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Trial registered on ANZCTR
Registration number
ACTRN12618001651279
Ethics application status
Approved
Date submitted
1/10/2018
Date registered
5/10/2018
Date last updated
5/10/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Cost-effectiveness of Community-Based Rehabilitation (CBR) Programme for Disabled Children: A comparative study between Centre-Based versus Home-Based
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Scientific title
Cost-effectiveness of Community-Based Rehabilitation (CBR) Programme for Disabled Children: A comparative study between Centre-Based versus Home-Based
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Secondary ID [1]
295323
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None
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Universal Trial Number (UTN)
U1111-1221-5476
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Trial acronym
None
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Linked study record
None
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Health condition
Health condition(s) or problem(s) studied:
Disability
309856
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Condition category
Condition code
Public Health
308648
308648
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0
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Other public health
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Health outcomes and health-related quality of life were used to measure the health improvement among disabled children. Also, costing questionnaires were used to estimates costs incurred by parents, caregivers, and provider in managing disabled children in CBR programmes.
The disabled children and their parents and caregivers were involved in this study. Barthel Index assessment form, Developmental Disability Children Global Assessment Scale (DD-CGAS) and Health-Related Quality of Life (EQ-5D-3L:2) were used to assess health outcome of the disabled child and the duration is taken about 30 to 45 minutes per participant. While, for cost estimation, the costing questionnaires emphasized on expenditure for participated in CBR programmes was applied. The duration is taken about 30- 45 minutes per participant.
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Intervention code [1]
312549
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Health outcomes measures were assessed using Barthel Index Score. A comparison between centre-based care and home-based care was carried out.
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Assessment method [1]
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Timepoint [1]
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The assessment was conducted at enrolment for the previous 6 month period
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Primary outcome [2]
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Health outcome also determined using Developmental-disability Children Global Assessment Scale (DD-CGAS).
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Assessment method [2]
307609
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Timepoint [2]
307609
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The assessment was conducted at enrolment.
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Secondary outcome [1]
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The quality of life of disabled children was assessed using E-Q-5-D-3L assessment to determine the quality of life.
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Assessment method [1]
352415
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Timepoint [1]
352415
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This assessment was conducted during enrolment
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Secondary outcome [2]
352416
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The quality of life of disabled children was assessed using Visual Analog Scale from E-Q-5-D-3L form to illustrate the health condition from an imaginary thermometer scale.
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Assessment method [2]
352416
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Timepoint [2]
352416
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This outcome also assessed at enrolment
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Secondary outcome [3]
352418
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Cost estimation for parents and caregivers were collected for 12 months expenses for CBR programme. The costs were from 2014 prices.
The participants costing diary was used to identify all expenditure by parents and caregivers for CBR programmes.
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Assessment method [3]
352418
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Timepoint [3]
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Assessed at enrolment for preceding 12 months
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Secondary outcome [4]
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Costs estimation for provider were collected for 12 months expenses for CBR programme. The costs were from 2014 prices.
The costing data were collected from the administrative record and Activity-Based Costing (ABC) method.
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Assessment method [4]
352430
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Timepoint [4]
352430
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Assessed at enrolment for preceding 12 months
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Secondary outcome [5]
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Costs estimation for societal perspective in managing CBR programme for disabled children in 2014.
The societal cost was calculated from the combination of parents and caregivers costs with provider costs based on step-down costing and Activity-Based Costing (ABC) methods.
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Assessment method [5]
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Timepoint [5]
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The costs were estimated at enrolment for preceding 12 months
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Eligibility
Key inclusion criteria
All disabled children participated in CBR programmes, had registered with the department of social welfare were recruited as a participant to assess the health outcome.
For parents and caregivers who had disabled children that fulfill the inclusion criteria were selected as participants. were Automatically their parents and caregivers were recruited.
Providers were CBR centre selected randomly.
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Minimum age
2
Years
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Maximum age
No limit
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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
Disabled children aged below or over the stated in inclusion criteria will be excluded in the study.
No limit age for parents and caregivers. The exclusion of age was applied to their child.
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Both
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Statistical methods / analysis
A qualitative analysis was done for the data collected. Data were analyzed using Statistical Package for Social Sciences ® (IBM-SPSS) version 20.0. Health outcomes measures and cost estimation were analyzed using chi-square test and Mann Whitney test. Data were illustrated in median (IQR) value. P-values less than 0.05 were considered as statistically significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
2/03/2015
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Date of last participant enrolment
Anticipated
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Actual
4/04/2016
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Date of last data collection
Anticipated
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Actual
1/09/2016
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Sample size
Target
342
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Accrual to date
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Final
297
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Recruitment outside Australia
Country [1]
20885
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Malaysia
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State/province [1]
20885
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Pahang
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Country [2]
20886
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Malaysia
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State/province [2]
20886
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Terengganu
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Country [3]
20887
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Malaysia
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State/province [3]
20887
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Kelantan
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Funding & Sponsors
Funding source category [1]
299912
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Government body
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Name [1]
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Ministry of Education Malaysia
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Address [1]
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No. 2, Menara 2,
Jalan P5/6, Presint 5,
62200 Putrajaya, Malaysia
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Country [1]
299912
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Malaysia
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Primary sponsor type
Individual
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Name
Prof. Dato'. Dr. Syed Mohamed Aljunid Syed Junid
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Address
International Centre for Casemix and Clinical Coding
Faculty of Medicine
Universiti Kebangsaan Malaysia
56000 Cheras
Kuala Lumpur, Malaysia
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Country
Malaysia
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Secondary sponsor category [1]
299280
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None
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Name [1]
299280
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Address [1]
299280
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Country [1]
299280
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300781
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University Kebangsaan Malaysia Ethic Committee
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Ethics committee address [1]
300781
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UKM Medical Centre. Faculty of Medicine. Jalan Yaacob Latif Bandar Tun Razak 56000 Cheras, Kuala Lumpur Malaysia
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Ethics committee country [1]
300781
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Malaysia
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Date submitted for ethics approval [1]
300781
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01/10/2014
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Approval date [1]
300781
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15/01/2015
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Ethics approval number [1]
300781
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FF-2015-004
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Summary
Brief summary
This study was conducted to assess the cost incurred by parents and caregivers for their children participated in the CBR programme. Provider costs also estimated in managing disabled children under CBR programmes offered by the department of social welfare Malaysia. cost-effectiveness of Community-Based Rehabilitation (CBR) programme for disabled children in Malaysia. The societal cost then was estimated from the combination of parents and caregivers cost with provider costs. Finally, the cost-effectiveness analysis was conducted to determine the effective programme for disabled children.
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Trial website
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Trial related presentations / publications
None
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Public notes
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Attachments [1]
3128
3128
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/AnzctrAttachments/375436-FF-2015-004(1)ethic approval ukm-HALIZA.pdf
(Ethics approval)
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Contacts
Principal investigator
Name
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Prof Syed Mohamed Aljunid Syed Junid
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Address
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International Centre for Casemix and Clinical Coding
Faculty of Medicine
Universiti Kebangsaan Malaysia
56000 Cheras
Kuala Lumpur, Malaysia
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Country
84802
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Malaysia
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Phone
84802
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+60126383512
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Fax
84802
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Email
84802
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[email protected]
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Contact person for public queries
Name
84803
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Haliza Hasan
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Address
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International Centre for Casemix and Clinical Coding
Faculty of Medicine
Universiti Kebangsaan Malaysia
56000 Cheras
Kuala Lumpur, Malaysia
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Country
84803
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Malaysia
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Phone
84803
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+60129871404
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Fax
84803
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Email
84803
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[email protected]
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Contact person for scientific queries
Name
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Syed Mohamed Aljunid Syed Junid
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Address
84804
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International Centre for Casemix and Clinical Coding
Faculty of Medicine
Universiti Kebangsaan Malaysia
56000 Cheras
Kuala Lumpur, Malaysia
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Country
84804
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Malaysia
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Phone
84804
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+60126383512
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Fax
84804
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Email
84804
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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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