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
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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
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