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Therapeutic Climbing for Children With DCD (Climbing TDC)

27 de mayo de 2026 actualizado por: Université de Sherbrooke

Therapeutic Group Climbing for Children With Developmental Coordination Disorder: Randomized Crossover Trial

This study looks at whether therapeutic climbing - indoor climbing activities guided by therapists - can help children with Developmental Coordination Disorder (DCD).

DCD is a condition where children have difficulty with motor skills and participation in everyday activities, and sometimes confidence in physical activities.

The climbing program is based on a problem-solving approach called CO-OP (Cognitive Orientation to daily Occupational Performance), in which children learn strategies to achieve goals.

Descripción general del estudio

Estado

Aún no reclutando

Condiciones

Intervención / Tratamiento

Descripción detallada

Background: Therapeutic climbing, based on the Cognitive Orientation to daily Occupational Performance (CO-OP) approach, may improve goal performance and satisfaction in children with Developmental Coordination Disorder (DCD), as well as their motivation and self-efficacy toward physical activity.

Objective: This study aims to examine the effectiveness of a CO-OP-based group therapeutic climbing intervention for children with DCD.

Methods: A randomized crossover trial will be conducted with children with DCD. The intervention will consist of a 10-week group-based therapeutic climbing program delivered in an indoor climbing setting. Primary outcomes will include performance and satisfaction related to individualized goals. Secondary outcomes will assess motor skills, self-efficacy, executive functions, motivation toward physical activity, and transfer of learning. Effects of the intervention will be assessed using linear mixed effects models.

Results: It is hypothesized that participants will demonstrate improvements in both primary and secondary outcomes following the intervention.

Conclusions: This study will contribute to the evidence base regarding therapeutic climbing and CO-OP-based interventions for children with DCD, informing future rehabilitation practices.

Tipo de estudio

Intervencionista

Inscripción (Estimado)

16

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Niño

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

  • Diagnosis of DCD by a physician*.
  • Ability to follow instructions, communicate verbally, interact with adults and peers, and use cognitive strategies.
  • Ability to attend all assessment and intervention sessions in Sherbrooke.
  • Ability to understand and speak French.
  • Provision of child assent and parental consent. * If the target sample size (n = 16) is not reached, children with suspected DCD based on the Developmental Coordination Disorder Questionnaire (DCDQ) (25,26) will also be considered. Eligibility will then require: (1) a score below the 15th percentile on the total motor composite or below the 5th percentile in a domain of the Bruininks-Oseretsky Test of Motor Proficiency (BOT) (27,28), and (2) the identification of occupational challenges using the Canadian Occupational Performance Measure (COPM) (29,30) during the initial assessment.

Exclusion Criteria:

  • Diagnosis of severe behavioral disorders, autism spectrum disorder, intellectual disability, cerebral palsy, muscular dystrophy, and/or severe functional limitations.
  • Prior proficiency in climbing or absence of climbing-related goals.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación cruzada
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Group 1 - Fall 2026
First group intervention
Otro: CO-OP-based group therapeutic climbing intervention
The intervention will consist of a 10-week group-based therapeutic climbing program delivered once weekly on Saturday afternoons at an indoor climbing center. Sessions will be delivered by an occupational therapist (OT), two occupational therapy interns, and a certified climbing monitor (hereafter referred to as "intervention providers"). Each 90-minute session will follow the same global structure. The intervention is grounded in the CO-OP approach.
Experimental: Group 2 - Winter 2027
Second group intervention
Otro: CO-OP-based group therapeutic climbing intervention
The intervention will consist of a 10-week group-based therapeutic climbing program delivered once weekly on Saturday afternoons at an indoor climbing center. Sessions will be delivered by an occupational therapist (OT), two occupational therapy interns, and a certified climbing monitor (hereafter referred to as "intervention providers"). Each 90-minute session will follow the same global structure. The intervention is grounded in the CO-OP approach.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Performance related to individualized goals
Periodo de tiempo: Baseline (2-3 months before the intevention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Assess with the Canadian Occupational Performance Measure (COPM) (visual analog scale of 1-10)
Baseline (2-3 months before the intevention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Satisfaction related to individualized goals
Periodo de tiempo: Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Assess with the Canadian Occupational Performance Measure (COPM) (visual analog scale of 1-10)
Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Performance related to climbing-specific goals
Periodo de tiempo: Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Assess with the Performance Quality Rating Scale (PQRS) (visual analog scale of 1-10)
Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Motor skills
Periodo de tiempo: Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Bruininks-Oseretsky Test of Motor Proficiency, Third Edition (BOT-3) (standard scores (mean = 50, SD = 10) or scale scores for subtests (mean = 10, SD = 3))
Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Self-efficacy
Periodo de tiempo: Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Assess with the French adaptation of the General Self-Efficacy Scale (GSES) (5-point Likert scale)
Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Executive functioning
Periodo de tiempo: Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Assess with the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF-2) T-scores (mean = 50, SD = 10)
Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Motivation for physical activity
Periodo de tiempo: Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention
Assess with the Pictorial Motivation Scale (PMS) for physical activity (3-point scale)
Baseline (2-3 months before the intervention, pre-intervention (immediatly before the intervention), post-intervention (immediatly after the intervention), follow-up 2-3 months post-intervention

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Université de Sherbrooke

Investigadores

  • Investigador principal: Emmanuelle Jasmin, Ph.D., Université de Sherbrooke

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Estimado)

15 de mayo de 2026

Finalización primaria (Estimado)

6 de junio de 2026

Finalización del estudio (Estimado)

6 de junio de 2026

Fechas de registro del estudio

Enviado por primera vez

12 de mayo de 2026

Primero enviado que cumplió con los criterios de control de calidad

19 de mayo de 2026

Publicado por primera vez (Actual)

27 de mayo de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

1 de junio de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

27 de mayo de 2026

Última verificación

1 de mayo de 2026

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • 2026-6195
  • Mental health 2025-2026 (Otro identificador: Pediatric Research Foundation)

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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