Efficacy of participation-focused therapy on performance of physical activity participation goals and habitual physical activity in children with cerebral palsy: a randomized controlled trial
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Efficacy of participation-focused therapy on performance.pdf. Available under License Creative Commons Attribution Non-commercial No Derivatives 2.5. |
Description
<p>Objective: To determine the efficacy of a participation-focused therapy (ParticiPAte CP) on leisure-time physical activity goal performance and satisfaction and habitual physical activity (HPA) in children with CP. Design: Randomized waitlist-controlled trial. Setting: Home and community. Participants: Children classified at Gross Motor Function Classification System (GMFCS) levels I-III were recruited (n=37; 18 males; mean age ± SD, 10.0±1.4y) from a population-based register. Interventions: Participants were randomized to ParticiPAte CP (an 8-wk goal-directed, individualized, participation-focused therapy delivered by a physical therapist) or waitlist usual care. Main Outcome Measures: The primary outcome was Canadian Occupational Performance Measure. Accelerometers were worn for objective measurement of HPA (min/d moderate-to-vigorous physical activity [MVPA], sedentary time). Barriers to participation, community participation, and quality-of-life outcomes were also collected. Data were analyzed by intention-to-treat using generalized estimating equations. Results: ParticiPAte CP led to significant improvements in goal performance (mean difference [MD]=3.58; 95% confidence interval [95% CI], 2.19-4.97; P<.001), satisfaction (MD=1.87; 95% CI, 0.37-3.36, P=.014), and barriers to participation (MD=26.39; 95% CI, 6.13-46.67; P=.011) compared with usual care at 8 weeks. There were no between-group differences on minutes per day of MVPA at 8 weeks (MD=1.17; 95% CI, −13.27 to 15.61; P=.874). There was a significant difference in response to intervention between participants who were versus were not meeting HPA guidelines at baseline (MD=15.85; 95% CI, 3.80-27.89; P<.0061). After ParticiPAte CP, low active participants had increased average MVPA by 5.98±12.16 minutes per day. Conclusion: ParticiPAte CP was effective at increasing perceived performance of leisure-time physical activity goals in children with CP GMFCS I-III by reducing modifiable barriers to participation. This did not translate into change in HPA on average; however, low active children may have a clinically meaningful response.</p>
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ID Code: | 123757 | ||
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Item Type: | Contribution to Journal (Journal Article) | ||
Refereed: | Yes | ||
ORCID iD: |
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Measurements or Duration: | 11 pages | ||
Keywords: | Cerebral palsy, Leisure, Physical activity, Randomized controlled trial, Rehabilitation | ||
DOI: | 10.1016/j.apmr.2018.11.012 | ||
ISSN: | 0003-9993 | ||
Pure ID: | 33439458 | ||
Divisions: | Past > QUT Faculties & Divisions > Faculty of Health Past > Institutes > Institute of Health and Biomedical Innovation Current > Research Centres > Centre for Children's Health Research (CCHR) |
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Funding Information: | Supported by the Research Foundation, Cerebral Palsy Alliance (grant no. PG 3915), an Australian Government Research Training Program Scholarship (S.E.R.), Merchant Charitable Foundation via the Children's Hospital Foundation (donation ID: 10415), National Health and Medical Research Council of Australia (NHMRC) early career fellowship (L.S. 1090828), and NHMRC research fellowship (R.N.B. 1105038). Supported by the Research Foundation, Cerebral Palsy Alliance (grant no. PG 3915), an Australian Government Research Training Program Scholarship (S.E.R.), Merchant Charitable Foundation via the Children's Hospital Foundation (donation ID: 10415), National Health and Medical Research Council of Australia (NHMRC) early career fellowship (L.S. 1090828), and NHMRC research fellowship (R.N.B. 1105038). We thank Robert Ware, PhD, BSc (biostatistics), for statistical advice. Supported by the Research Foundation, Cerebral Palsy Alliance (grant no. PG 3915), an Australian Government Research Training Program Scholarship (S.E.R.), Merchant Charitable Foundation via the Children's Hospital Foundation (donation ID: 10415), National Health and Medical Research Council of Australia (NHMRC) early career fellowship (L.S. 1090828), and NHMRC research fellowship (R.N.B. 1105038). Supported by the Research Foundation, Cerebral Palsy Alliance (grant no. PG 3915 ), an Australian Government Research Training Program Scholarship (S.E.R.), Merchant Charitable Foundation via the Children’s Hospital Foundation (donation ID: 10415 ), National Health and Medical Research Council of Australia (NHMRC) early career fellowship (L.S. 1090828 ), and NHMRC research fellowship (R.N.B. 1105038 ). Supported by the Research Foundation, Cerebral Palsy Alliance (grant no. PG 3915), an Australian Government Research Training Program Scholarship (S.E.R.), Merchant Charitable Foundation via the Children's Hospital Foundation (donation ID: 10415), National Health and Medical Research Council of Australia (NHMRC) early career fellowship (L.S. 1090828), and NHMRC research fellowship (R.N.B. 1105038). | ||
Copyright Owner: | Consult author(s) regarding copyright matters | ||
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Deposited On: | 13 Dec 2018 05:54 | ||
Last Modified: | 22 Jul 2024 07:47 |
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