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Trial registered on ANZCTR
Registration number
ACTRN12614001026617
Ethics application status
Approved
Date submitted
14/07/2014
Date registered
24/09/2014
Date last updated
22/08/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
A play-based intervention to improve the social play outcomes of children with Cerebral Palsy: A pairwise randomised controlled trial
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Scientific title
Improving the social play outcomes of children with Cerebral Palsy (CP) using a play-based intervention by comparing children with CP in the experimental group with children with CP in the wait-listed group.
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Secondary ID [1]
284975
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Nil
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Universal Trial Number (UTN)
U1111-1159-2833
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cerebral Palsy
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Condition category
Condition code
Neurological
292789
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention involves a peer-peer play-based intervention involving self-, therapist, and peer modelling. All intervention sessions will be video-recorded to facilitate self-modelling. The researcher will begin each clinic session by showing the children video footage of themselves playing from the previous week. During the self-modelling, children will observe and reflect on edited video footage of their social play from the previous week. The researcher will use video feedback techniques by discussing the segments of their past play performance. The researcher will then use video feed-forward techniques by facilitating a problem-solving discussion with the children, helping them to develop strategies to pre-empt the changes required for future social skill development to occur. To conclude, the researcher will present the children with three key summary points to remember and pre-empt as they enter the playroom. The parent/caregiver will observe these sessions through use of a computer monitor in an adjoining room. The researcher will discuss the techniques they used with the caregiver to ensure skills transfer. The duration between treatments for the treatment and control group is 3 months. The intervention involves a clinic component which includes 1x1 hour session per week for 10 weeks and a home component which involves 1x1 hour session per week for 10 weeks.
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Intervention code [1]
289803
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Treatment: Other
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Comparator / control treatment
Randomized pairwise wait-listed control group. The children will be allocated to either a control or intervention group through pair-wise randomisation after they enter the program. To minimise bias, randomisation will be concealed from the investigator. A person not involved in the study will hand the researcher an envelope determining group membership; the concealed envelope will be given to the family at the end of the baseline assessment to find out their group membership. The group membership will have been unknown to both participants and the researcher until this point. The control group will be offered the intervention after a 3 month waiting period. The will receive standard care during the intervention period.
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Control group
Active
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Outcomes
Primary outcome [1]
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Social play skills. Social play skills will be assessed using the Test of Playfulness (Bundy, 2004).
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Assessment method [1]
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Timepoint [1]
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10 weeks
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Secondary outcome [1]
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Pragmatic language. Pragmatic language will be assessed using the Pragmatic Observational Measure (POM; Cordier, 2014).
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Assessment method [1]
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Timepoint [1]
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10 weeks
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Eligibility
Key inclusion criteria
Unilateral Cerebral Palsy
The typically developing playmates constitute healthy volunteers in this study.
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Minimum age
5
Years
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Maximum age
11
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Intellectual disability
Other types of CP
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The crossover of the paired waitlisted control will be immediately after the experimental paired child completed their 10 week intervention. To minimise bias, randomisation will be concealed from the investigator. A person not involved in the study will hand the researcher an envelope determining group membership; the concealed envelope will be given to the family at the end of the baseline assessment to find out their group membership.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Comparing between group differences using linear mixed modelling analysis. Based on a Cohen’s d of 0.8, given an a-value of 0.05 and a 1-Beta of 0.8, 24 children with UCP in each group (n= 48) will be required in order to generate sufficient power of the study.
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
15/10/2014
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Actual
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Date of last participant enrolment
Anticipated
30/06/2016
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment postcode(s) [1]
8444
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6000 - Perth
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Curtin University
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Address [1]
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GPO Box U1987
School of Occupational Therapy and Social Work
Perth
WA
6845
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Curtin University
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Address
Curtin University
GPO Box U1987
School of Occupational Social Work
Perth
WA
6845
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
288279
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Country [1]
288279
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Curtin University Human Ethics Research Committee
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Ethics committee address [1]
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GPO Box U1987 Perth WA 6845
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/07/2014
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Approval date [1]
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12/08/2014
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Ethics approval number [1]
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HR 167/2014
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Summary
Brief summary
Children with cerebral palsy (CP) have a number of limitations that contribute to social play and pragmatic language restrictions. Effective social play skills and pragmatic language are necessary for psychosocial development. Well developed social emotional skills and good quality relationships are protective factors that promote resilience and quality of life. The aim of this study is to evaluate the effectiveness of a peer-to-peer play based intervention to improve social play skills and pragmatic language in children with unilateral (i.e. affecting one side of the body) CP. It is expected that following the intervention children with UCP will have improved social play and communication skills and improved ability to establish and maintain friendships. Findings from this study will be directly translated into clinical practice.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Reinie Cordier
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Address
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Curtin University
GPO Box U1987
Perth
WA
6845
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Country
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Australia
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Phone
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+61404115786
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Reinie Cordier
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Address
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Curtin University
GPO Box U1987
Perth
WA
6845
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Country
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Australia
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Phone
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+61404115786
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Reinie Cordier
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Address
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Curtin University
GPO Box U1987
Perth
WA
6845
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Country
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Australia
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Phone
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+61404115786
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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