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


Piovesana, Adina, Ross, Stephanie, Lloyd, Owen, Whittingham, Koa, Ziviani, Jenny, Ware, Robert S., McKinlay, Lynne and Boyd, Roslyn N.. 2017. "A randomised controlled trial of a web-based multi-modal therapy program to improve executive functioning in children and adolescents with acquired brain injury." Clinical Rehabilitation. 31 (10), pp. 1351-1363. https://doi.org/10.1177/0269215517695373
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

ERA Journal ID15943
Article CategoryArticle
AuthorsPiovesana, 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 TitleClinical Rehabilitation
Journal Citation31 (10), pp. 1351-1363
Number of Pages13
Year2017
Place of PublicationUnited Kingdom
ISSN0269-2155
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.

Keywordsexecutive functioning; acquired brain injury; intervention; RCT; children and adolescents
ANZSRC Field of Research 2020420199. 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 AffiliationsUniversity of Queensland
Department of Health, Queensland
Griffith University
Institution of OriginUniversity 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
Permalink -

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

  • 966
    total views
  • 10
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Safety and efficacy of midline catheters versus peripheral intravenous catheters: A pilot randomized controlled trial
Marsh, Nicole, Larsen, Emily N., O'Brien, Catherine, Ware, Robert S., Kleidon, Tricia M., Groom, Peter, Hewer, Barbara, Alexandrou, Evan, Flynn, Julie, Woollett, Kaylene and Rickard, Claire M.. 2022. "Safety and efficacy of midline catheters versus peripheral intravenous catheters: A pilot randomized controlled trial." International Journal of Nursing Practice. 29 (2), pp. 1-11. https://doi.org/10.1111/ijn.13110
FAST CBT for pediatric OCD: A multiple-baseline controlled pilot trial of parent training in exposure and response prevention delivered via telehealth
Farrell, Lara J., de Diaz, Natalja A. Nabinger, Mathieu, Sharna, McKenzie, Matthew L., Miyamoto, Taka, Donovan, Caroline L., Waters, Allison M., March, Sonja, Bothma, Nicole, Kroon, Rianca, Simcock, Gabrielle, Ware, Robert S., Selle, Robert R., Storch, Eric A. and Ollendick, Thomas. 2022. "FAST CBT for pediatric OCD: A multiple-baseline controlled pilot trial of parent training in exposure and response prevention delivered via telehealth." Frontiers in Psychology. 13. https://doi.org/10.3389/fpsyg.2022.1009735
Response to Letter to the Editor: Addressing concerns from a recent randomised controlled trial protocol of two acute burn dressings
Holbert, Maleea D., Griffin, Bronwyn R., Ware, Robert S., Foster, Kelly and Kimble, Roy M.. 2020. "Response to Letter to the Editor: Addressing concerns from a recent randomised controlled trial protocol of two acute burn dressings." Burns. 46 (1), pp. 234-235. https://doi.org/10.1016/j.burns.2019.10.029
Empathy Measurement in Autism
Harrison, J. L., Ireland, M. J., Piovesana, A. M. and Brownlow, C. L.. 2019. "Empathy Measurement in Autism." Asia Pacific Autism Conference 2019 (APAC 2019). Sentosa Island, Singapore 20 - 22 Jun 2019
Randomized controlled trial of a web-based multi-modal therapy program for executive functioning in children and adolescents with unilateral cerebral palsy
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
Empathy Measurement in Autistic and Nonautistic Adults: A COSMIN Systematic Literature Review
Harrison, Jessica L., Brownlow, Charlotte L., Ireland, Michael J. and Piovesana, Adina M.. 2022. "Empathy Measurement in Autistic and Nonautistic Adults: A COSMIN Systematic Literature Review." Assessment. 29 (2), pp. 332-350. https://doi.org/10.1177/1073191120964564
Effectiveness of a hydrogel dressing as an analgesic adjunct to first aid for the treatment of acute paediatric thermal burn injuries: study protocol for a randomised controlled trial
Holbert, Maleea D., Griffin, Bronwyn R., McPhail, Steven M., Ware, Robert S., Foster, Kelly, Bertoni, Demi C. and Kimble, Roy M.. 2019. "Effectiveness of a hydrogel dressing as an analgesic adjunct to first aid for the treatment of acute paediatric thermal burn injuries: study protocol for a randomised controlled trial." Trials. 20 (1), pp. 1-13. https://doi.org/10.1186/s13063-018-3057-x
Legal and ethical issues
Crowley-Cyr, Lynda and Piovesana, Adina. 2018. "Legal and ethical issues." Kring, Ann M., Kyrios, Michael, Fassnacht, Daniel, Lambros, Amanda, Mihaljcic, Tijana and Teesson, Maree (ed.) Abnormal psychology, 1st Australasian ed.. Milton, Qld., Australia. John Wiley & Sons. pp. 684-721
The Development of a Motor-Free Short-Form of the Wechsler Intelligence Scale for Children–Fifth Edition
Piovesana, Adina M., Harrison, Jessica L. and Ducat, Jacob J.. 2019. "The Development of a Motor-Free Short-Form of the Wechsler Intelligence Scale for Children–Fifth Edition." Assessment. 26 (8), pp. 1564 -1572. https://doi.org/10.1177/1073191117748741
How Small Is Big: Sample Size and Skewness
Piovesana, Adina and Senior, Graeme. 2018. "How Small Is Big: Sample Size and Skewness." Assessment. 25 (6), pp. 793-800. https://doi.org/10.1177/1073191116669784
Discrepancy analysis and Australian norms for the Trail Making Test
Senior, Graeme, Piovesana, Adina and Beaumont, Patricia. 2018. "Discrepancy analysis and Australian norms for the Trail Making Test." The Clinical Neuropsychologist. 32 (3), pp. 510-523. https://doi.org/10.1080/13854046.2017.1357756
Stability of executive functioning measures in 8–17-year-old children with unilateral cerebral palsy
Piovesana, Adina M., Ross, Stephanie, Whittingham, Koa, Ware, Robert S. and Boyd, Roslyn N.. 2015. "Stability of executive functioning measures in 8–17-year-old children with unilateral cerebral palsy." The Clinical Neuropsychologist. 29 (1), pp. 133-149. https://doi.org/10.1080/13854046.2014.999125
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)
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
Adult verbal abstract reasoning assessment instruments and their clinimetric properties
Davis, Geoffrey and Piovesana, Adina. 2016. "Adult verbal abstract reasoning assessment instruments and their clinimetric properties." The Clinical Neuropsychologist. 29 (7), pp. 1010-1033. https://doi.org/10.1080/13854046.2015.1119889
Infant feeding knowledge, attitudes,and beliefs predict antenatal intention among first-time mothers in Queensland
Newby, Ruth, Brodribb, Wendy, Ware, Robert and Davies, Peter S. W.. 2014. "Infant feeding knowledge, attitudes,and beliefs predict antenatal intention among first-time mothers in Queensland." Breastfeeding Medicine. 9 (5), pp. 266-272. https://doi.org/10.1089/bfm.2014.0012
An investigation of skewness, sample size, and test standardisation
Piovesana, Adina M.. 2014. An investigation of skewness, sample size, and test standardisation. PhD Thesis Doctor of Philosophy. University of Southern Queensland.