Randomized controlled trial of a web-based multimodal therapy program for executive functioning in children and adolescents with unilateral cerebral palsy

Piovesana, Adina M. and Ross, Stephanie and Lloyd, Owen and Whittingham, Koa and Ziviani, Jenny and Ware, Robert S. and Boyd, Roslyn N. (2017) Randomized controlled trial of a web-based multimodal therapy program for executive functioning in children and adolescents with unilateral cerebral palsy. Disability and Rehabilitation, 39 (20). pp. 2021-2028. ISSN 0963-8288

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Abstract

Purpose state: Determine the efficacy of Move-it-to-improve-it (Mitii™), a multi-modal web-based program, in improving Executive Function (EF) in children with unilateral cerebral palsy (UCP).

Method: Participants (n=102) were matched in pairs then randomised to: intervention (Mitii™ for 20 weeks; n=51; 26 males; mean age=11 years 8 months (SD=2y4m); Full Scale IQ=84.65 (SD=15.19); 28 left UCP; GMFCS-E&R (I=20, II=31) or waitlist control (n=50; 25 males; mean age=11y10m (SD=2y5m); Full Scale IQ=80.75 (SD=19.81); 20 left UCP; GMFCS-E&R (I=25, II=25). Mitii™ targeted working memory (WM), visual processing (VP), upper limb co-ordination and physical activity. EF capacity was assessed: attentional control (DSB; WISC-IV); cognitive flexibility (inhibition and number-letter sequencing DKEFS); goal setting (D-KEFs Tower Test); and information processing (WISC-IV Symbol Search and Coding). EF performance was assessed via parent report (BRIEF). Groups were compared at 20 weeks using linear regression (SPSS 21).

Results: There were no significant between group differences in attentional control (DSB; p=0.20;CI=-0.40,1.87); cognitive flexibility (Inhibition, p=0.34;CI=-0.73,2.11; number/letter sequencing, p=0.17; CI=-0.55,2.94); problem solving (Tower; p=0.28; CI=-0.61,2.09), information processing (Symbol; p=0.08; CI=-0.16, 2.75; Coding; p=0.07; CI=-0.12,2.52) or EF performance (p=0.13; CI=-10.04,1.38).

Conclusion: In a large RCT, Mitii TM did not lead to significant improvements on measures of EF or parent ratings of EF performance in children with UCP.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Submitted version deposited in accordance with the copyright policy of the Publisher Published online 24 September 2016. Permanent restricted access to ArticleFirst version in accordance with the copyright policy of the publisher.
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling
Date Deposited: 01 Mar 2017 01:33
Last Modified: 19 Dec 2017 07:31
Uncontrolled Keywords: executive functioning; cerebral palsy; intervention; randomised control trial; children and adolescents
Fields of Research : 17 Psychology and Cognitive Sciences > 1701 Psychology > 170109 Personality, Abilities and Assessment
17 Psychology and Cognitive Sciences > 1702 Cognitive Sciences > 170205 Neurocognitive Patterns and Neural Networks
10 Technology > 1099 Other Technology > 109999 Technology not elsewhere classified
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970110 Expanding Knowledge in Technology
E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health
C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health
E Expanding Knowledge > 97 Expanding Knowledge > 970117 Expanding Knowledge in Psychology and Cognitive Sciences
Funding Details:
Identification Number or DOI: 10.1080/09638288.2016.1213899
URI: http://eprints.usq.edu.au/id/eprint/30286

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