Efficacy of the CO-OP Approach With Brazilian Children With Developmental Coordination Disorder
Study Details
Study Description
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.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Cognitive Orientation to daily Occupational Performance One group was submitted to the CO-OP approach to learn cognitive strategies to perform the chosen tasks. |
Behavioral: Cognitive Orientation to Daily Occupational Performance
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.
Other Names:
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Outcome Measures
Primary Outcome Measures
- 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
Eligibility Criteria
Criteria
Inclusion Criteria:
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poor motor performance measured by a motor performance test (cut off score below the 15th percentile).
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poor performance on academic and daily living activities measured by the Developmental Coordination Disorder Questionnaire answered by the parents.
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attending regular education with no evidence of marked school delay (over a year).
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cognitive development within the expected age range according to the Wechsler Intelligence Scale for Children-Third Edition (WISC-III).
Exclusion Criteria:
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signs of neurological or neuromuscular disorder.
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presence of intellectual disability.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Federal University of Minas Gerais
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Carswell A, McColl MA, Baptiste S, Law M, Polatajko H, Pollock N. The Canadian Occupational Performance Measure: a research and clinical literature review. Can J Occup Ther. 2004 Oct;71(4):210-22. Review.
- Green D, Chambers ME, Sugden DA. Does subtype of developmental coordination disorder count: is there a differential effect on outcome following intervention? Hum Mov Sci. 2008 Apr;27(2):363-82. doi: 10.1016/j.humov.2008.02.009. Epub 2008 Apr 8.
- Mandich AD, Polatajko HJ, Macnab JJ, Miller LT. Treatment of children with Developmental Coordination Disorder: what is the evidence? Phys Occup Ther Pediatr. 2001;20(2-3):51-68. Review.
- Mandich AD, Polatajko HJ, Rodger S. Rites of passage: understanding participation of children with developmental coordination disorder. Hum Mov Sci. 2003 Nov;22(4-5):583-95.
- Miller LT, Polatajko HJ, Missiuna C, Mandich AD, Macnab JJ. A pilot trial of a cognitive treatment for children with developmental coordination disorder. Hum Mov Sci. 2001 Mar;20(1-2):183-210.
- COEP/UFMG ETIC Nº 103/2009