Effects of TOT on Performance, Independence and Fatigue in Children With Cancer

Hacettepe University

Status: Completed

Conditions: Performance; Functional Independence; Childhood Cancer; Fatigue

Treatments: Other: conventional occupational therapy (COT); Other: task-oriented training (TOT)

Study type: Interventional

Funder types: Other

Identifiers

NCT04405531

KCTOT

Details and patient eligibility

About

This study aims to explore the effects of Task-Oriented Training (TOT) on occupational performance, activities of daily living and fatigue of children in pediatric oncology clinic.

Hypothesis: There is no effect of TOT on occupational performance and satisfaction in children with childhood cancer. There is no effect of TOT on functional independence in daily living activities in children with childhood cancer. There is no effect of TOT on fatigue levels in children with childhood cancer.

Enrollment: 213 patients

Sex: All

Ages: 6 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• being between 6 and 14 years of age;
• receiving inpatient chemotherapy sessions;
• having taken scores higher than 28, 30 and 35 in the mini-mental state exam devised for children of ages 6-8, 9-11 and 12-14, respectively.

Exclusion criteria

• their disease had recurred, or they were in palliative care;
• they or their parents were not fluent speakers of the Turkish language;
• they were unwilling to take part in the programs.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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213 participants in 2 patient groups

task-oriented training(TOT)

Experimental group

Description:

The first phase of the TOT, functional activity analysis, was performed for the activities, for which performance problem was determined by Canadian Occupational Performance Measure (COPM) and Functional Independence Measure for Children (WeeFIM). In the second phase, the occupational performance, fatigue and functional independence levels that prevent the realization of the activity were determined by functional activity analysis. These designated occupational performance, fatigue and functional independence levels constitute the task of this study, as we aim to improve children's functionality. In the third phase, various functional activities including these tasks were executed. The TOT was practiced by following the above mentioned steps for each performance area. All the activities were designed for the inpatient settings of children.

Treatment:

Other: task-oriented training (TOT)

Other: conventional occupational therapy (COT)

conventional occupational therapy (COT)

Experimental group

Description:

The treatment efficacy determined by the therapist was provided by considering the functional level in order to achieve the desired goal by the participant. The COT included functional activities based on the client-centered principles of the neuro-developmental approach. All the sessions started with relaxation training combined with breathing exercises. At the end of approximately 10 minutes of application time, individualized functional activities were implemented.

Treatment:

Other: conventional occupational therapy (COT)