Home-based caregiver-mediated occupational therapy intervention for families of children with neurodevelopmental conditions ages 6-11.
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Increasing diagnostic prevalence estimates for children with neurodevelopmental conditions (NDCs) drive occupational therapy practice to consider how therapists can best meet service demands. Outpatient and school-based therapies often do not adequately address self-care challenges in children with NDCs because these therapy environments require children to decontextualize skills. Three families of children with NDCs completed 5-6 Caregiver-mediated Occupational Therapy (C-MOT) sessions with a licensed occupational therapist over 16 weeks to evaluate the feasibility, fidelity, and limited efficacy within self-care skill development and caregiver self-efficacy. Pre-posttest results identified foundational feasibility elements in acceptability, practicality, and limited efficacy for the C-MOT intervention. Future projects should examine these elements in a replication study of adequate statistical power. Our results for the fidelity of intervention delivery and receipt execution are promising. However, future projects should continue to refine and define the unique, essential, and prohibited elements of the C-MOT intervention.
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PhD