Motor Skills Disorders Clinical Trial
Official title:
Effects of the Cognitive Orientation to Daily Occupational Performance Approach on Activity and Participation of Brazilian Children With Developmental Coordination Disorder
The purpose of this study is to investigate the effects of the Cognitive Orientation to daily daily Occupational Performance Approach (CO-OP Approach) on activity and participation in school-aged children with developmental coordination disorder (DCD).
Children with difficulty performing activities that reflect negatively on participation can
meet the criteria for Developmental Coordination Disorder (DCD), which might impact their
lives, leading to social isolation, depression and anxiety. Several studies have examined the
effectiveness of different intervention approaches, including process-oriented approaches
that focus on enhancing body functions and structures to improve performance on functional
tasks. Although pediatric occupational therapists have traditionally used such approaches,
evidence strongly suggests effectiveness for task-oriented interventions that focus on the
performance of tasks that the child finds difficult to do. Among these, CO-OP Approach showed
strong treatment effects. In CO-OP Approach, therapists use mediational techniques to teach
cognitive strategies to improve occupational performance in goals chosen by the children.
There is a need to examine systematic intervention alternatives for Brazilian children with
DCD, and only one study examined occupational therapy intervention strategies for children
with DCD.
The main purpose of the study is to examine the effects of two intervention models based on
CO-OP Approach. The investigators will examine if a boosting on parent's engagement in CO-OP
can improve skill acquisition, generalization and transfer in children with DCD. A pre-post
design will be used and two groups will be included in this study (1) one receiving standard
CO-OP Approach, (2) one receiving standard CO-OP Approach and an addition of coaching
sessions in groups for parents. Follow-up data will be collected 3 months later.
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