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Trial registered on ANZCTR
Registration number
ACTRN12607000120471
Ethics application status
Approved
Date submitted
20/10/2006
Date registered
9/02/2007
Date last updated
1/04/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Home Program Effectiveness
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Scientific title
Effectiveness of Occupational Therapy Home Program Intervention for Children with Cerebral Palsy in Reaching Family Goals: A Double Blinded Randomised Controlled Trial
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Secondary ID [1]
288908
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nil known
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Universal Trial Number (UTN)
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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
1719
1719
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0
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Other neurological disorders
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Physical Medicine / Rehabilitation
1720
1720
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0
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Occupational therapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Individualised occupational therapy home programs. Participants are randomised to 2intervention groups. Group 1 receives a home program for 8 weeks. Group 2 receives a home program for 4 weeks. A home program is a list of suggested exercises, environmental modifications and parent teaching strategies provided to the family as a treatment plan aimed at reaching the parent's goals for thier child's health. The parent can self-select how long they carry out the home program for and record this on a log book provided by the investigator. Ealier research shows that families typically choose between 5-40 minutes per day, with a mean of 13 minutes (Novak, Cusick & Lowe, 2005).
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Intervention code [1]
1416
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Rehabilitation
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Comparator / control treatment
Group 3 is a control group and does not receive any intervention. They will be provided with a home program at the end of the 8 weeks of 'control period' so as to maintain their blinded allocation.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Performance and satisifaction scores on the Canadian Occuptional Performance Measure
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Assessment method [1]
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Timepoint [1]
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Baseline, 4 weeks and 8 weeks
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Secondary outcome [1]
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Goal achievement as measured on the Goal Attainment Scale
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Assessment method [1]
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Timepoint [1]
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Baseline, 4 weeks, and 8 Weeks
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Secondary outcome [2]
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Participation as measured on the Children's Assessment of Participation and Enjoyment
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Assessment method [2]
4152
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Timepoint [2]
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Baseline, 4 weeks, and 8 Weeks
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Secondary outcome [3]
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Upper limb quality of movement as measured on the Quality of Upper Extremity SKills Test.
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Assessment method [3]
4153
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Timepoint [3]
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Baseline, 4 weeks, and 8 Weeks
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Eligibility
Key inclusion criteria
1. Children with cerebral palsy, who are attending school from Kindergarten to Year Six, i.e. infants and primary school age. 2. Consent to participate given by parent or ‘person responsible’Child is on a waiting list for occupational therapy at The Spastic Centre of NSW, not involved in active therapy provision. 3. At time of study enrolment, the child is not currently receiving occupational therapy from any other service provider 4. Children who have greater than 4-week wait until they will receive an occupational therapy service from The Spastic Centre of NSW6. Children where the parent has some concern about the child’s arm use.
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Minimum age
5
Months
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Maximum age
12
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
1. Consent not given by parent or ‘person responsible’2. Children waiting for Spastic Centre occupational therapy services that do not require or request an intervention program but rather require solely professional documentation or specialist equipment prescription, such as: letter of support for teaching assistant time in the classroom; letter of support for adaptive equipment funding; prescription of a new wheelchair or assistive technology3. Children who are receiving regular occupational therapy services from another service provider whilst they are on The Spastic Centre of NSW waiting list.
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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)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random order generation (sequence generation) using block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
The Participants are blind and the evaluators are blind
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/10/2006
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Actual
8/02/2007
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Date of last participant enrolment
Anticipated
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Actual
24/07/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
36
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Accrual to date
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Final
36
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Cerebral Palsy Institute
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Address [1]
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PO Box 184
Brookvale NSW 2100
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Country [1]
1867
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Australia
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Primary sponsor type
Other
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Name
Cerebral Palsy Institute
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Address
Sydney NSW
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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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N/A
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Address [1]
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N/A
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Spastic Centre HREC-University of Western Sydney
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Ethics committee address [1]
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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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Approval date [1]
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15/03/2006
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Ethics approval number [1]
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EC00402
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Summary
Brief summary
Children with cerebral palsy benefit from therapy that is goal-directed in their daily activities and environment. It is hypothesised that their parent’s contribution via home exercise programming is also important for goal achievement. This hypothesis has not been tested in a randomised controlled trial, the appropriate research design for studying intervention effectiveness. Benefits of home programs have been shown in my earlier Masters pilot study, which lacked a controlled comparison group. When measuring children, any improvements observed may be due to maturation and therefore a control group is the preferable design. This study will address this gap
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Trial website
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Trial related presentations / publications
Novak, I., Cusick, A & Lannin, N. (2009). "Occupational Therapy Home Programs for Cerebral Palsy: Double-Blind, Randomized, Controlled Trial", Pediatrics, 124(4), e606-e614
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Public notes
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Contacts
Principal investigator
Name
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Prof Iona Novak
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Address
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Cerebral Palsy Alliance
PO Box 6427 Frenchs Forest 2086
NSW
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Country
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Australia
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Phone
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0409078917
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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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Iona Novak
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Address
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Cerebral Palsy Alliance
PO Box 6427 Frenchs Forest 2086
NSW
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Country
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Australia
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Phone
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0409078917
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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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Iona Novak
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Address
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Cerebral Palsy Alliance
PO Box 6427 Frenchs Forest 2086
NSW
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Country
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Australia
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Phone
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+61409078917
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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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