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

NCT02160886 | Completed

• 1 other identifier: RFR-296311
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

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.

Conditions

Movement Disorder; Learning Disability; Autism Spectrum Disorder; Children

Outcome Measures

Primary Outcomes (1)

• Goal Attainment Scaling (GAS)

  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

  Three times, at baseline, post-intervention (8-weeks) and follow-up (5-months)

Secondary Outcomes (2)

• 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

• Beck Youth scales, subscale self-concept

  Three times, at baseline, post-intervention (eigth weeks) and at follow-up (5-months)

Other Outcomes (2)

• Pediatric Evaluation of Disability Inventory (PEDI)

  One time, at baseline

• Parental questionnaire

  Assesed once a week up to egiht weeks during the eight weeks intervention period

Study Arms (2)

Child-goal

EXPERIMENTAL

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

Parent-goal

EXPERIMENTAL

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

Interventions

child-goal BEHAVIORAL

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.

Child-goal

parent-goal BEHAVIORAL

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.

Parent-goal

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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.

You may not qualify if:

• involvement in another block of intensive intervention during the 5-month study period

Sponsors & Collaborators

• Region Gävleborg: lead

Study Sites (1)

Gävleborg County Council

Gävle, 806 33, Sweden

Location

MeSH Terms

Conditions

Movement Disorders; Learning Disabilities; Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Central Nervous System Diseases; Nervous System Diseases; Communication Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders; Child Development Disorders, Pervasive

Study Officials

• 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

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD-student

Study Record Dates

• First Submitted: June 8, 2014
• First Posted: June 11, 2014
• Study Start: October 1, 2011
• Primary Completion: January 1, 2014
• Study Completion: February 1, 2014
• Last Updated: June 11, 2014

Record last verified: 2014-06

Locations

SE (1)