None listed
Conditions
Brief summary
Cognitive Orientation to daily Occupational Performance Approach TM (CO-OP) was developed to support motor skill development of children with motor difficulties. This study is a randomised controlled trial to test the acceptability, feasibility, and efficacy of the CO-OP motor skill intervention program in children with autism and motor difficulties aged 5-10 years (n = 30). Following the initial intake assessment and goal setting (session 1), participants will be randomised to receive either the immediate CO-OP intervention (n = 15) or be waitlisted to receive the CO-OP intervention (n = 15). Families in the immediate CO-OP group will receive the full intervention protocol immediately following the intake session (8*1hr weekly CO-OP sessions – Sessions 2-9), while families in the waitlist group will not receive any active intervention during this first 8 week block, however, they can continue to access any clinical services that they would usually access. After the follow up assessment (session 10 for immediate CO-OP group, session 2 for waitlist group), the waitlist group will complete the CO-OP therapy (sessions 3-10) and attend a follow up assessment session (session 11), It is expected that at the conclusion of the intervention, children undertaking CO-OP will have improvements on the performance and satisfaction of their movement-based goals.
Interventions
Cognitive Orientation to daily Occupational Performance ApproachTM (CO-OP) was developed to support motor skill development of children with motor difficulties. CO-OP is a highly individualised client-centred program based on participant goals and uses a performance-based, problem solving, approach that enables skill acquisition through a process of strategy use and guided discovery; this strategy allows for generalisation and transfer of skills to other tasks (Mandich & Polatajko, 2004; Missiun
Cognitive Orientation to daily Occupational Performance ApproachTM (CO-OP) was developed to support motor skill development of children with motor difficulties. CO-OP is a highly individualised client-centred program based on participant goals and uses a performance-based, problem solving, approach that enables skill acquisition through a process of strategy use and guided discovery; this strategy allows for generalisation and transfer of skills to other tasks (Mandich & Polatajko, 2004; Missiuna, Mandich, Polatajko, & Malloy-Miller, 2001; Polatajko, Mandich, Miller, & Macnab, 2001; Polatajko, Mandich, Missiuna, et al., 2001). The CO-OP program is a 10-week block, comprising the initial goal setting session (treatment and control groups, ~2 hours), eight weeks of one hour CO-OP sessions, and a final 10th session (~1 hour) to assess outcomes (treatment and control groups). During the eight-week therapy component of the program, children will attend a one-hour session each week in which a global cognitive strategy (goal, plan, do, check) will be utilised to support their learning of their chosen goals (three goals will be worked on throughout the program). Session attendance will be recorded and clinical notes recorded about the session. The program has a focus on guided discovery, enabling principles (fun, promoting learning, working towards independence), and parent involvement. The program will be delivered by CO-OP trained research therapists and the CO-OP trained members of the occupational therapy team at CliniKids. The intervention sessions will include a welcome for the child and parent/guardian, and a general check in with child and parent/guardian. Following the welcome, approximately 20 minutes will be spent on each of the three goals. For each goal, the child, with assistance from the attending parent, will summarise what they have worked on at home, review the CO-OP plan trialled at home, and carry out the task. The clinician will use guided discovery to observe and support the child to develop a new plan if required and discuss and review Goal-Plan-Do-Check. At the end of each goal, the child and clinician will complete the home practice sheet with ideas for activities to perform at home between the intervention sessions. Children will be asked to practice their goals around 3-4 times per week at home.
Sponsors
The Kids Research Institute Australia (formerly Telethon Kids Institute)
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
5 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
Child : a) aged 5-10 years; b) has a diagnosis of autism spectrum disorder; c) has motor difficulties, defined as under or equal to the 16th percentile on the MABC-2; d) is able to set own goals as required by the CO-OP approach; e) family is, to the best of their knowledge, intending to remain in the Perth for the duration of the study.
Exclusion criteria
a) Intellectual disability that impacts ability to set own goals; b) Inability to develop cognitive strategies and plans to achieve goals; c) have previously undertaken any form of CO-OP therapy
Outcome results
None listed