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Evaluering av CO-OP for ungdom med lett utviklingshemming (CO-OPIF)

5. november 2026 oppdatert av: Marie Holmefur, Örebro University, Sweden

Evaluering av Cognitive Orientation to Daily Occupational Performance (CO-OP) tilnærming for ungdom med mild intellektuell funksjonshemming

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.

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

60

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Studiesteder

  • Sverige
      • Örebro, Sverige, 65185
        • Rekruttering
        • Region Örebro County
        • Ta kontakt med:
    • Skåne County
      • Kristianstad, Skåne County, Sverige, 29133
        • Rekruttering
        • Region Skåne
        • Ta kontakt med:
    • Värmland County
      • Karlstad, Värmland County, Sverige, 65185
        • Rekruttering
        • Region Värmland
        • Ta kontakt med:
        • Underetterforsker:
          • Elin Widmark, Doctoral student

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

13 år til 17 år (Barn)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Study I-II

Inclusion criteria

  • 13-17 years
  • Diagnosed mild intellectual disability
  • Motivation to reach self-selected goals
  • Ability to identify those goals
  • Possibility to meet once a week for ten weeks
  • Access to a parent or significant other for support during intervention

Exclusion criteria:

  • Movement related diagnosis (i.e. cerebral palsy or neuro muscular diseases)
  • Diagnosed attention deficit hyperactivity disorder/attention deficit disorder (ADHD/ADD) or autism spectrum disorder
  • Progressive diagnoses
  • Need for language interpreting
  • Need for alternative and augmentative communication (i.e. pictures or signs).

Study III

Inclusion criteria:

  • 13-17 years
  • Diagnosed mild intellectual disability
  • Completed CO-OP intervention or at lest half way trough the intervention
  • Opportunity to meet physically for an interview with in a month post and 6 months post intervention.
  • CO-OP intervention done with high fidelity to CO-OP format with a CO-OP therapist that has written field notes, preferrably recruited from study I-II.

Exclusion criteria:

  • Movement related diagnosis (i.e. cerebral palsy or neuro muscular diseases)
  • Diagnosed attention deficit hyperactivity disorder/attention deficit disorder (ADHD/ADD) or autism spectrum disorder
  • Progressive diagnoses
  • Need for language interpreting
  • Need for alternative and augmentative communication (i.e. pictures or signs).

Study IV

Inclusion criteria:

  • Parents with legal guardianship that lives full- or part time with an adolescent reaching the inclusion criteria for study I who has completed CO-OP within or out of the project
  • Opportunity to meet physically for an interview with in a month post and 6 months post the adolescent's completed, or at least half way through, CO-OP intervention.

Exclusion criteria:

  • Need for language interpreting
  • Need for alternative and augmentative communication (i.e. pictures or signs)
  • Irregular and brief living with the adolescent comparable to less than half-time and therefore does not observe the adolescent's occupational performance enough to answer the interview questions.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: CO-OP for adolescents with mild intellectual disability

CO-OP intervention during 10 weeks. Outcomes measures at baseline, directly after and 6 months after intervention
Annen: The Cognitive Orientation to Daily Occupational Performance Approach

CO-OP is a client-centred, performance-based, problem-solving focused, occupation-focused and occupation-based intervention. In CO-OP the person is guided to use a meta-cognitive strategy to find his or her own strategies for specific activities. The main purpose is to enable meta-cognitive thinking in every day activities, leading to enhanced self-efficacy, occupational performance and independency.

Andre navn:
  • CO-OP

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in Canadian Occupational Performance Measure - performance
Tidsramme: Baseline, up to 4 weeks post intervention and 6 months post intervention

Self-rated occupational performance in four chosen goal activities, rated 1-10
Baseline, up to 4 weeks post intervention and 6 months post intervention
Change in Canadian Occupational Performance Measure - satisfaction
Tidsramme: Baseline, up to 4 weeks post intervention and 6 months post intervention

Self-rated satisfaction with performance in four chosen goal activities, rated 1-10
Baseline, up to 4 weeks post intervention and 6 months post intervention
Change in Performance Quality Rating Scale - occupational performance quality
Tidsramme: Baseline, 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.
Baseline, up to 4 weeks post intervention and 6 months post intervention

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in General Self-Efficacy Scale - self-efficacy
Tidsramme: Baseline, up to 4 weeks post intervention and 6 months post intervention

Self-rated self-efficacy, 10 statements rated 1-4.
Baseline, up to 4 weeks post intervention and 6 months post intervention
Experiences of CO-OP as a patient - qualitative
Tidsramme: Up to 4 weeks post intervention and 6 months post intervention

Qualitative semi-structured interviews analyzed using qualitative content analysis.
Up to 4 weeks post intervention and 6 months post intervention
Perceptions of CO-OP as a parent of a patient - qualitative
Tidsramme: Up to 4 weeks post intervention and 6 months post intervention

Qualitative semi-structured interviews analyzed using phenomenographic analysis
Up to 4 weeks post intervention and 6 months post intervention

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Feasibility: Acceptability
Tidsramme: Up to 4 weeks post intervention and 6 months post intervention

Acceptability will be evaluated by structured interviews. The interview consists of five yes/no questions and a 10 point scale on how much effort the CO-OP intervention required. Data will be on nominal and ordinal level.
Up to 4 weeks post intervention and 6 months post intervention
Feasibility: Possible expansion to a new group
Tidsramme: 2024-2025

Qualitative text analysis in which contents of the CO-OP manual will be compared with norms and values in the national policy documents for children and youth habilitation. This is carried out to evaluate whether it would be possible to expand this intervention to a new group of patients (adolescents with mild intellectual disability). The data collection is not related to the individual participants.
2024-2025
Feasibility: Adaptation
Tidsramme: Up to 1 year after intervention.

Whether the CO-OP approach needs any adaptations in order to be feasible for adolescents with mild intellectual disability will be evaluated. This will be done by collecting field notes written by CO-OP therapists and a text analysis with descriptive comparison between notes and the CO-OP manual.
Up to 1 year after intervention.

Samarbeidspartnere og etterforskere

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Sponsor

Örebro University, Sweden

Samarbeidspartnere

Göteborg University
Stiftelsen Sunnerdahls Handikappfond
Landstinget i Värmland
Stiftelsen Sävstaholm
Majblommans riksförbund

Etterforskere

  • Hovedetterforsker: Marie Holmefur, PhD, Örebro University, Sweden

Publikasjoner og nyttige lenker

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Hjelpsomme linker

Studierekorddatoer

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Studer hoveddatoer

Studiestart (Faktiske)

16. januar 2025

Primær fullføring (Antatt)

1. desember 2027

Studiet fullført (Antatt)

1. desember 2027

Datoer for studieregistrering

Først innsendt

5. november 2024

Først innsendt som oppfylte QC-kriteriene

14. november 2024

Først lagt ut (Faktiske)

15. november 2024

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

10. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

5. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • ORU 2024-02873-01

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