1
|
Davies SJ, Gullo HL, Doig E. Efficacy and Feasibility of the CO-OP Approach in Parkinson's Disease: RCT Study Protocol. Can J Occup Ther 2023; 90:363-373. [PMID: 36785891 PMCID: PMC10647899 DOI: 10.1177/00084174231156287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
Background. Parkinson's disease (PD) leads to cognitive dysfunction which limits participation and occupational performance. Cognitive Orientation to Daily Occupational Performance (CO-OP) approach is effective in other adult neurological populations and warrants investigation in PD. Purpose. To describe a study protocol evaluating the preliminary efficacy and feasibility of CO-OP approach in PD. Method. A randomised controlled trial (RCT) with adults with PD was assigned to either: CO-OP training-intensive (CO-OP-I, 20 sessions) or waitlist control (WLC) followed by CO-OP-standard (CO-OP-S, 10 sessions). Outcomes. Occupational performance and satisfaction of adults with PD in chosen goals. Measures will be obtained at baseline, post-intervention, and 3-month follow-up. Implications. As the first RCT focused on CO-OP in PD, this trial will provide evidence for the potential of this approach in PD and lay the groundwork for future large-scale trials. Trial Registration. Australian New Zealand Clinical Trials registry, ACTRN12621001483842. Registered November 1, 2021; retrospectively registered 3 months after commencement.
Collapse
Affiliation(s)
- Sarah J. Davies
- Sarah J. Davies, School of Health and Rehabilitation Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland 4072, Australia.
| | | | | |
Collapse
|
2
|
James ME, Graham JD, Chirico D, King-Dowling S, Cairney J. Investigating the mediating role of internalizing and externalizing problems on physical fitness in children at risk for Developmental Coordination Disorder. Appl Physiol Nutr Metab 2022; 47:575-581. [PMID: 35167349 DOI: 10.1139/apnm-2021-0369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Children with Developmental Coordination Disorder (DCD) have poorer fitness and greater internalizing/externalizing problems compared with typically developing (TD) children. The purpose of this study was to examine the potential mediating role of internalizing/externalizing problems on the relationship between children at risk for DCD (DCDr) and physical fitness. Participants (N = 589) included 288 children with DCDr (Mage = 4.9, 67% male) and 301 TD children (Mage = 5.0, 48% male). Motor skills were assessed using the Movement Assessment Battery for Children-2nd edition (DCDr: at or below the 16th percentile, TD: >16th percentile). Parent-reported internalizing/externalizing problems were measured using the Child Behaviour Checklist. Physical fitness was measured using the Bruce protocol maximal treadmill test and a 30-second Wingate test. Tests for indirect (mediation) effects were assessed using the PROCESS v3.5 software macro. Children with DCDr had higher internalizing and externalizing problems (p < 0.001, d = 0.35-0.46) and poorer fitness levels (p < 0.001, ηp2 = 0.05-0.09). Internalizing problems mediated fitness performance on both the treadmill and Wingate test; however, externalizing problems showed no mediating effects. Thus, interventions targeting internalizing problems may contribute to improving performance on fitness-based tasks among children with DCDr. Novelty: Children at risk for DCD have poorer fitness when compared with TD children. Children at risk for DCD experience greater internalizing/externalizing problems. Internalizing problems were found to mediate the DCD-physical fitness relationship.
Collapse
Affiliation(s)
- Maeghan E James
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Jeffrey D Graham
- Infant and Child Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.,Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada
| | - Daniele Chirico
- Infant and Child Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.,Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Sara King-Dowling
- Infant and Child Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.,Division of Oncology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - John Cairney
- Infant and Child Health (INCH) Lab, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.,School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, QLD, Australia
| |
Collapse
|
3
|
Murphy YE, Zhang X, Gatzke-Kopp L. The developmental cascade of early parenting, emergence of executive functioning, and emotional symptoms across childhood. Infant Ment Health J 2021; 42:331-345. [PMID: 33812347 DOI: 10.1002/imhj.21913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Many studies focus on proximal associations between parental sensitivity and emotional well-being in early childhood, with less data examining how parenting in infancy predicts children's emotional trajectories across childhood, in particular negative emotional symptoms of anxiety and depression. Thus, this study utilized data from The Family Life Project (N = 1015), a prospective study of child development in rural poverty, and assessed whether sensitive parenting in the first 4 years of life predicted child internalizing emotional symptoms (i.e., anxiety and depression) from kindergarten to fifth grade and whether early child executive functioning mediated this relationship. Path models indicated that observation of sensitive parenting predicted a decrease in teachers' report of child negative emotional symptoms over time and predicted fewer negative emotional symptoms in fifth grade. Moreover, though executive functioning performance did not mediate change in symptoms over time, executive functioning did mediate the relationship between sensitive parenting and fifth-grade symptoms, suggesting that executive functioning is one mechanism by which early sensitive parenting buffers long-term emotional development. Findings highlight the importance of early parenting and executive functioning in development of anxiety and depression symptoms and suggests potential targets for transdiagnostic intervention.
Collapse
Affiliation(s)
- Yolanda E Murphy
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Xutong Zhang
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Lisa Gatzke-Kopp
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania, USA
| |
Collapse
|