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Child-Oriented Goal-Setting for Pediatric Rehabilitation

N/A

Recruiting

Led By Lesley Pritchard-Wiart, PhD

Research Sponsored by University of Alberta

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Children who speak English

Children between the ages of 5-12 years with a diagnosed disability

Must not have

Parent or guardian who attends therapy does not speak English

Child with a diagnosis that suggests developmental regression

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 1) baseline (pre-treatment), 2) post-treatment (within 10 days), and 3) at 3-months post-treatment

Awards & highlights

No Placebo-Only Group

Summary

This trial will test the effects of a child-focussed goal setting approach, Enhancing Child Engagement in Goal Setting (ENGAGE), on therapy outcomes.

Who is the study for?

This trial is for children aged 5-12 with neurodevelopmental disabilities like autism or cerebral palsy, who are referred to physical or occupational therapy and can participate in goal-setting. They must speak English, as should their guardian. Children with developmental regression or uncontrolled seizures are excluded.

What is being tested?

The ENGAGE approach focuses on child-oriented goal-setting in pediatric rehabilitation. The study compares the effectiveness of ENGAGE against usual therapy practices by assessing improvements in children's abilities, participation levels, and quality of life for both the child and family.

What are the potential side effects?

Since this trial involves non-medical interventions focused on goal setting within therapy sessions rather than drugs or medical procedures, traditional side effects are not applicable. However, there may be varying emotional responses from participants to different therapeutic approaches.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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My child speaks English.

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My child is between 5-12 years old and has a diagnosed disability.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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My child's guardian attending therapy is not an English speaker.

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My child has been diagnosed with developmental regression.

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My child has had a seizure in the last 2 months.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 1) baseline (pre-treatment), 2) post-treatment (within 10 days), and 3) at 3-months post-treatment

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~1) baseline (pre-treatment), 2) post-treatment (within 10 days), and 3) at 3-months post-treatment

This trial's timeline: 3 weeks for screening, Varies for treatment, and 1) baseline (pre-treatment), 2) post-treatment (within 10 days), and 3) at 3-months post-treatment for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Goal performance and satisfaction will be measured using the Canadian Occupational Performance Measure (COPM).

Secondary study objectives

Caregiver quality of life will be measured with the Caregiver Quality of Life (CarerQol-7D).

Child engagement in therapy will be measured using the Pediatric Rehabilitation Intervention Measure of Engagement (PRIME-SP).

Functional abilities will be measured with the Pediatric Evaluation of Disability Inventory (PEDI-CAT).

+4 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: ENGAGE approach (child-oriented goal-setting)Experimental Treatment1 Intervention

Therapists will receive training on our principles-based goal setting approach and strategies in the goal setting toolbox. Training will include an overview of tools and strategies including the Perceived Efficacy and Goal Setting Tool (PEGS) and the Pediatric Activity Card Sort (PACS). In addition, we will provide training on Goal Attainment Scaling and administration of the Canadian Occupational Performance Measure (COPM). We will introduce simple strategies to assist children in identifying goals and to ensure ongoing focus on goals using principles of motivational interviewing, strategies to assess and nurture perceived competence (self-efficacy), and child-friendly feedback strategies on goal-related performance.

Group II: Usual careActive Control1 Intervention

The control group will comprise of usual care.

0 / 5Eligibility criteria met