Occupational Performance Coaching With Parents of Young Children With Developmental Disability

NCT04796909 | Completed Results

• 1 other identifier: ZC2Q
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 3

Brief Summary

Participation in community activities allows children to meet friends, learns new skills, fosters independence, and paves the foundation for lifelong health. High rates of community participation restriction have been reported in children with developmental disabilities who are aged six years or below, a critical developmental period. Occupational Performance Coaching (OPC), grounded in self-determination theory, is aimed to facilitate children's participation in life situations through coaching parents. Studies have shown that OPC is effective to promote children's activity participation. However, there have been limited randomized controlled trials demonstrating the efficacy of OPC, especially with the specific focus on children's community participation. The investigators propose to evaluate the feasibility and acceptability of conducting a pilot randomized controlled trial of OPC for parents of preschool children with developmental disabilities in Hong Kong, and to test its initial efficacy on promoting children's community participation.

Conditions

Developmental Disability

Outcome Measures

Primary Outcomes (2)

• Change in Participation-related Goal Performance and Satisfaction

  Performance and satisfaction scores (1-10) of the Canadian Occupational Performance Measure (COPM). Higher scores mean a better outcome.

  T0=5-6 weeks before intervention; T1=1-2 weeks before intervention; T2=1-2 weeks after intervention; T3=8-9 weeks after the intervention

• Change in Children's Community Participation Frequency and Involvement

  Frequency scores (0-7) and involvement scores (1-5) of the community section of the Young Children's Participation and Environment Measure (YC-PEM). Higher scores mean a better outcome.

  T0=5-6 weeks before intervention; T1=1-2 weeks before intervention; T2=1-2 weeks after intervention; T3=8-9 weeks after the intervention

Secondary Outcomes (3)

• Change in Parenting Efficacy and Satisfaction

  T0=5-6 weeks before intervention; T1=1-2 weeks before intervention; T2=1-2 weeks after intervention; T3=8-9 weeks after the intervention

• Change in Parents' Negative Emotional States

  T0=5-6 weeks before intervention; T1=1-2 weeks before intervention; T2=1-2 weeks after intervention; T3=8-9 weeks after the intervention

• Change in Children's Psychosocial Health

  T0=5-6 weeks before intervention; T1=1-2 weeks before intervention; T2=1-2 weeks after intervention; T3=8-9 weeks after the intervention

Other Outcomes (10)

• Stability in Children's Daily Activity and Social/Cognitive Function

  T0=5-6 weeks before intervention; T1=1-2 weeks before intervention; T2=1-2 weeks after intervention; T3=8-9 weeks after the intervention

• Stability in Perceived Impact of Environmental Support on Children's Community Participation

  T0=5-6 weeks before intervention; T1=1-2 weeks before intervention; T2=1-2 weeks after intervention; T3=8-9 weeks after the intervention

• Level of Therapeutic Alliance During Coaching Session

  Immediate after each of the coaching sessions during the intervention period

Study Arms (2)

Parent coaching

EXPERIMENTAL

The parent-coaching intervention consists of up to 8 weekly/fortnightly sessions, and each session will last up to one hour.

Behavioral: Occupational Performance coaching

Parent consultation

ACTIVE COMPARATOR

The parent consultations are given for up to 8 weekly/fortnightly sessions, and each session may last up to one hour.

Behavioral: Parent consultation

Interventions

Occupational Performance coaching BEHAVIORAL

The OPC intervention comprises three components: (1) connect - building parents' trust in the coach by using verbal and nonverbal strategies; (2) structure - building parents' competence by adopting a problem-solving framework of setting goals, exploring options, planning action, carrying out plans, checking performance, and generalizing; and (3) share - building parents' autonomy by reciprocally exchanging information between the coach and parents with an emphasis on eliciting parents existing knowledge. During the exploration of the options for a particular goal, collaborative performance analysis is used. The coach follows the four steps to (a) identify parents' perception of what currently happens, (b) identify what they would like to happen, (c) explore barriers and bridges to the desired performance, and (d) identify their needs for taking actions to achieve goals. Parents are guided to find strategies to facilitate their child's performance to support goal achievement.

Also known as: OPC

Parent coaching

Parent consultation BEHAVIORAL

The parent consultation consists of the use of the toolbox to provide parents with available environmental resources and strategies to enhance community participation of their child with developmental disability, followed by the understanding of current situation and the identification of problems encountered by parents. Direct informing approach will be used to instruct parents about the availability of environmental resources close to their living areas and what they can plan to do by using possible supportive strategies. In addition, information about child disability and/or developmental milestone may be provided if needed.

Parent consultation

Eligibility Criteria

• Age: 24 Months - 83 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• the child has a clinical diagnosis of developmental disability (including but not limited to intellectual disability, developmental delay, or autism spectrum disorder) given by pediatricians/psychiatrist
• the parents are the child's main caregiver who have a long-term parenting role with at least 50% of caregiving responsibilities
• the parents are able to converse in Chinese
• the parents desire to improve their child's participation in community activities

You may not qualify if:

• the child has developmental disability combined with physical impairment (e.g., amputation, cerebral palsy, spina bifida)
• the child has developmental disability combined with sensory impairment (e.g., blindness, deafness)

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead
• Food and Health Bureau, Hong Kong: collaborator
• University of Otago: collaborator
• National Cheng Kung University: collaborator

Study Sites (3)

Hong Kong Christian Service

Kowloon, Hong Kong

Location

Heep Hong Society

Kwun Tong, Hong Kong

Location

SAHK

North Point, Hong Kong

Location

Related Publications (1)

• Chien CW, Lai YYC, Lin CY, Graham F. Occupational Performance Coaching With Parents to Promote Community Participation of Young Children With Developmental Disabilities: Protocol for a Feasibility and Pilot Randomized Control Trial. Front Pediatr. 2021 Nov 5;9:720885. doi: 10.3389/fped.2021.720885. eCollection 2021.

  PMID: 34805034 DERIVED

MeSH Terms

Conditions

Developmental Disabilities

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders

Limitations and Caveats

The COVID-19 pandemic posed significant challenges, impacting the intervention delivery and outcomes across all measures. The study's sample size was small and also excluded children with physical impairments. Two therapists fell short of achieving the stipulated 80% coaching fidelity in their initial cases and were not assigned further cases. Convenience sampling was used for participant recruitment, and families who chose to participate might have higher motivation.

Results Point of Contact

• Title: Dr. Chi-Wen Chien, Associate Professor
• Organization: The Hong Kong Polytechnic University

will.chien@polyu.edu.hk

+85227666703

Study Officials

• Chi-Wen Chien

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 10, 2021
• First Posted: March 15, 2021
• Study Start: August 1, 2021
• Primary Completion: December 31, 2022
• Study Completion: February 28, 2023
• Last Updated: April 23, 2025
• Results First Posted: April 23, 2025

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

HK (3)