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Evaluation of MyTime, an intervention to increase Time-Processing Ability, facilitating everyday functioning in preschool children
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0002-7267-7083
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

We are all placed in and influenced by time and how we adapt to time affects our everyday functioning. Time-related difficulties are common among preschool children, and these challenges become more pronounced in those with cognitive disabilities or special needs due to developmental delay. In Sweden, all preschool children, regardless of cognitive abilities, are included in the same preschools. Children in need of special support (INS) often display delays in Time-Processing Ability (TPA), which impacts their everyday functioning. Even their typically developing peers are not yet mature enough to fully understand and use the information from a clock. Delays in TPA can negatively affect later school adjustment.

The overall aim of this doctoral thesis is to evaluate an intervention to increase Time-Processing Ability facilitating everyday functioning in preschool children in need of special support and typically developing children 5-6 years of age. The thesis includes four studies. Studies I, II, and IV have been published and study III is submitted.

The aim of Study I was to explore the feasibility of the intervention program MyTime in the preschool environment for children in need of special support and typically developing children 5-6 years of age. Study I is a feasibility study in a preschool setting in Dalarna including 20 preschool children (children in need of special support n = 4, typically developing children n = 16) 5-6 years of age and their preschool teachers. The results show that the MyTime intervention program and assessments were feasible with preschool children  in need of special support, typically developing in the preschool environment. Further the study indicated an increase in TPA and everyday functioning.

The aim of Study II was to evaluate if the intervention program MyTime can increase Time-Processing Ability, facilitating everyday functioning in preschool children INS 5-6 years of age. Study II is a randomized controlled study. In total 56 children INS are included in the analysis. The results showed no significant increase in TPA or everyday functioning. A secondary finding was that most of the recruited preschool children in need of special support had a TPA two standard deviations below the norm.

The aim of Study III was to evaluate if the intervention program MyTime can increase TPA, facilitating everyday functioning in typically developing preschool children 5-6 years of age. Study III is a randomized controlled study. In total 73 typically developing children were included. The manuscript is submitted. Preliminary results showed no significant increase in Time-Processing Ability. The secondary outcome measure of everyday functioning showed a significant increase in the scales of daily time management, and in the cognitive and social scale of adaptive behavior.

The aim of Study IV was to explore the experience and the meaning of using MyTime from the perspective of preschool children in need of special support. Study IV is an interview study that included 21 preschool children in need of special support in analysis. The results showed the preschool children´s experiences and expressions that uncovered their meaning of using the MyTime intervention to know and to understand time by doing.

The results from the studies in this thesis will contribute to knowledge about the possibilities of increasing Time-Processing Ability and therefore also everyday functioning. Further, the thesis also contributes to knowledge of how preschool children experience the MyTime intervention. MyTime could be used by professionals e.g. occupational therapists at habilitation centers and preschool teachers to increase the development of TPA and therefore facilitate everyday functioning, affecting their academic achievement positively in further education.

Place, publisher, year, edition, pages
Mälardalens universitet, 2025.
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 449
Keywords [en]
Child, Preschool, Intervention, Time- Processing Ability, Daily Time Management, Adaptive behavior, Everyday Functioning, RCT
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-73788ISBN: 978-91-7485-730-6 (print)OAI: oai:DiVA.org:mdh-73788DiVA, id: diva2:2008028
Public defence
2025-12-12, Zeta, Mälardalens universitet, Västerås, 10:00 (English)
Opponent
Supervisors
Funder
Stiftelsen Sunnerdahls Handikappfond, -Promobilia foundation, -Available from: 2025-10-24 Created: 2025-10-21 Last updated: 2025-11-21Bibliographically approved
List of papers
1. Feasibility of an intervention to facilitate time and everyday functioning in preschoolers
Open this publication in new window or tab >>Feasibility of an intervention to facilitate time and everyday functioning in preschoolers
2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 4, p. 337-352Article in journal (Refereed) Published
Abstract [en]

Background Children in need of special support (INS) often display delays in time-processing ability (TPA) affecting everyday functioning. Typically developing (TD) children are not yet mature to use the information of a clock.Aim To investigate the feasibility of an intervention program, MyTime, to facilitate TPA and everyday functioning in pre-school children, including the subjective experiences of pre-school staff and the children.Materials and Methods The intervention sample consisted of 20 children: 4 INS and 16 TD. Intervention was given daily in 8 weeks with MyTime in the pre-school environment. Data collection procedures were evaluated and children were assessed for TPA pre- and post intervention. Everyday functioning were assessed by teachers, parents and children. Experiences of the intervention were assessed by a group interview with teachers and a Talking Mats© evaluation with children.Results MyTime worked well in pre-school and indicated an increase in the children’s TPA and everyday functioning. The program was perceived simple to use by teachers and children highlighted the importance to understand the duration of time.Conclusion The program MyTime was found to be feasible in the pre-school environment. Significance: The assessment and program design can be used to investigate intervention effectiveness in a randomised study.

Place, publisher, year, edition, pages
London: Taylor & Francis Group, 2022
Keywords
occupational therapy, early intervention, pre-school children, child, time processing ability, time perception
National Category
Occupational Therapy
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-56177 (URN)10.1080/11038128.2021.1981434 (DOI)000704562400001 ()34618656 (PubMedID)2-s2.0-85116517618 (Scopus ID)
Available from: 2021-10-12 Created: 2021-10-12 Last updated: 2025-10-21Bibliographically approved
2. Intervention in Time Processing Ability and Everyday Functioning for Preschool Children in Need of Special Support: A Randomized Controlled Study
Open this publication in new window or tab >>Intervention in Time Processing Ability and Everyday Functioning for Preschool Children in Need of Special Support: A Randomized Controlled Study
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2024 (English)In: Journal of Occupational Therapy, Schools, & Early Intervention, ISSN 1941-1243, E-ISSN 1941-1251, p. 1-14Article in journal (Refereed) Published
Abstract [en]

Children in need of special support in preschool (INS) often exhibit delayed time processing ability (TPA) which can significantly impact their everyday functioning (EDF).This study evaluates whether the MyTime intervention could improve TPA and EDF in preschool children aged five to six-year INS.A registered randomized controlled trial (ISRCTN85136134) using a waiting-list control group investigated the effectiveness of MyTime, an occupational therapy intervention program given to preschool children INS in their classrooms for 8 weeks. Data collection included KaTid-Child (R) for the assessment of TPA, the Time-Parent scale, the Adaptive Behavior Assessment System, and the Autonomy scale for assessing EDF. To evaluate between-group differences, data were analyzed using linear regression.The results show that both groups improved from baseline to post-intervention in TPA and everyday functioning but at the post-intervention, there were no between-group differences.To summarize, the MyTime intervention, indicated an increase in TPA and EDF but no between-group differences were found. Early cognitive levels of TPA in preschool children INS advocate for a longer intervention period. It is possible that long-term follow-up or additional measuring of the teacher's attitudes and the children's engagement in the preschool context could have yielded other results.

Place, publisher, year, edition, pages
Informa UK Limited, 2024
Keywords
Child, Time Perception, Early Intervention, Rand omized Controlled Trial, Occupational Therapy
National Category
Occupational Therapy
Identifiers
urn:nbn:se:mdh:diva-68519 (URN)10.1080/19411243.2024.2403363 (DOI)001314389200001 ()2-s2.0-85204042174 (Scopus ID)
Available from: 2024-09-27 Created: 2024-09-27 Last updated: 2025-10-28Bibliographically approved
3. The experiences and the meaning of using MyTime in the preschool context from the perspective of children in need of special support, 5–6 years of age
Open this publication in new window or tab >>The experiences and the meaning of using MyTime in the preschool context from the perspective of children in need of special support, 5–6 years of age
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2023 (English)In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 49, no 6, p. 1096-1103Article in journal (Refereed) Published
Abstract [en]

Background

Children in need of special support often display delays in time processing ability, affecting everyday functioning. MyTime is an intervention programme for systematic training of time processing ability. To support preschool children's development of time processing ability and everyday functioning, it is necessary to include their perspectives of the MyTime intervention programme. A previous study shows that MyTime is feasible with children in the preschool setting and shows positive effects on time processing ability for older children in special schools. Yet, there is a lack of knowledge regarding how preschool children experience the intervention programme and how they understand its meaning. The aim of this study was to explore the experiences and the meaning of using MyTime from the perspective of children with informal needs of special support (INS) 5–6 years of age in the preschool context.

Methods

To explore the children's perspectives, video-recorded interviews with 21 children were analysed hermeneutically. To facilitate the interview situation with the children in need of special support, the Talking Mats© was used. Both body and spoken languages were analysed.

Results

The results reveal children as active participants, willing to share their experiences of using the MyTime intervention in the preschool context. The conceptualization of the children's experiences and expressions uncovers their meaning of using the MyTime intervention as to know and to understand time by doing.

Conclusions

When children are given the opportunity to use concrete tools to understand and measure time, they experience themselves as active participants involved and engaged in the intervention. They reveal meaningful experiences to be able to manage time that facilitate their everyday functioning and participation in the preschool context.

Place, publisher, year, edition, pages
Wiley, 2023
National Category
Occupational Therapy
Identifiers
urn:nbn:se:mdh:diva-62324 (URN)10.1111/cch.13121 (DOI)000971759600001 ()37060175 (PubMedID)2-s2.0-85153279805 (Scopus ID)
Funder
Promobilia foundationStiftelsen Sunnerdahls Handikappfond
Available from: 2023-04-25 Created: 2023-04-25 Last updated: 2025-10-28Bibliographically approved

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