RecruitingNot Applicable

Evaluation of CO-OP for Adolescents With Mild Intellectual Disability

Sweden60 participantsStarted 2025-01-16

Plain-language 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.

Who can participate

Age range13 Years – 17 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

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- o…

What they're measuring

Change in Canadian Occupational Performance Measure - performance

Timeframe: Baseline, up to 4 weeks post intervention and 6 months post intervention

Change in Canadian Occupational Performance Measure - satisfaction

Timeframe: Baseline, up to 4 weeks post intervention and 6 months post intervention

Change in Performance Quality Rating Scale - occupational performance quality

Timeframe: Baseline, up to 4 weeks post intervention and 6 months post intervention

Trial details

NCT IDNCT06691698

SponsorÖrebro University, Sweden

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2027-03

Contact for this trial

Elin Widmark, MSc

+46108319064 elin.widmark@oru.se

View on ClinicalTrials.gov More Intellectual Disability, Mild trials

Plain-language summary

Who can participate

Age range13 Years – 17 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Change in Canadian Occupational Performance Measure - performance

Timeframe: Baseline, up to 4 weeks post intervention and 6 months post intervention

Change in Canadian Occupational Performance Measure - satisfaction

Timeframe: Baseline, up to 4 weeks post intervention and 6 months post intervention

Change in Performance Quality Rating Scale - occupational performance quality

Timeframe: Baseline, up to 4 weeks post intervention and 6 months post intervention