MedPath

Evaluation of CO-OP for Adolescents With Mild Intellectual Disability

Not Applicable
Recruiting
Conditions
Intellectual Disability, Mild
Registration Number
NCT06691698
Lead Sponsor
Örebro University, Sweden
Brief Summary

Intellectual disability (ID) affects a person throughout life and includes difficulties to manage what is expected in everyday life based on age. One difficulty is to create strategies for and solve problems related to everyday occupations. Treatment options with good evidence to enhance occupational performance for persons with ID are limited. The Cognitive Orientation to Daily Occupational Performance (CO-OP) is an approach with good evidence within other diagnostic groups, i.e. adolescents with cerebral palsy. CO-OP has a unique person-centered approach where the person chooses his/her own goals and creates his/her own strategies to reach them. Initial research shows potential for CO-OP with adolescents with ID, although due to scientific flaws there is still a lack of evidence regarding feasibility and effectiveness for adolescents with ID. Based on the results with other diagnostic groups and clinical knowledge and experience, CO-OP can be assumed to be feasible and effective for adolescents with ID and to have a long term effect transferred to everyday life in a way other treatment options do not.

The aim of the project is to describe and evaluate CO-OP for adolescents with mild ID. Participants will be adolescents aged 13-17 and their parents. The project is designed as a feasibility study with two qualitative, one quantitative and one mixed method data collection. The quantitative data will be ordinal and nominal data from observational and self-assessment assessments. The mixed methods include comparison between filmed sessions and the CO-OP manual, use of field notes to analyse fidelity and needs for adaptations, and comparison between the CO-OP manual and policy documents. The qualitative outcome will be experiences by the adolescents and perceptions of CO-OP by parents.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Change in Canadian Occupational Performance Measure - performanceBaseline, up to 4 weeks post intervention and 6 months post intervention

Self-rated occupational performance in four chosen goal activities, rated 1-10

Change in Canadian Occupational Performance Measure - satisfactionBaseline, up to 4 weeks post intervention and 6 months post intervention

Self-rated satisfaction with performance in four chosen goal activities, rated 1-10

Change in Performance Quality Rating Scale - occupational performance qualityBaseline, up to 4 weeks post intervention and 6 months post intervention

Observed performance quality during performing four chosen goal activities thas is filmed and rated 1-10.

Secondary Outcome Measures
NameTimeMethod
Change in General Self-Efficacy Scale - self-efficacyBaseline, up to 4 weeks post intervention and 6 months post intervention

Self-rated self-efficacy, 10 statements rated 1-4.

Experiences of CO-OP as a patient - qualitativeUp to 4 weeks post intervention and 6 months post intervention

Qualitative semi-structured interviews analyzed using qualitative content analysis.

Perceptions of CO-OP as a parent of a patient - qualitativeUp to 4 weeks post intervention and 6 months post intervention

Qualitative semi-structured interviews analyzed using phenomenographic analysis

Trial Locations

Locations (2)

Region Skåne

🇸🇪

Kristianstad, Skåne, Sweden

Region Värmland

🇸🇪

Karlstad, Värmland, Sweden

© Copyright 2025. All Rights Reserved by MedPath