Autism Spectrum Disorder, Children, Learning Disability, Movement Disorder
Conditions
Brief summary
A randomized trial investigating if effects of a goal-directed task oriented intervention is influenced by who takes the decision and establishes the goal (the child or the parent) and whether establishing a goal per se influence performance and goal-achievement. The main hypothesis are that children's participation in the goal-setting process would positively influence goal achievement, children's self-identified goals would be achievable and that both groups would achieve goals that were the target of a goal-directed intervention.
Interventions
BEHAVIORALchild-goal
The 8-week goal-directed intervention include completing a daily home program and a weekly follow-up session with the child's occupational therapist. The parents are responsible for the day to day practice and are encouraged to let the children practice daily in their natural environment. The home-programs focus on enhancing the agreed upon goal specific task performance. They include structured practice of tasks and adaptations and modifications of the environment and the tasks. The weekly sessions with the occupational therapist are meant to sustain motivation, follow-up on progress, adjust the home program for the coming week and support parents in how to carry out the daily interventions.
BEHAVIORALparent-goal
The 8-week goal-directed intervention include completing a daily home program and a weekly follow-up session with the child's occupational therapist. The parents are responsible for the day to day practice and are encouraged to let the children practice daily in their natural environment. The home-programs focus on enhancing the agreed upon goal specific task performance. They include structured practice of tasks and adaptations and modifications of the environment and the tasks. . The weekly sessions with the occupational therapist are meant to sustain motivation, follow-up on progress, adjust the home program for the coming week and support parents in how to carry out the daily interventions.
Sponsors
Region Gävleborg
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* enrollment in pediatric rehabilitation, age between 5-12 years and any type of disability but functioning at or above a 5 year old level in receptive language.
Exclusion criteria
* involvement in another block of intensive intervention during the 5-month study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Goal Attainment Scaling (GAS) | Three times, at baseline, post-intervention (8-weeks) and follow-up (5-months) | The purpose of the Goal Attainment Scaling, GAS is to measure goal attainment. GAS is an individualized criterion-referenced measure it involves describing current performance and specifying a range of outcomes for a specific goal, using the scale to evaluate the individual change after a specific intervention period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Performance scale of the Canadian Occupational Performance Measure | Assesed once a week up to 11 weeks which include three baseline assesments and eight assesments during the egiht weeks intervention period | The performance scale of the Canadian Occupational Performance Measure is a 10 point rating scale of ability of performance of a specific task, the purpose is to detect change in an individual's perception of the occupational performance. |
| Beck Youth scales, subscale self-concept | Three times, at baseline, post-intervention (eigth weeks) and at follow-up (5-months) | The purpose of the subscale self-concept in the Beck Youth Scales is to measures the child's estimated perceived self-concept. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Pediatric Evaluation of Disability Inventory (PEDI) | One time, at baseline | The purpose of the Caregiver assistance scale of the PEDI, is to describes children's need for assistance in everyday tasks within the domains of self-care, mobility and social function. |
| Parental questionnaire | Assesed once a week up to egiht weeks during the eight weeks intervention period | The purpose of the parental questionnaire developed for the study is to capture the parents' perception of the coaching burden and motivation to practice at home. |
Countries
Sweden
Outcome results
None listed