Rehabilitation Science Graduate Program, Universidade Federal de Minas Gerais (UFMG), Brazil; Occupational Therapy Department, Universidade Federal da Paraíba (UFPB), Health Sciences Center, Cidade Universitária, 58051-900, João Pessoa, PB, Brazil.
Occupation Studies Graduate Program, UFMG, Brazil; Occupational Therapy Department, Escola de Educação Física, Fisioterapia e Terapia Ocupacional (UFMG), Av. Antônio Carlos, 6627, Pampulha, 31270-901, Belo Horizonte, MG, Brazil.
Res Dev Disabil. 2021 Mar;110:103862. doi: 10.1016/j.ridd.2021.103862. Epub 2021 Jan 25.
Cognitive Orientation to daily Occupational Performance (CO-OP) is recommended for its effectiveness in improving activity performance in children with Developmental Coordination Disorder (DCD). Since parental support is a key element in CO-OP, parental coaching seems relevant to be investigated.
Compare the efficacy of the CO-OP Approach with and without additional parental coaching to improve activity and participation in children with DCD.
Randomized clinical trial with 7-12-years-old children with DCD, randomly assigned to experimental (E-group) or active control (AC-group) groups, with 11 children each. Both groups received traditional CO-OP, E-group received four additional parental group-coaching sessions. Occupational performance and satisfaction on intervention goals were measured at baseline, post-intervention, and follow-up. Participation, motor performance and executive function were assessed at baseline and post-intervention.
CO-OP with and without additional parental coaching resulted in improved occupational performance according to children, parents, and external evaluators. Children showed statistically significant gains in motor performance and cognitive flexibility. Participation measures did not change.
As coaching did not add additional gains, parent's required participation in CO-OP might be enough to support children's occupational performance.
认知导向日常生活活动表现疗法（CO-OP）因其在改善发育性协调障碍（DCD）儿童的活动表现方面的有效性而被推荐。由于家长支持是 CO-OP 的关键要素，因此家长指导似乎值得研究。
比较 CO-OP 方法有无额外家长指导对改善 DCD 儿童活动和参与度的效果。
一项随机临床试验，纳入 7-12 岁 DCD 儿童，随机分为实验组（E 组）或积极对照组（AC 组），每组 11 名儿童。两组均接受传统 CO-OP，E 组接受额外的 4 次家长团体指导。在基线、干预后和随访时测量职业表现和对干预目标的满意度。在基线和干预后评估参与度、运动表现和执行功能。
CO-OP 联合和不联合额外家长指导均能提高儿童、家长和外部评估者的职业表现。儿童的运动表现和认知灵活性有统计学意义上的显著提高。参与度测量没有变化。
由于指导没有带来额外的收益，因此家长在 CO-OP 中的参与可能足以支持孩子的职业表现。
