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Occupational therapy home program for children with intellectual disabilities: a randomized, controlled trial
Yee-Pay Wuang1, Guang-Sheng Ho, Chwen-Yng Su
1Department of Occupational Therapy, Kaohsiung Medical University, Kaohsiung, Taiwan.
Research in Developmental Disabilities
|October 23, 2012
Summary
A 20-week occupational therapy home program (OTHP) significantly improved fine motor skills and activity participation in children with intellectual disabilities (ID). Parents also reported higher satisfaction with their child's performance.
Area of Science:
- Pediatric Occupational Therapy
- Developmental Disabilities Research
- Childhood Intellectual Disability Interventions
Background:
- Intellectual disabilities (ID) present challenges in children's motor function and participation.
- Occupational therapy home programs (OTHP) offer a potential avenue for intervention.
- Evidence for the effectiveness of OTHP in children with ID requires further investigation.
Purpose of the Study:
- To evaluate the efficacy of a structured occupational therapy home program (OTHP) for children with intellectual disabilities (ID).
- To compare functional outcomes and participation levels between children receiving OTHP and a control group.
Main Methods:
- Randomized controlled trial design with equal group assignment (OTHP vs. no OTHP).
- Assessment of Canadian Occupational Performance, Bruininks-Oseretsky Test of Motor Proficiency-Second Edition, and Children's Assessment of Participation and Enjoyment.
- Data collection at 10 and 20 weeks to track changes in motor skills, participation, and parent satisfaction.
Main Results:
- The 20-week OTHP group demonstrated significant improvements in fine motor function compared to the control group.
- Children in the OTHP group showed enhanced participation in activities.
- Parents reported significantly higher satisfaction with their child's performance in the OTHP group.
Conclusions:
- A 20-week occupational therapy home program (OTHP) is effective in improving fine motor skills and activity participation for children with intellectual disabilities (ID).
- The OTHP intervention, requiring approximately 15 minutes per session, leads to measurable functional gains.
- Pediatricians can recommend OTHP as a valuable tool to support children with ID and their families.
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