Rehabilitation of Children With Multiple Disabilities

NCT ID: NCT01379443

Last Updated: 2011-06-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 445 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-04-30
• Study Completion Date: 2009-12-31

Brief Summary

The objective of the study is to compare the usual care and treatment of children and youth (0-19 years) with multiple developmental delays and disabilities and their families in Simcoe York with a co-ordinated, navigated approach to care using the Children's Treatment Network (CTN) services.

Detailed Description

The Children's Treatment Network (CTN)links existing children's services rather than creating a new Centre. The purpose of the evaluation is to compare the effectiveness and efficiency of this service with the usual care that people receive. 500 Children will be randomized to receive either usual care (250) or the co-ordinated, navigated care from CTN (250). The primary question to be addressed is whether the more integrated CTN model of service improves family-centered services, parent mental health, parenting, family function and the quality of the child's life and the families resource needs as well as reduce expenditures for the families' use of all other health and social services compared to the outcomes of usual care alone. What children and families with what characteristics and circumstances most benefit from which approach to the treatment of childhood disability in Simcoe-York? At what cost?

Agencies providing services to children will be evaluated as to how effective their integration of teams are functioning, their partnership with each other and capacity building in the community.

Conditions

Cerebral Palsy; Autism; Down's Syndrome; Brain Injury

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

Parental reports of their children

Parental report of family-centered processes of care (MPOC) Parent mental health Parent perceived social support

Group Type: ACTIVE_COMPARATOR

CTN model of care for children and their families

Intervention Type: OTHER

Parental reports on the quality of life of their children and service needs

Integration of service provider teams

Network co-alition teams were measured using the Integration of Human Services Measure, the Partnership Synergy Measure and a Network Capacity Measure were employed at the CEO level.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

CTN model of care for children and their families

Parental reports on the quality of life of their children and service needs

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Children and youth up to 19 years of age
• living in Simcoe-York.
• English speaking
• multi-need family
• children on agency service wait lists
• children under the care of Children's Aid Societies
• Families with more than 1 disabled child

Exclusion Criteria

-youth over 19 years.

• Minimum Eligible Age: 1 Minute
• Maximum Eligible Age: 19 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

McMaster University

OTHER

Sponsor Role: collaborator

Children's Treatment Network

NETWORK

Sponsor Role: lead

Responsible Party

Children's Treatment Network

Principal Investigators

Sandy Thurston

Role: PRINCIPAL_INVESTIGATOR

Children's Treatment Network

Locations

McMaster University

Hamilton, Ontario, Canada

Countries

Canada

Other Identifiers

2008H00766

Identifier Type: -

Identifier Source: org_study_id