The effect of occupation-centered interventions on self- determination of female adolescents at risk of Emotional-Behavioral Disorders according to MOHO
The effect of occupation-centered interventions on self- determination of female adolescents at risk of Emotional-Behavioral Disorders according to MOHO
Design
In this research, 40 adolescents at risk of Emotional-Behavioral Disorders who through Youth Self Report are screened.Then, patients are randomly divided into two control and intervention groups via block randomization and a code is allocated to each one of them.
Settings and conduct
The research is practical and is implemented as RCT in mental health clinic of the Faculty of Rehabilitation of Iran University of Medical Sciences on girls studying at high schools in Tehran. Data collection is done by unknowing evaluator and data is analyzed by unknown statisticians.
Participants/Inclusion and exclusion criteria
Entry requirements: age 14- 16; female gender; cutting score ( 50-70) in youth self report; studying in high school
Conditions of failure to enter:lack of cooperation; Two consecutive absences or four absentee sessions throughout the sessions
Intervention groups
The study was conducted with 40 participants in two groups of control and intervention with 20 people.Participants in the intervention group are divided into three groups of 5 to 7 people.The allocation of people in each group is done in accordance with the uniformity and participation in the interests of the participants according to the MOHO interests form. Therapeutic intervention will be provided to the intervention group for 8 sessions of 90 minutes per week (according to available resources and articles).
Main outcome variables
independent variable: occupation-centered interventions;
dependent variable: student self-determination; self-determination(parent perception); executive function; Communication and Interaction Skills; Achievement
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20171231038153N1
Registration date:2018-02-07, 1396/11/18
Registration timing:registered_while_recruiting
Last update:2018-02-07, 1396/11/18
Update count:1
Registration date
2018-02-07, 1396/11/18
Registrant information
Name
Narges Shafaroodi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 2222 8051
Email address
shafarodi.n@iums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-01-21, 1396/11/01
Expected recruitment end date
2018-03-20, 1396/12/29
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of occupation-centered interventions on self- determination of female adolescents at risk of Emotional-Behavioral Disorders according to MOHO
Public title
The effect of occupation-centered interventions on self- determination of adolescents
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
Age of 14 to 16 years
Female gender
Gain cutting scores (above 60) in the test of Youth Self Report
Studying in high school
Exclusion criteria:
Lack of cooperation in intervention
Two consecutive absence occasions Or four absentee sessions in total
Age
From 14 years old to 16 years old
Gender
Female
Phase
3
Groups that have been masked
Outcome assessor
Data analyser
Sample size
Target sample size:
40
Randomization (investigator's opinion)
Randomized
Randomization description
Three-stage cluster sampling(Education areas, schools, students)
Restricted randomization methods and Permuted block randomization will be used to select students.
Randomization tool is Random number table .
allocation concealment is done as intervention and control groups are not known
Blinding (investigator's opinion)
Single blinded
Blinding description
Collection of research data are conducted by evaluators who are unaware of the participants in the intervention and control group.
Analysis of the research data is analyzed by statisticians who are unaware of the groups
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Iran university medical sciences
Street address
Iran University of Medical Sciences, Hemat Highway next to Milad Tower, Tehran
City
Tehran
Province
Tehran
Postal code
۱۴۴۹۶۱۴۵۳۵
Approval date
2017-12-28, 1396/10/07
Ethics committee reference number
9321525001 .IR.IUMS.REC.1396
Health conditions studied
1
Description of health condition studied
َََAt risk of Emotional-behavioral disorders
ICD-10 code
F01-F99
ICD-10 code description
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence.
Primary outcomes
1
Description
student self-determination is a 92-item self-report instrument that measures both affective and cognitive aspects of the student’s self-determination.including General Positive, General Negative, Specific Positive, and Specific Negative. The general subscales relate to a student’s sense of global self-determination, while the specific subscales relate primarily to application in their education, home, and related environmental settings. The positive subscales indicate self-determination in areas of perceived strength, while the negative subscales indicate areas of perceived weakness in self-determination.
Timepoint
At the begining of interventio; At the end of intervention (after 8 weeks) and after 10 weeks (follow up)
Method of measurement
Self-Determination Student Scale
2
Description
Self-Determination Parent Perception Scale: Parents' perceptions of their child's self-determination behaviors, abilities and skills.
Timepoint
At the Beginning of intervention ; At the end of intervention (after 8 weeks) and after 10 weeks (follow up)
Method of measurement
Self-Determination Parent Perception Scale (PPS)
Secondary outcomes
1
Description
Communication and Interaction Skills: Refers to behaviors that one can communicate with others through these behaviors, which leads to positive responses and negative responses.
Timepoint
At the Beginning of intervention; At the end of intervention (after 8 weeks) and after 10 weeks (follow up).
Method of measurement
In this research, Communication skills include 20 items that are classified into three areas of physicality , information exchange and relations Which is measured by the communication and interaction skills assessment(ACIS).
2
Description
Executive function:Executive functions are an idiomatic term that covers all of the complex cognitive processes that are required for task-oriented, difficult or new assignment tasks.
Timepoint
At the Beginning of intervention; At the end of intervention (after 8 weeks) and after 10 weeks (follow up).
Method of measurement
In this research, execution function is measured by three software programs, TOWER OF LONDON TEST; Go No Go; BART TASK.The decision making, problem solving, and risk-taking are evaluated.
3
Description
Academic Achievement: The ability to prove success in acquiring an outcome for which learning experiences are projected.
Timepoint
First semester;The end of the academic year
Method of measurement
In this study, academic achievement is the average of the second-order scores of school.
Intervention groups
1
Description
Intervention group: The content of the intervention will be based on the protocol contained in the STEPS To Self-Determination Curriculum, with permission from the authors of the book.Designing a set of occupations based on the interests and culture of adolescents participating in intervention and Confirming at a meeting of experts .Participants in the intervention group are divided into three groups of 5 to 7 people.Assignment of people in each group is done in accordance with the uniformity and participation in the interests of the participants according to the form of MOHO Interests.The intervention will be held for 8 sessions of 90 minutes per week (according to available resources and articles) for the intervention group.
Category
Behavior
2
Description
Control group: Includes 20 students at risk for emotional-behavioral disorders that do not receive any intervention.