- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04796909
Occupational Performance Coaching With Parents of Young Children With Developmental Disability
A Parent-Coaching Intervention to Promote Community Participation of Young Children With Developmental Disability
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.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Chi-Wen Chien, PhD
- Phone Number: +852-27666703
- Email: will.chien@polyu.edu.hk
Study Locations
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-
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Kowloon, Hong Kong
- Recruiting
- Hong Kong Christian Service
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Contact:
- Winnie Fung
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Kwun Tong, Hong Kong
- Recruiting
- Heep Hong Society
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Contact:
- Lousia Lai
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North Point, Hong Kong
- Recruiting
- SAHK
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Contact:
- Yonnie Yu
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 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
Exclusion Criteria:
- 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)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Parent coaching
The parent-coaching intervention consists of up to 8 weekly/fortnightly sessions, and each session will last up to one hour.
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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.
Other Names:
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Active Comparator: Parent consultation
The parent consultations are given for up to 8 weekly/fortnightly sessions, and each session may last up to one hour.
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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.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in participation-related goal performance and satisfaction
Time Frame: 5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
|
Performance and satisfaction scores (1-10) of the Canadian Occupational Performance Measure.
Higher scores mean a better outcome.
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5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Change in children's community participation frequency and involvement
Time Frame: 5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Frequency scores (0-7) and involvement scores (1-5) of the community section of the Young Children's Participation and Environment Measure.
Higher scores mean a better outcome.
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5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in parenting efficacy and satisfaction
Time Frame: 5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
|
Efficacy scores (7-42) and satisfaction scores (9-56) of the Parenting Sense of Competence Scale.
Higher scores mean a better outcome.
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5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Change in parents' negative emotional states
Time Frame: 5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
|
The scores (0-21 for each subscale) of the Depression, Anxiety and Stress Scale-21.
Higher scores mean a worse outcome.
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5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Change in children's psychosocial health
Time Frame: 5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Psychosocial health score (0-100) of the KINDL questionnaire.
Higher scores mean a better outcome.
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5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Stability in children's daily activity and social/cognitive function
Time Frame: 5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Scaled scores (0-100) of the daily activity and social/cognitive domains of the Pediatric Evaluation of Disability Inventory computer-adaptive tests.
Higher scores mean a better outcome.
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5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Stability in perceived impact of environmental support on children's community participation
Time Frame: 5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Perceived environmental support scores (0-100) of the community section of the Young Children's Participation and Environment Measure.
Higher scores mean a better outcome.
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5-6 weeks before intervention; 1-2 weeks before intervention; 1-2 weeks after intervention; 8-9 weeks after the intervention
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Level of therapeutic alliance during coaching session
Time Frame: Immediate after each of the coaching sessions
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Total scores (0-10) of the Session Rating Scale.
Higher scores mean a better outcome.
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Immediate after each of the coaching sessions
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Level of perceptions of health care practitioners' autonomy support
Time Frame: 1-2 weeks before intervention; 1-2 weeks after intervention
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Total scores (1-7) of the Health Care Climate Questionnaire.
Higher scores mean a better outcome.
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1-2 weeks before intervention; 1-2 weeks after intervention
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Level of parents' global impression on the improvement of their child's community participation
Time Frame: 1-2 weeks after intervention
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The item score (1-7) of the Patient Global Impression of Change.
Higher scores mean a worse outcome.
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1-2 weeks after intervention
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Number of participants recruited
Time Frame: Through study completion, 1 year
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The percentage of eligible families agreeing to participate in the study
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Through study completion, 1 year
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Retention rate of participants who complete the trial
Time Frame: Through study completion, 1 year
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The percentage of participants who complete the trial (i.e., all assessments)
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Through study completion, 1 year
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Adherence rate of participants who attend the coaching sessions
Time Frame: Through study completion, 1 year
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The percentage of coaching sessions attended by parents who are randomized to the intervention group
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Through study completion, 1 year
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Blinding success of participants who are allocated in the intervention and control groups
Time Frame: 1-2 weeks after intervention
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The percentage of parents who guess treatment allocation correctly after the study
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1-2 weeks after intervention
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Fidelity of coaches who conduct the Occupational Performance Coaching
Time Frame: Through study completion, 1 year
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Percentage score of the Occupational Performance Coaching Fidelity Measure
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Through study completion, 1 year
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Collaborators and Investigators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ZC2Q
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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