Evaluation of Effectiveness of Child-oriented Goal-setting in Paediatric Rehabilitation (the ENGAGE Approach)
Autism Spectrum Disorder, Neurodevelopmental Disorders, Cerebral Palsy
About this trial
This is an interventional treatment trial for Autism Spectrum Disorder
Eligibility Criteria
Inclusion criteria are children with a diagnosed disability who:
- are between the ages of 5-12 years
- are able to engage in the goal-setting process (determined by therapists)
- are referred to PT and/or OT for a period of direct treatment
- speak English.
Children will be excluded from the trial if:
- the parent or guardian who attends therapy does not speak English
- the child has a diagnosis that suggests developmental regression
- the child has uncontrolled seizures (i.e., seizure within the past 2 months).
Sites / Locations
- Renfrew Educational ServicesRecruiting
- Society for Treatment of AutismRecruiting
- Children's Rehabilitation Services, Alberta Health ServicesRecruiting
- Centre for Autism Services AlbertaRecruiting
- Children's Rehabilitation Services, Alberta Health ServicesRecruiting
- Children's Rehabilitation Services, Alberta Health ServicesRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
ENGAGE approach (child-oriented goal-setting)
Usual care
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.
The control group will comprise of usual care.