Using CO-OP to help adolescents with mild intellectual disability

Evaluation of The Cognitive Orientation to Daily Occupational Performance (CO-OP) Approach for Adolescents With Mild Intellectual Disability

This study is testing a program called CO-OP to see if it can help teenagers with mild intellectual disabilities set and reach personal goals over ten weeks.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 60 (estimated)
• Ages: 13 Years to 17 Years
• Sex: All
• Sponsor: Örebro University, Sweden (Academic / other)
• Locations: 2 sites (Kristianstad, Skåne County and 1 other locations)
• Trial ID: NCT06691698 on ClinicalTrials.gov

What this trial studies

This study evaluates the Cognitive Orientation to Daily Occupational Performance (CO-OP) approach for adolescents aged 13-17 with mild intellectual disability. Participants will select personal goals and develop strategies to achieve them over a ten-week intervention period. The study aims to assess the feasibility and effectiveness of CO-OP in enhancing occupational performance in this population, building on initial research that suggests potential benefits. The intervention will involve weekly meetings and support from a parent or significant other.

Who should consider this trial

Good fit: Ideal candidates are adolescents aged 13-17 diagnosed with mild intellectual disability who are motivated to set and achieve personal goals.

Not a fit: Patients with movement-related diagnoses, ADHD, autism spectrum disorder, or those requiring language interpretation will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve daily functioning and quality of life for adolescents with mild intellectual disability.

How similar studies have performed: Initial research has shown potential for CO-OP in other diagnostic groups, but this specific application for adolescents with mild intellectual disability is relatively novel.

Eligibility criteria

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- or part time with an adolescent reaching the inclusion criteria for study I who has completed CO-OP within or out of the project
* Opportunity to meet physically for an interview with in a month post and 6 months post the adolescent's completed, or at least half way through, CO-OP intervention.

Exclusion criteria:

* Need for language interpreting
* Need for alternative and augmentative communication (i.e. pictures or signs)
* Irregular and brief living with the adolescent comparable to less than half-time and therefore does not observe the adolescent's occupational performance enough to answer the interview questions.

Where this trial is running

Kristianstad, Skåne County and 1 other locations

• Region Skåne — Kristianstad, Skåne County, Sweden (Recruiting)
• Region Värmland — Karlstad, Värmland County, Sweden (Recruiting)

Study contacts

• Principal investigator: Marie Holmefur, PhD — Örebro University, Sweden
• Study coordinator: Elin Widmark, MSc

Conditions Intellectual Disability, Mild; adolescents; executive function; metacognition; mild intellectual disability; occupational therapy; occupational performance; person-centered intervention