A randomised controlled trial of a web-based multi-modal therapy program to improve executive functioning in children and adolescents with acquired brain injury
Article
Article Title | A randomised controlled trial of a web-based multi-modal therapy program to improve executive functioning in children and adolescents with acquired brain injury |
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ERA Journal ID | 15943 |
Article Category | Article |
Authors | Piovesana, Adina (Author), Ross, Stephanie (Author), Lloyd, Owen (Author), Whittingham, Koa (Author), Ziviani, Jenny (Author), Ware, Robert S. (Author), McKinlay, Lynne (Author) and Boyd, Roslyn N. (Author) |
Journal Title | Clinical Rehabilitation |
Journal Citation | 31 (10), pp. 1351-1363 |
Number of Pages | 13 |
Year | 2017 |
Place of Publication | United Kingdom |
ISSN | 0269-2155 |
1477-0873 | |
Digital Object Identifier (DOI) | https://doi.org/10.1177/0269215517695373 |
Web Address (URL) | https://journals.sagepub.com/doi/10.1177/0269215517695373 |
Abstract | Objective: To examine the efficacy of a multi-modal web-based therapy program, Move it to improve it (Mitii™) delivered at home to improve Executive Functioning (EF) in children with an acquired brain injury (ABI). Design: Randomised Waitlist controlled trial. Setting: Home environment. Participants: Sixty children with an ABI were matched in pairs by age and intelligence quotient then randomised to either 20-weeks of Mitii™ training or 20 weeks of Care As Usual (waitlist control; n=30; 17 males; mean age=11y, 11m (±2y, 6m); Full Scale IQ=76.24±17.84). Fifty-eight children completed baseline assessments (32 males; mean age=11.87±2.47; Full Scale IQ=75.21±16.76). Main Measures: Executive functioning was assessed on four domains: attentional control, cognitive flexibility, goal setting, and information processing using subtests from the Wechsler Intelligence Scale for Children (WISC-IV), Delis-Kaplan Executive Functioning System (D-KEFS), Comprehensive Trail Making Test (CTMT), Tower of London (TOL), and Test of Everyday Attention for Children (Tea-Ch). Executive functioning performance in everyday life was assessed via parent questionnaire (Behaviour Rating Inventory of Executive Functioning; BRIEF). Results: No differences were observed at baseline measures. Groups were compared at 20-weeks using linear regression with no significant differences found between groups on all measures of EF. Out of a potential total dose of 60 hours, children in the Mitii™ group completed a mean of 17 hours of Mitii™ intervention. Conclusion: Results indicate no additional benefit to receiving Mitii™ compared to standard care. Mitii™, in its current form, was not shown to improve EF in children with ABI. |
Keywords | executive functioning; acquired brain injury; intervention; RCT; children and adolescents |
ANZSRC Field of Research 2020 | 420199. Allied health and rehabilitation science not elsewhere classified |
529999. Other psychology not elsewhere classified | |
520199. Applied and developmental psychology not elsewhere classified | |
321399. Paediatrics not elsewhere classified | |
520299. Biological psychology not elsewhere classified | |
520399. Clinical and health psychology not elsewhere classified | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | University of Queensland |
Department of Health, Queensland | |
Griffith University | |
Institution of Origin | University of Southern Queensland |
Funding source | NHMRC Grant ID 1105038 |
Funding source | NHMRC Grant ID 631712 |
Funding source | Grant ID 2011-210 |
Funding source | Grant ID FR2012/0796 |
https://research.usq.edu.au/item/q42qy/a-randomised-controlled-trial-of-a-web-based-multi-modal-therapy-program-to-improve-executive-functioning-in-children-and-adolescents-with-acquired-brain-injury
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