Improvement in Preschoolers' Participation as a Result of Occupational Therapy Intervention

A Prospective Cohort Study to Examine the Improvement in Preschoolers' Participation as a Result of Occupational Therapy Intervention

This study evaluates the improvement of participation in everyday occupation among preschool children with mild developmental disabilities as a result of Occupational Therapy intervention.

Study Overview

• Status: Completed
• Conditions: Limited Participation in Daily Life Activities
• Intervention / Treatment: Other: direct occupational therapy intervention

Detailed Description

Preschoolers suffering from mild developmental disabilities are being referred to Occupational Therapy (OT) clinics according to limitation in participating of daily occupations. As well these children often demonstrate behavior or emotional difficulties. The primary treatment goal is promoting participation yet many times the treatment focuses on child's performance skills and not on occupation based activities. Respectively its outcome measures are the child performance skills. This study will document the therapeutic intervention, and evaluate its impact on child participation as well on his performance skills and emotional aspects. Participants will be recruited from waiting list for Occupational Therapy at Clalit Health services, Child Development Institute, and will be evaluate four times. First time on referral to waiting list ( At the present time due to long waiting list, children are waiting about three to four months before starting OT intervention), second time before treatment, third time after three of treatments and last follow-up after three months.

• Study Type: Observational
• Enrollment (Actual): 52

Contacts and Locations

Study Locations

• Israel
  • Tel Aviv, Israel, 6291711
    • Clalit health services

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 4 years to 6 years (Child)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Kindergarten's children referred to Occuptaion Therapy

Description

Inclusion Criteria:

• kindergarten students of regular education
• Hebrew speaking

Exclusion Criteria:

• Students of special education
• Attending physiotherapy or psychology treatments
• Autistic Spectrum Disorder
• Cerebral Palsy
• Spina Bifida
• Developmental Intellectual Disabilities
• Blindness
• Deafness

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
direct occupational therapy intervention; group will be evaluated 4 times: on referral to waiting list for treatment, before and after 9-12 direct individual treatments of 45 minutes, and follow-up after 3 months.	Other: direct occupational therapy intervention; Short term direct individual occupational therapy (9-12 weeks).Participants will receive occupational therapy intervention according to health law. The study will document the therapeutic intervention implemented in practice using the Documentation of Occupational Therapy Session during Intervention (DOTSI).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improvement of child participation	Improvement of Participation of daily occupation as measured with Child Participation Questionnaire (CPQ)	up to 12 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Child performance skills	Child Performance Skills Questionnaire (PSQ)	up to 12 weeks
Child emotional aspects - Self efficacy	Pictorial scale of Perceived Competence and Social Acceptances for Young Children (PSPCSA)	up to 12 weeks
Parental aspects- Parental self efficacy	Parental Efficacy Questionnaire	up to 12 weeks
Child emotional aspects - Anxiety	Preschool Anxiety Scale (PAS)	up to 12 weeks
Child emotional aspects - Mastery motivation	Dimension of Mastery Questionnaire (DMQ18)	up to 12 weeks
Child performance skills -Fine motor precision	Bruininks-Oseretsky Test of Motor Proficiency (BOT2)	up to 12 weeks
Child performance skills - Balance	Bruininks-Oseretsky Test of Motor Proficiency (BOT2)	up to 12 weeks
Child performance skills -Executive functions	Day - Night task	up to 12 weeks
Child performance skills - Sensory profile	Short Sensory Profile (SSP2)	up to 12 weeks
Child performance skills -Core strength	Prone Extension Posture	up to 12 weeks
Child performance skills - Visual motor integration	Developmental Test of Visual-Motor Integration (VMI)	up to 12 weeks
Child performance skills - Draw a picture	Goodenough-Harris Drawing Test (DAP)	up to 12 weeks

Collaborators and Investigators

• Sponsor: Clalit Health Services
• Collaborators: Tel Aviv University
• Investigators: Principal Investigator: Leonard G Robinson, Md, Clalit health services

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2017
• Primary Completion (Actual): October 31, 2020
• Study Completion (Actual): April 19, 2021

Study Registration Dates

• First Submitted: May 9, 2016
• First Submitted That Met QC Criteria: May 12, 2016
• First Posted (Estimate): May 17, 2016

Study Record Updates

• Last Update Posted (Actual): April 21, 2021
• Last Update Submitted That Met QC Criteria: April 20, 2021
• Last Verified: April 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: COM150203CTIL

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO