Randomized controlled trial of a web-based multi-modal therapy program for executive functioning in children and adolescents with unilateral cerebral palsy

Article


Piovesana, Adina M., Ross, Stephanie, Lloyd, Owen, Whittingham, Koa, Ziviani, Jenny, Ware, Robert S. and Boyd, Roslyn N.. 2017. "Randomized controlled trial of a web-based multi-modal therapy program for executive functioning in children and adolescents with unilateral cerebral palsy." Disability and Rehabilitation. 39 (20), pp. 2021-2028. https://doi.org/10.1080/09638288.2016.1213899
Article Title

Randomized controlled trial of a web-based multi-modal therapy program for executive functioning in children and adolescents with unilateral cerebral palsy

ERA Journal ID16035
Article CategoryArticle
AuthorsPiovesana, Adina M. (Author), Ross, Stephanie (Author), Lloyd, Owen (Author), Whittingham, Koa (Author), Ziviani, Jenny (Author), Ware, Robert S. (Author) and Boyd, Roslyn N. (Author)
Journal TitleDisability and Rehabilitation
Journal Citation39 (20), pp. 2021-2028
Number of Pages8
Year2017
PublisherTaylor & Francis
Place of PublicationUnited Kingdom
ISSN0963-8288
1464-5165
Digital Object Identifier (DOI)https://doi.org/10.1080/09638288.2016.1213899
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/09638288.2016.1213899
Abstract

Purpose state: Determine the efficacy of Move-it-to-improve-it (Mitii™), a multi-modal web-based program, in improving Executive Function (EF) in children with unilateral cerebral palsy (UCP).

Method: Participants (n=102) were matched in pairs then randomised to: intervention (Mitii™ for 20 weeks; n=51; 26 males; mean age=11 years 8 months (SD=2y4m); Full Scale IQ=84.65 (SD=15.19); 28 left UCP; GMFCS-E&R (I=20, II=31) or waitlist control (n=50; 25 males; mean age=11y10m (SD=2y5m); Full Scale IQ=80.75 (SD=19.81); 20 left UCP; GMFCS-E&R (I=25, II=25). Mitii™ targeted working memory (WM), visual processing (VP), upper limb co-ordination and physical activity. EF capacity was assessed: attentional control (DSB; WISC-IV); cognitive flexibility (inhibition and number-letter sequencing DKEFS); goal setting (D-KEFs Tower Test); and information processing (WISC-IV Symbol Search and Coding). EF performance was assessed via parent report (BRIEF). Groups were compared at 20 weeks using linear regression (SPSS 21).

Results: There were no significant between group differences in attentional control (DSB; p=0.20;CI=-0.40,1.87); cognitive flexibility (Inhibition, p=0.34;CI=-0.73,2.11; number/letter sequencing, p=0.17; CI=-0.55,2.94); problem solving (Tower; p=0.28; CI=-0.61,2.09), information processing (Symbol; p=0.08; CI=-0.16, 2.75; Coding; p=0.07; CI=-0.12,2.52) or EF performance (p=0.13; CI=-10.04,1.38).

Conclusion: In a large RCT, Mitii TM did not lead to significant improvements on measures of EF or parent ratings of EF performance in children with UCP.

Keywordsexecutive functioning; cerebral palsy; intervention; randomised control trial; children and adolescents
ANZSRC Field of Research 2020529999. Other psychology not elsewhere classified
520203. Cognitive neuroscience
320699. Medical biotechnology not elsewhere classified
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsUniversity of Queensland
Department of Health, Queensland
Institution of OriginUniversity of Southern Queensland
Funding source
NHMRC
Grant ID
1105038
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