Developmental Coordination Disorder
Conditions
Keywords
child, goal, intervention, motor skills disorder, occupational therapy
Brief summary
Children with Developmental Coordination Disorder (DCD) have difficulties performing daily activities which reflects negatively on participation, impacting their lives. To date, there are a number of interventions to improve performance of these children on activities they want or need to. In Brazil, there is little research on the efficacy of such approaches. Our main objective was to start a set of studies to examine the effects of the Cognitive Orientation to Daily Occupational Performance Approach (CO-OP Approach) protocol on occupational performance and satisfaction of Brazilian children who have DCD; to examine whether children were able to transfer strategies and skills learned during CO-OP to untrained goals.
Detailed description
Background. Children with Developmental Coordination Disorder (DCD) have difficulties performing daily activities which reflects negatively on participation, impacting their lives. Objectives. To examine the effects of the Cognitive Orientation to Daily Occupational Performance Approach (CO-OP Approach) protocol on occupational performance and satisfaction of Brazilian children who have DCD; to examine whether children were able to transfer strategies and skills learned during CO-OP to untrained goals. Methods. A pre-post group comparison design with eight boys aged 6-10 years old. Children participated in 12 CO-OP sessions with their parents twice a week, with an extra session added to the protocol for parents´ orientation. The Canadian Occupational Performance Measure and the Performance Quality Rating Scale were used as outcome measures.
Interventions
In CO-OP Approach, therapists use mediational techniques to teach cognitive strategies - GOAL, PLAN, DO, CHECK - to improve occupational performance in goals chosen by the children in collaboration with them and their parents.
Sponsors
Federal University of Minas Gerais
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* poor motor performance measured by a motor performance test (cut off score below the 15th percentile). * poor performance on academic and daily living activities measured by the Developmental Coordination Disorder Questionnaire answered by the parents. * attending regular education with no evidence of marked school delay (over a year). * cognitive development within the expected age range according to the Wechsler Intelligence Scale for Children-Third Edition (WISC-III).
Exclusion criteria
* signs of neurological or neuromuscular disorder. * presence of intellectual disability.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Canadian Occupational Performance Measure | up to 12 weeks | Change on performance and satisfaction on goals chosen by each child |
| Performance Quality Rating Scale | up to 12 weeks | Change on occupational performance on goals chosen by each child as measured by external evaluators |
Outcome results
None listed