olan bireylerde ortak dikkat becerilerinin öğretimine ilişkin öğretmenlerin deneyim ve görüşleri [Yüksek lisans tezi, Anadolu Üniversitesi].

    Öztürk, N. (2022). Down sendromlu çocukların gelişimine ve anne-çocuk etkileşim davranışlarına DIR/Floortime modeline dayalı müdahale programının etkisinin incelenmesi (Tez No. 773207) [Doktora tezi, Ankara Üniversitesi, Sağlık Bilimleri Enstitüsü]. Yükseköğretim Kurulu Ulusal Tez Merkezi.

    Pacheco, P., Pacheco, M., & Molini-Avejonas, D. (2021). Study of 18 months of follow-up DIR/Floortime intervention in preschool children with autism spectrum disorder (ASD). European Psychiatry, 64(S1), 503. https://doi.org/10.1192/j.eurpsy.2021.1346

    Pajareya, K., & Nopmaneejumruslers, K. (2011). A pilot randomized controlled trial of DIR/Floortime™ parent training intervention for preschool children with autistic spectrum disorders. Autism, 15(5), 563–577.

    Panda, M. R. (2016). Effectiveness of music therapy as an adjunct to Floortime therapy in children with autism spectrum disorder [Thesis, Central Institute of Psychiatry].

    Phandinata, S. R., Atmodiwirjo, E. T., & Basaria, D. (2017). Developmental Individual-Differences Relationship-Based (DIR) Floortime dalam meningkatkan komunikasi dua arah pada kasus autism spectrum disorder (ASD). Psibernetika, 10(2), 144–165.

    Reis, H. I., Pereira, A. P., & Almeida, L. S. (2018). Intervention effects on communication skills and sensory regulation in children with ASD. Journal of Occupational Therapy, Schools, & Early Intervention, 11(3), 346–359.

    Shih, W., Shire, S., Chang, Y., & Kasari, C. (2021). Joint engagement is a potential mechanism leading to increased initiations of joint attention and downstream effects on language: JASPER early intervention for children with ASD. Journal of Child Psychology and Psychiatry, 62(10), 1228–1235. https://doi.org/10.1111/jcpp.13405

    Silberg, J. L., & Lapin, C. L. (2017). Expanding our toolkit through collaboration: DIR Floortime and dissociation-informed trauma therapy for children. Frontiers in the Psychotherapy of Trauma and Dissociation, 1(1), 45–64.

    Sun, I., Fernandes, F., Pereira, P., & Balestro, J. (2017). Communication in ASD—Parents as partners for improving language development. European Psychiatry, 41(S1), S454. https://doi.org/10.1016/j.eurpsy.2017.01.488

    Wetherby, A. M., Allen, L., Cleary, J., Kublin, K., & Goldstein, H. (2002). Validity and reliability of the Communication and Symbolic Behavior Scales Developmental Profile with very young children. Journal of Speech, Language, and Hearing Research, 45(6), 1202–1218.

    Wieder, S., & Greenspan, S. I. (2003). Climbing the symbolic ladder in the DIR model through Floortime/interactive play. Autism, 7(4), 425–435.

    Yalım, Ş. (2023). Otizmli çocuklara öğrenmenin ön koşul becerilerinin ebeveynleri tarafından Floortime oyun terapisi ile kazandırılmaya çalışılmasının; otistik davranışlar ile gelişim alanlarındaki becerilerine ve ebeveynlerinin stres düzeylerine etkisinin incelenmesi (Tez No. 791654) [Yüksek lisans tezi, İstanbul Gelişim Üniversitesi, Lisansüstü Eğitim Enstitüsü]. Yükseköğretim Kurulu Ulusal Tez Merkezi.