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CTRI Number  CTRI/2025/07/090653 [Registered on: 10/07/2025] Trial Registered Prospectively
Last Modified On: 10/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [OCCUPATIONAL THERAPY]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   "Using Picture Activities Helps Children with Intellectual Disabilities in Daily Life and Well-Being." 
Scientific Title of Study   EFFECTIVENESS OF VISUAL SEQUENCING ACTIVITIES ON OCCUPATIONAL PERFORMANCE AND QUALITY OF LIFE AMONG CHILDREN WITH INTELLECTUAL DISABILITY 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Selvendhiran S 
Designation  PG Student 
Affiliation  Chettinad Academy of Research and Education (Deemed to be University) 
Address  OT- Pediatric Division, Ward No: 24, Department of Occupational Therapy, Chettinad General hospital, Chettinad Health City, Rajiv Gandhi Salai, Kelambakkam, TN .

Kancheepuram
TAMIL NADU
603103
India 
Phone  9080337123  
Fax    
Email  selvendhiransenthil1719@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Bhuvaneshwari S 
Designation  Assistant Professor 
Affiliation  Chettinad Academy of Research and Education (Deemed to be University) 
Address  OT- Pediatric Division, Ward No: 24, Department of Occupational Therapy, Chettinad General Hospital, Chettinad Health City. Rajiv Gandhi Salai, Kelambakkam, TN.

Kancheepuram
TAMIL NADU
603103
India 
Phone  9840016032  
Fax    
Email  bhuvaneshwaris@care.edu.in  
 
Details of Contact Person
Public Query
 
Name  Selvendhiran S 
Designation  PG Student 
Affiliation  Chettinad Academy of Research and Education (Deemed to be University) 
Address  OT- Pediatric Division, Ward No: 24, Department of Occupational Therapy, Chettinad General Hospital, Chettinad Health City, Rajiv Gandhi Salai, Kelambakkam, TN.

Kancheepuram
TAMIL NADU
603103
India 
Phone  9080337123  
Fax    
Email  selvendhiransenthil1419@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Selvendhiran S 
Address  Chettinad Health City Rajiv Gandhi Salai (OMR) Kelambakkam, TN 603103 
Type of Sponsor  Other [ SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Selvendhiran S  Chettinad General Hospital  OT - Pediatric Division, Ward No:24, Department of Occupational Therapy, Chettinad General Hospital, Chettinad Health City, Rajiv Gandhi Salai, Kelambakkam, TN.
Kancheepuram
TAMIL NADU 
9080337123

selvendhiransenthil1719@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Chettinad Academy of Research and Education (Deemed to be University) Institutional Human Ethics Comittee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F70||Mild intellectual disabilities,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Visual Sequencing Activities  Intervention protocols: Name: Visual Sequencing Activities Program Duration: 6–8 weeks Frequency: 2 sessions per week Session Length: 45 - 60 minutes Facilitator: Paediatric occupational therapist Format: One-on-one therapy sessions Materials Used: Visual schedules (picture cards, task strips) Sequence charts (step-by-step activity boards) Real-life objects for daily living tasks  
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1)Borderline and Mild Intellectual disability children were included.
2)Children aged between 7 to 12 years were included. 3)Written consent by one parent indicating their
agreement to participate in the study.  
 
ExclusionCriteria 
Details  1)Children with severe visual impairment, orthopedic problems with upper limb and speech communication disorder were excluded.
2)Children with other psychiatric problems.
3)Children with medical disorder affecting movements were excluded.  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Canadian Occupational Performance Measure (COPM)
2. Pediatric Quality of Life (PQoL)
 
2 months(8- Weeks) 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is a randomized, parallel-group, active-control trial conducted over eight weeks at Chettinad Hospital and Research Institute. Participants are randomized to receive structured visual sequencing activities (intervention group) . The primary outcome measures are:

  • Occupational performance, assessed using the Canadian Occupational Performance Measure (COPM)

  • Quality of life assessed using the Pediatric Quality of Life Inventory (PedsQL)

Both outcomes will be evaluated at baseline (pre-test) and at the end of the intervention (post-test) to determine the intervention’s impact.

 
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