Measuring the Feasibility and Preliminary Efficacy of Therapeutic Playgroups in Early Intervention

NCT03062371 | Unknown

• 1 other identifier: 2015-22
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

Play builds social-emotional skills. Therapeutic playgroups facilitate parent-child interaction these and provide opportunities for parents to engage with their children and other adults and learn more about development. Objective: The purpose of this research is to investigate if children between the ages of 15 months and 5 years old, with and without special needs, demonstrate improved levels of playfulness and social- emotional growth after participation in a therapeutic playgroup, provided in various settings in the community. Investigators will also examine the impact that these playgroups have on participating caregiver's confidence and competence. Method: A quasi-experimental mixed methods sequential explanatory design will be used. The Test of Playfulness will measure child playfulness, the Social Profile and Assessment of Preschool Children's Participation play sub scale will determine child participation, the Devereux Early Childhood Assessment will determine social emotional growth, and the Parenting Sense of Competence Scale will determine the caregiver sense of competence. Mean differences will be analyzed using a mixed analysis of variance to determine significant changes over time for each group. Follow up surveys with parents and providers will determine parent perception of playgroup and provider perception of effectiveness and feasibility. We hypothesize that playgroups will have a significant effect on child playfulness, social-emotional growth, participation, and parent competence. We also hypothesize that participating parents will report benefits of playgroups and providers will share benefits and barriers to including therapeutic playgroups as part of comprehensive early intervention services.

Conditions

Developmental Delay

Outcome Measures

Primary Outcomes (1)

• Social Emotional status using the Devereux Early Childhood Assessment, a parent report

  Use of t-score

  change - week 1 and week 8

Secondary Outcomes (2)

• Parent Competence/ Efficacy , a Likert scale parent report

  change - week 1 and week 8

• Participation

  change - week 1 and week 8

Study Arms (1)

Playgroup Intervention

EXPERIMENTAL

The approach of the playgroup is to promote healthy family play routines with an emphasis on child and family well-being. The intervention types for playgroup sessions included the occupation of play, activities to promote play and participation, educating caregivers through modeling and coaching, advocating for the child and family, and the use of group sessions. Specific playgroup strategies included a predictable routine, following the child's lead, imitating the child, modeling of new behaviors, and scaffolding play - within both the social and physical environment. When developing activities, play objects that families have at home and are easily obtained were used and positioned intentionally with respect to the child-caregiver dyad and the group as a whole.

Behavioral: Playgroup

Interventions

Playgroup BEHAVIORAL

A semi-structured gathering of caregivers and their children in a community setting developed and implemented by a skilled provider.

Also known as: community playgroup, developmental playgroup

Playgroup Intervention

Eligibility Criteria

• Age: 15 Months - 5 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Caregivers and children ages 15 months to 5 years old
• At least one caregivers must be able to attend all playgroup sessions

You may not qualify if:

• Caregivers must speak English or provide translator

Sponsors & Collaborators

• Florida Gulf Coast University: lead

Study Sites (1)

Sarah Fabrizi

Fort Myers, Florida, 33908, United States

RECRUITING

Related Publications (14)

• Andrews F, Griffiths N, Harrison L, Stagnitti K. Expectations of parents on low incomes and therapists who work with parents on low incomes of the first therapy session. Aust Occup Ther J. 2013 Dec;60(6):436-44. doi: 10.1111/1440-1630.12044. Epub 2013 Jun 18.

  PMID: 24299483 BACKGROUND

• Bundy, A. (2010). Test of playfulness (ToP) 4.2 manual revised 11/10. Lidcombe, Australia: University of Sydney.

  BACKGROUND

• Cameron D, Leslie M, Teplicky R, Pollock N, Stewart D, Toal C, Gaik S. The clinical utility of the test of playfulness. Can J Occup Ther. 2001 Apr;68(2):104-11. doi: 10.1177/000841740106800206.

  PMID: 11355615 BACKGROUND

• Case-Smith J. Systematic reviews of the effectiveness of interventions used in occupational therapy early childhood services. Am J Occup Ther. 2013 Jul-Aug;67(4):379-82. doi: 10.5014/ajot.2013.007872. No abstract available.

  PMID: 23791311 BACKGROUND

• Donohue, M.V. (2013). Social profile: Assessment of social participation in children, dolescents, and adults. Retrieved from http://myaota.aota.org/shop_aota/prodview.aspx?TYPE=D&PID=160964175&SKU=124 4

  BACKGROUND

• Ginsburg KR; American Academy of Pediatrics Committee on Communications; American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health. The importance of play in promoting healthy child development and maintaining strong parent-child bonds. Pediatrics. 2007 Jan;119(1):182-91. doi: 10.1542/peds.2006-2697.

  PMID: 17200287 BACKGROUND

• Graham F, Rodger S, Ziviani J. Effectiveness of occupational performance coaching in improving children's and mothers' performance and mothers' self-competence. Am J Occup Ther. 2013 Jan-Feb;67(1):10-8. doi: 10.5014/ajot.2013.004648.

  PMID: 23245778 BACKGROUND

• Hoogsteen L, Woodgate RL. Can I play? A concept analysis of participation in children with disabilities. Phys Occup Ther Pediatr. 2010 Nov;30(4):325-39. doi: 10.3109/01942638.2010.481661.

  PMID: 20735196 BACKGROUND

• Johnston, C., & Mash, E.J. (1989). A measures of parenting satisfaction and efficacy. Journal of Clinical Child Psychology, 18,167-175. Retrieved from https://researchingparents.wordpress.com/2013/02/15/parenting-sense-of-competence- psoc/

  BACKGROUND

• Mize, J., & Pettit G.S. (2010). The mother-child playgroup as socialisation context: a short-term longitudinal study of mother-child-peer relationship dynamics. Early Child Development and Care, 180(10), 1271-1284. DOI: 10.1080/0300443090298147

  BACKGROUND

• O'Brien J, Coker P, Lynn R, Suppinger R, Pearigen T, Rabon S, St Aubin M, Ward AT. The Impact of Occupational Therapy on a Child's Playfulness. Occup Ther Health Care. 2000;12(2-3):39-51. doi: 10.1080/J003v12n02_03.

  PMID: 23951988 BACKGROUND

• Strange C, Fisher C, Howat P, Wood L. Fostering supportive community connections through mothers' groups and playgroups. J Adv Nurs. 2014 Dec;70(12):2835-46. doi: 10.1111/jan.12435. Epub 2014 May 7.

  PMID: 24805198 BACKGROUND

• Saunders I, Sayer M, Goodale A. The relationship between playfulness and coping in preschool children: a pilot study. Am J Occup Ther. 1999 Mar-Apr;53(2):221-6. doi: 10.5014/ajot.53.2.221.

  PMID: 10200846 BACKGROUND

• Vedeler, L. (2004). Social coping strategies in pre-school play. How do children with disabilities succeed in play groups with other children? Scandinavian Journal of Disability Research, 6(3), 192-205, DOI: 10.1080/15017410409512652

  BACKGROUND

MeSH Terms

Conditions

Learning Disabilities

Condition Hierarchy (Ancestors)

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

Study Officials

• Sarah Fabrizi, PhD

  Assistant Professor

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sarah Fabrizi, PhD

CONTACT

2395901854; sfabrizi@fgcu.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 13, 2017
• First Posted: February 23, 2017
• Study Start: August 1, 2015
• Primary Completion: August 1, 2022
• Study Completion: December 1, 2022
• Last Updated: September 2, 2021

Record last verified: 2021-08

Locations

US (1)