Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an acquired brain injury (ABI)

Article


Boyd, Roslyn B, Baque, Emmah, Piovesana, Adina, Ross, Stephanie, Ziviani, Jenny, Sakzewski, Leanne, Barber, Lee, Lloyd, Owen, McKinlay, Lynne, Whittingham, Koa, Smith, Anthony C., Rose, Stephen, Fiori, Simona, Cunnington, Ross, Ware, Robert, Lewis, Melinda, Comans, Tracy A. and Scuffham, Paul. A. 2015. "Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an acquired brain injury (ABI)." BMC Neurology. 15 (140). https://doi.org/10.1186/s12883-015-0381-6
Article Title

Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an acquired brain injury (ABI)

ERA Journal ID40064
Article CategoryArticle
AuthorsBoyd, Roslyn B (Author), Baque, Emmah (Author), Piovesana, Adina (Author), Ross, Stephanie (Author), Ziviani, Jenny (Author), Sakzewski, Leanne (Author), Barber, Lee (Author), Lloyd, Owen (Author), McKinlay, Lynne (Author), Whittingham, Koa (Author), Smith, Anthony C. (Author), Rose, Stephen (Author), Fiori, Simona (Author), Cunnington, Ross (Author), Ware, Robert (Author), Lewis, Melinda (Author), Comans, Tracy A. (Author) and Scuffham, Paul. A (Author)
Journal TitleBMC Neurology
Journal Citation15 (140)
Number of Pages29
Year2015
Place of PublicationUnited Kingdom
ISSN1471-2377
Digital Object Identifier (DOI)https://doi.org/10.1186/s12883-015-0381-6
Web Address (URL)http://bmcneurol.biomedcentral.com/articles/10.1186/s12883-015-0381-6
Abstract

Background: Acquired brain injury (ABI) refers to multiple disabilities arising from damage to the brain acquired after birth. Children with an ABI may experience physical, cognitive, social and emotional-behavioural impairments which can impact their ability to participate in activities of daily living (ADL). Recent developments in technology have led to the emergence of internet-delivered therapy programs. 'Move it to improve it' (Mitii™) is a web-based multi-modal therapy that comprises upper limb (UL) and cognitive training within the context of meaningful physical activity. The proposed study aims to compare the efficacy of Mitii™ to usual care to improve ADL motor and processing skills, gross motor capacity, UL and executive functioning in a randomised waitlist controlled trial.

Methods/Design: Sixty independently ambulant children (30 in each group) at least 12 months post ABI will be recruited to participate in this trial. Children will be matched in pairs at baseline and randomly allocated to receive either 20 weeks of Mitii™ training (30 min per day, six days a week, with a potential total dose of 60 h) immediately, or be waitlisted for 20 weeks. Outcomes will be assessed at baseline, immediately post-intervention and at 20 weeks post-intervention. The primary outcomes will be the Assessment of Motor and Process Skills and 30 s repetition maximum of functional strength exercises (sit-to-stand, step-ups and half kneel to stand). Measures of body structure and functions, activity, participation and quality of life will assess the efficacy of Mitii™ across all domains of the International Classification of Functioning, Disability and Health framework. A subset of children will undertake three tesla (3T) magnetic resonance imaging scans to evaluate functional neurovascular changes, structural imaging, diffusion imaging and resting state functional connectivity before and after intervention.

Discussion: Mitii™ provides an alternative approach to deliver intensive therapy for children with an ABI in the convenience of the home environment. If Mitii™ is found to be effective, it may offer an accessible and inexpensive intervention option to increase therapy dose.

Keywordsacquired brain injury, children, physical activity, virtual reality, motor processing, protocol, executiveFunction, Randomised Controlled Trial
ANZSRC Field of Research 2020529999. Other psychology not elsewhere classified
Byline AffiliationsUniversity of Queensland
Department of Health, Queensland
Scientific Institute for Research Hospitalization and Health Care (IRCCS), Italy
Griffith University
Institution of OriginUniversity of Southern Queensland
Funding source
Grant ID
FR2012/0796
Funding source
NHMRC
Grant ID
1070623
Funding source
NHMRC
Grant ID
1036183
Funding source
NHMRC
Grant ID
1037220
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