Clinical Trial: Effects of CO-OP Approach on Activity and Participation of Brazilian Children With Developmental Coordination Disorder

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Effects of the Cognitive Orientation to Daily Occupational Performance Approach on Activity and Participation of Brazilian Children With Developmental Coordination Disorder

Brief Summary: The purpose of this study is to investigate the effects of the Cognitive Orientation to daily daily Occupational Performance Approach (CO-OP Approach) on activity and participation in school-aged children with developmental coordination disorder (DCD).

Detailed Summary:

Children with difficulty performing activities that reflect negatively on participation can meet the criteria for Developmental Coordination Disorder (DCD), which might impact their lives, leading to social isolation, depression and anxiety. Several studies have examined the effectiveness of different intervention approaches, including process-oriented approaches that focus on enhancing body functions and structures to improve performance on functional tasks. Although pediatric occupational therapists have traditionally used such approaches, evidence strongly suggests effectiveness for task-oriented interventions that focus on the performance of tasks that the child finds difficult to do. Among these, CO-OP Approach showed strong treatment effects. In CO-OP Approach, therapists use mediational techniques to teach cognitive strategies to improve occupational performance in goals chosen by the children. There is a need to examine systematic intervention alternatives for Brazilian children with DCD, and only one study examined occupational therapy intervention strategies for children with DCD.

The main purpose of the study is to examine the effects of two intervention models based on CO-OP Approach. The investigators will examine if a boosting on parent's engagement in CO-OP can improve skill acquisition, generalization and transfer in children with DCD. A pre-post design will be used and two groups will be included in this study (1) one receiving standard CO-OP Approach, (2) one receiving standard CO-OP Approach and an addition of coaching sessions in groups for parents. Follow-up data will be collected 3 months later.


Sponsor: Federal University of Minas Gerais

Current Primary Outcome:

  • Changes on the Canadian Occupational Performance Measure (COPM) [ Time Frame: Changes on perceived performance and satisfaction from baseline to 12 weeks; Changes on perceived performance and satisfaction from baseline to 24 weeks, and changes on perceived performance from post intervention to 24 weeks. ]
  • Changes on frequency on the Participation and Environment Measure -Child and Youth (PEM-CY) [ Time Frame: Changes on frequency levels of participation from baseline to 12 weeks; Changes on frequency levels of participation at baseline to 24 weeks, and changes on frequency levels of participation from post intervention to 24 weeks. ]
  • Changes on involvement on the Participation and Environment Measure -Child and Youth (PEM-CY) [ Time Frame: Changes on involvement levels of participation from baseline to 12 weeks; Changes on involvement levels of participation from baseline to 24 weeks, and changes on involvement levels of participation from post intervention to 24 weeks. ]
  • Changes on the Performance Quality Rating Scale (PQRS) [ Time Frame: Changes on actual performance from baseline to 12 weeks; Changes on actual performance from baseline to 24 weeks, and changes on actual performance from post intervention to 24 weeks. ]


Original Primary Outcome:

  • Changes on the Canadian Occupational Performance Measure (COPM) [ Time Frame: Changes on perceived performance and satisfaction from baseline to 12 weeks; Changes on perceived performance and satisfaction from baseline to 24 weeks, and changes on perceived performance from post intervention to 24 weeks. ]
  • Changes on frequency on the Participation and Environment Measure -Child and Youth (PEM-CY) [ Time Frame: Changes on frequency levels of participation from baseline to 12 weeks; Changes on frequency levels of participation at baseline to 24 weeks, and changes on frequency levels of participation from post intervention to 24 weeks. ]
  • Changes on involvement on the Participation and Environment Measure -Child and Youth (PEM-CY) [ Time Frame: Changes on involvement levels of participation from baseline to 12 weeks; Changes on involvement levels of participation from baseline to 24 weeks, and changes on involvement levels of participation from post intervention to 24 weeks. ]
  • Changes on the Performance Quality Rating Scale (PQRS) [ Time Frame: Changes on actual performance from baseline to 12 weeks; Changes on actual performance from baseline to 24 weeks, and changes on actual performance from post intervention to 24 weeks. ]
  • Changes on the Family Empowerment Scale (FES) [ Time Frame: Changes on family empowerment from baseline to 12 weeks; Changes on family empowerment from baseline to 24 weeks; Changes on family empowerment from post intervention to 24 weeks. ]


Current Secondary Outcome:

  • Changes on Motor Assessment Battery for Children Second Edition (MABC2) [ Time Frame: Changes on motor proficiency from baseline to 12 weeks. ]
  • Changes on Five Digits Test (FDT) [ Time Frame: Changes on Cognitive flexibility from baseline to 12 weeks. ]
  • Changes on the Self-Perception Profile for children [ Time Frame: Changes on self-perception from baseline to 12 weeks; Changes on self-perception from baseline to 24 weeks, and changes on self-perception from post intervention to 24 weeks. ]
  • Changes on Tower of London Test (TOL) [ Time Frame: Changes on mental planning from baseline to 12 weeks. ]


Original Secondary Outcome:

  • Changes on Motor Assessment Battery for Children Second Edition (MABC2) [ Time Frame: Changes on motor proficiency from baseline to 12 weeks. ]
  • Changes on Five Digits Test (FDT) [ Time Frame: Changes on Cognitive flexibility from baseline to 12 weeks. ]
  • Changes on the Self-Perception Profile for children [ Time Frame: Changes on self-perception from baseline to 12 weeks; Changes on self-perception from baseline to 24 weeks, and changes on self-perception from post intervention to 24 weeks. ]


Information By: Federal University of Minas Gerais

Dates:
Date Received: August 31, 2016
Date Started: May 12, 2016
Date Completion: April 2, 2018
Last Updated: April 9, 2017
Last Verified: April 2017