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Collaborative Consultation for Participation Among Students With IDD

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ClinicalTrials.gov Identifier: NCT02797639
Recruitment Status : Completed
First Posted : June 13, 2016
Last Update Posted : June 14, 2016
Sponsor:
Information provided by (Responsible Party):
Efrat Selanikyo, Ono Academic College

Brief Summary:

Objective: Developing and corroborating the Collaborative Consultation for Participation of Students with Intellectual Disability (Co-PID) program, for enhancing classroom participation among students with moderate Intellectual and Developmental Disability (IDD).

Method: study took place in two special education schools and included students with moderate IDD (n=60) and their teachers (n=11). The settings were randomly assigned to intervention or control group. In the intervention group, Co-PID program was employed; in the control group an In-Service (IS) was employed. Participation was evaluated at pre-test and post-test.


Condition or disease Intervention/treatment Phase
Mental Retardation and Developmental Disabilities With Organic Condition Other: Co-PID Other: IS Not Applicable

Detailed Description:

The study was conducted in three phases: (a) pre-test; (b) intervention; and (c) post-test

Pre-test. Using the 'Structured Observation of Students' Participation in Class', each student in both groups was observed four times during different lessons (with a 1-week interval between observations) to establish a baseline for level of participation. All pre-test observations were conducted between the 2nd and 3rd months of the school year, by an occupational therapist with 8 years of experience working with children with developmental delays. The observer was trained in using the 'Structured Observation of Students' Participation in Class' and was not blinded to the schools' assignment (Co-PID or IS). During this period the teachers, who were blinded to the school assignment, were asked to teach in a regular manner without changing the content or design of their lessons. Next, the teachers filled out the School Function Assessment questionnaire for each student. Finally, based on the 'Structured Observation of Students' Participation in Class' scores and teachers' familiarity with the students' function, the occupational therapist and each of the participating teachers jointly filled-out the 'Goal Attainment Scaling' form. Each student had three goals, one for each of the participation skills: Communicating, Choosing and Initiating. Post-test. This phase was conducted during the 9th and 10th months of the school year, and was identical to the pre-testing phase in terms of both process and measures used


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Official Title: The Effectiveness of Collaborative Consultation for Participation Among Students With Moderate Intellectual Disability (Co-PID)
Study Start Date : September 2014
Actual Primary Completion Date : August 2015
Actual Study Completion Date : May 2016


Arm Intervention/treatment
Experimental: Co-PID
Eight collaborative consultation meetings between occupational therapist to each teacher in purpose of enhancing participation of students in class
Other: Co-PID

The program was carried out by the school occupational therapist and homeroom teachers. The Co-PID had two phases. The first phase was a 1.5 hour in-service meeting that focused on the concept of "Participation".

In the second phase of the Co-PID intervention, a collaborative consultation model was used. It included eight 45-minute consultation meetings, which took place every other week over a 3-months period. The meetings took place between the occupational therapist and each teacher, with the purpose of brainstorming; thinking of activities that the teacher could implement during the lessons for enhancing participation among the students.


Active Comparator: In-service
Three in- service meetings to all homeroom teachers together, in purpose of enhancing participation of students in class
Other: IS
IS group included three meetings, a 1.5 hour in-service meeting focusing on the concept of participation, and two more workshop meetings aimed at sharing teachers' experience.




Primary Outcome Measures :
  1. Structured Observation of Students' Participation in Class [ Time Frame: within one month after intervention completion ]
    A structured observation for examining participation of students with moderate IDD in the classroom. It includes 25 items that focus on three classroom participation skills: (a) Communicating (listening and expressing; 7 statements); (b) Choosing (8 statements), and (c) Initiating (10 statements). The observer rates the active participation of students during an entire lesson (about 45 minutes), with regards to each of the items, on a scale of 0 (Does not participate) to 4 (Fully participates). In addition, each statement includes a 'Not relevant' option - when the student was not given the opportunity to perform the task.


Secondary Outcome Measures :
  1. School Function Assessment Questionnaire "through study completion" [ Time Frame: within one month after intervention completion ]
    a criterion-referenced, standardized assessment that measures students' performance in functional tasks that support their participation in the school program. The School Function Assessment includes three parts: (a) Participation, (b) Task supports and (c) Activity performance. It is completed by one or more school professionals who are highly familiar with the students being observed.

  2. Goal Attainment Scaling "through study completion" [ Time Frame: within one month after intervention completion ]
    a method for scoring the extent to which the client's goals are achieved in the course of intervention. Functional goals are determined through a collaborative process between clinician and client or caregiver, prior to intervention. Scoring is based on a scale, where the user breaks-down each goal's performance on a 5-point scale ranging from -2 to 2



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Ages Eligible for Study:   7 Years to 21 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. A diagnosis of moderate IDD
  2. Mobility independence
  3. No secondary diagnosis of autism, nor sensory disabilities such as blindness or deafness
  4. Students had been studying at the school for at least one year prior to data collection.

Exclusion Criteria:

-


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02797639


Sponsors and Collaborators
Ono Academic College
Investigators
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Study Director: Naomi Weintraub, Prof Hebrew University

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Responsible Party: Efrat Selanikyo, Lecturer, Ono Academic College
ClinicalTrials.gov Identifier: NCT02797639     History of Changes
Other Study ID Numbers: Onoac
First Posted: June 13, 2016    Key Record Dates
Last Update Posted: June 14, 2016
Last Verified: June 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Efrat Selanikyo, Ono Academic College:
Intellectual Disability
Collaborative Consultation
Participation

Additional relevant MeSH terms:
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Intellectual Disability
Developmental Disabilities
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Neurodevelopmental Disorders
Mental Disorders