BOT, MSc, Doctoral Student,
Dept. of Occupational Therapy Faculty of Social Welfare & Health
Sciences, University of Haifa, Israel.
Occupational Therapist and Manager "MAFTEAH" Therapy Center, Karnei Shomron. Coordinator of Occupational Therapy students and Lecturer Department of Occupational Therapy, University of Haifa.
Developing and Evaluating a Meta Cognitive Intervention Among Adolescents With Neuro Development Disabilities
Adolescents with complex neurodevelopmental disabilities display functional difficulties in all performance areas (daily functions, learning, playing, leisure activities, and social participation). These problems hinder their ability to perform and participate effectively in everyday life. These adolescents are in danger of dropping out, being involved in criminal activity and tend towards other nonadaptive behaviors. There is currently no recognized occupational therapy model for intervention for this population. Adolescents have different needs to those of younger children, and the literature is sparse and refers mainly to academic difficulties. The aim of the current study is to develop a model for evaluation and intervention, and to evaluate its effectiveness among adolescents with neurodevelopmental disorders. The model will take into account the environmental requirements, the person–teenager and his pertinent issues, this in accordance with the ICF-CY World Health Organization definitions, the occupational model and dynamic metacognitive models. The model will serve as a basis for an individual evaluation and intervention program that emphasizes the individual's personal strengths and weaknesses in daily functions. It will serve as a guide for an intervention program that will be based upon determining functional goals and their achievement through metacognitive strategies that will allow adolescents optimal participation in their environments. The intervention program developed and investigated based on a "complex intervention" model based on the frame of reference of the Medical Research Council (MRC) (Campbell, Fitzpatrick, Haines, Kinmonth, Sandercock, Spiegelhalter & Tyrer, 2000)
The study will include two major groups:
1. The research group – adolescents with neurodevelopment difficulties (n=40). The group is divided into two:
a. First research group (n=20) - will receive the first intervention after the first evaluation.
b. Second research group (n=20) - will receive the first evaluation, wait 8 weeks (the length of the intervention process), undergo the second evaluation then begin the intervention process.
2. Control Group – typical adolescents (n=40) matched to the research group by age and gender..
Testing the effectiveness of the intervention between the research groups and the control group and within the research group
The variables that will be measured :
The awareness level as reported by the adolescents
Executive functions as they are reflected by the adolescent's performance and by his parents.
Performance of daily activities as they are reflected by the adolescent.
Participation level as reported by the adolescent and his parents.