Clinical trial NCT03112746: Efficacy of the CO-OP Approach With Brazilian Children With Developmental Coordination Disorder
Official title: Efficacy of the Cognitive Orientation to Daily Occupational Performance (CO-OP) Approach With Brazilian Children With Developmental Coordination Disorder
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Developmental Coordination Disorder
Keywords: child
goal
intervention
motor skills disorder
occupational therapy
Lead sponsor: Federal University of Minas Gerais
Sponsor class: OTHER
First posted: 2017-04-13
Enrollment: 8
Sex: ALL
Minimum age (years): 6
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

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.

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.

Eligibility criteria: Inclusion Criteria:

* poor motor performance measured by a motor performance test (cut off score below the 15th percentile).
* poor performance on academic and daily living activities measured by the Developmental Coordination Disorder Questionnaire answered by the parents.
* attending regular education with no evidence of marked school delay (over a year).
* cognitive development within the expected age range according to the Wechsler Intelligence Scale for Children-Third Edition (WISC-III).

Exclusion Criteria:

* signs of neurological or neuromuscular disorder.
* presence of intellectual disability.

Primary outcomes:
measure: Canadian Occupational Performance Measure
timeFrame: up to 12 weeks
measure: Performance Quality Rating Scale
timeFrame: up to 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References:
citation: 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. doi: 10.1016/s0167-9457(01)00034-3.
citation: 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.
citation: 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. doi: 10.1016/j.humov.2003.09.011.
citation: 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.
citation: 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. doi: 10.1177/000841740407100406.
citation: Araujo CRS, Cardoso AA, Magalhaes LC. Efficacy of the cognitive orientation to daily occupational performance with Brazilian children with developmental coordination disorder. Scand J Occup Ther. 2019 Jan;26(1):46-54. doi: 10.1080/11038128.2017.1417476. Epub 2017 Dec 20.