Effects of a Task Oriented Intervention With Two Goal-setting Approaches

Sponsor

Region Gävleborg (Other)

Overall Status

Completed

CT.gov ID

NCT02160886

Collaborator

(none)

Enrollment

Location

Arms

28.1

Duration (Months)

1.2

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Movement Disorder Learning Disability Autism Spectrum Disorder Children	Behavioral: child-goal Behavioral: parent-goal	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

34 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Outcomes Assessor)

Primary Purpose:

Treatment

Official Title:

Effects of a Task Oriented Intervention for Children With Disabilities, Based on Children's or Parent's Goals, a Randomized Study.

Study Start Date :

Oct 1, 2011

Actual Primary Completion Date :

Jan 1, 2014

Actual Study Completion Date :

Feb 1, 2014

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Child-goal The children will receive goal- directed task oriented interventions based on goals identified by the children themselves, using the Swedish version of the Perceived Efficacy and Goal Setting System (PEGS). A PEGS interview will be performed with the children. The children identifies tasks they find difficult to perform and prioritize three tasks, they want to perform better, as goals for intervention.	Behavioral: child-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.
Experimental: Parent-goal The children will receive goal- directed task oriented interventions based on goals identified by the parents using the Canadian Occupational Performance Measure (COPM). Using the COPM interview technique, the parents are encouraged to talk about an ordinary day to identify occupational performance issues their child is not able to perform. Identified performance issues are rated for importance and the parents selects the three most important issues as goals for intervention.	Behavioral: parent-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.

Arm

Intervention/Treatment

Experimental: Child-goal

The children will receive goal- directed task oriented interventions based on goals identified by the children themselves, using the Swedish version of the Perceived Efficacy and Goal Setting System (PEGS). A PEGS interview will be performed with the children. The children identifies tasks they find difficult to perform and prioritize three tasks, they want to perform better, as goals for intervention.

Behavioral: child-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.

Experimental: Parent-goal

The children will receive goal- directed task oriented interventions based on goals identified by the parents using the Canadian Occupational Performance Measure (COPM). Using the COPM interview technique, the parents are encouraged to talk about an ordinary day to identify occupational performance issues their child is not able to perform. Identified performance issues are rated for importance and the parents selects the three most important issues as goals for intervention.

Behavioral: parent-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.

Outcome Measures

Primary Outcome Measures

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 Outcome Measures

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 Outcome Measures

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.

Eligibility Criteria

Criteria

Ages Eligible for Study:

5 Years to 12 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Gävleborg County Council	Gävle		Sweden	806 33

Sponsors and Collaborators

Region Gävleborg

Investigators

Principal Investigator: Kristina Vroland-Nordstrand, Phd-student, Department of Women's and Children's Health Karolinska Institutet
Principal Investigator: Lena Krumlinde-Sundholm, Assoc Prof, Department of women's and Children's Helath Karolinska Institutet
Principal Investigator: Ann-Christin Eliasson, Professor, Department of women's and children's Health, Karolinska Institutet