Benefits of an Intensive Individual CO-OP Intervention in a Group Setting for Children with DCD.
Hilde Krajenbrink, Jessica Lust, Jordi van Heeswijk and 2 others
PMID 35462855WHAT IT FOUND
Children with DCD improved on goals trained during a five-day intensive CO-OP camp, with gains held at three-month follow-up.
Transfer to goals coached at home afterwards was less consistent, with parents reporting improvements that children and independent ratings did not always confirm.
Key findings
01Performance and satisfaction on goals trained during the five-day intervention improved significantly and remained higher than pretest scores at three-month follow-up.
02Independent ratings confirmed that performance quality on the trained intervention goals improved after the program.
03Improvements on the untrained transfer goal coached at home were inconsistent: parents reported gains, but child self-ratings and independent performance ratings did not show statistically significant improvement.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
There was no control group, so it is impossible to know how much of the improvement was due to the intervention versus maturation or testing effects. The sample was small and heterogeneous, with eight children having participated in the same program a year earlier, which may have influenced their baseline or response. Therapists involved in the intervention conducted the COPM interviews and recorded videos for independent rating, introducing potential bias despite some separation of roles at follow-up. Data on the transfer goal was missing for several children, reducing the sample size for those specific analyses. COVID-19 restrictions during the follow-up period may have artificially limited opportunities for social participation, affecting those secondary outcomes.
The easy way to misread this
Do not assume that five days of intensive therapy will generalise to new motor goals without significant parent effort. The transfer goal improvements were inconsistent, with independent ratings showing no significant change, suggesting that home coaching is a distinct and challenging skill for families.