Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families
Introduction Mild motor difficulties in children are underdiagnosed despite being highly prevalent, leaving such children often underserved and at higher risk for secondary consequences such as cardiovascular disease and anxiety. Evidence suggests that early patient-oriented interventions, coaching...
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BMJ Publishing Group
2021-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/4/e046561.full |
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| author | Thomas G Poder Desiree B Maltais Tibor Schuster Marie-Claude Battista Michelle Phoenix Jean-Patrice Baillargeon Chantal Camden Jill G Zwicker Melanie Morin Melanie Couture Mathieu Goyette Gabrielle Pratte Karen Hurtubise Tram Nguyen Jade Berbari Michel Tousignant |
| author_facet | Thomas G Poder Desiree B Maltais Tibor Schuster Marie-Claude Battista Michelle Phoenix Jean-Patrice Baillargeon Chantal Camden Jill G Zwicker Melanie Morin Melanie Couture Mathieu Goyette Gabrielle Pratte Karen Hurtubise Tram Nguyen Jade Berbari Michel Tousignant |
| author_sort | Thomas G Poder |
| collection | DOAJ |
| description | Introduction Mild motor difficulties in children are underdiagnosed despite being highly prevalent, leaving such children often underserved and at higher risk for secondary consequences such as cardiovascular disease and anxiety. Evidence suggests that early patient-oriented interventions, coaching parents and providing children with early stimulation should be provided, even in the absence of a diagnosis. Such interventions may be effectively delivered via telerehabilitation.Methods and analysis A family-centred, pragmatic randomised controlled trial will be carried out to evaluate the real-world effectiveness of a Web-based Early intervention for Children using multimodAl REhabilitation (WECARE). Families of children with motor difficulties, 3–8 years of age, living in Quebec, Canada, and receiving no public rehabilitation services (n=118) will be asked to determine up to 12 performance goals, evaluated using the Canadian Occupational Performance Measure (COPM, the primary outcome). Families will be randomised to receive either usual care or the WECARE intervention. The WECARE intervention will be delivered for 1 year via a web-based platform. Families will have access to videoconferences with an assigned rehabilitation therapist using a collaborative coaching approach, a private chat function, a forum open to all intervention arm participants and online resources pertaining to child development. Participants will be asked to re-evaluate the child’s COPM performance goals every 3 months up to 1 year post allocation. The COPM results will be analysed using a mixed Poisson regression model. Secondary outcomes include measures of the child’s functional ability, parental knowledge and skills and health-related quality of life, as well as qualitative outcomes pertaining to parental satisfaction and service delivery trajectories. Investigators and quantitative data analysts will be blinded to group allocation.Ethics and dissemination The CIUSSS de l’Estrie—CHUS ethics committee approved this trial (2020-3429). Study results will be communicated via peer-reviewed journal publications, conference presentations and stakeholder-specific knowledge transfer activities.Trial registration number NCT04254302. |
| format | Article |
| id | doaj-art-dda8fe1ca3a54fdaa95f5ccf17d8dcfb |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-dda8fe1ca3a54fdaa95f5ccf17d8dcfb2025-08-20T02:17:52ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2020-046561Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support familiesThomas G Poder0Desiree B Maltais1Tibor Schuster2Marie-Claude Battista3Michelle Phoenix4Jean-Patrice Baillargeon5Chantal Camden6Jill G Zwicker7Melanie Morin8Melanie Couture9Mathieu Goyette10Gabrielle Pratte11Karen Hurtubise12Tram Nguyen13Jade Berbari14Michel Tousignant1512 UETMIS and CRCHUS, CIUSSS de l’Estrie - CHUS, Sherbrooke, Quebec, CanadaDépartement de réadaptation, Universite Laval, Québec City, Québec, CanadaDepartment of Family Medicine, McGill University, Montreal, Quebec, CanadaCentre de recherche, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaDepartment of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, CanadaÉcole de réadaptation, Universite de Sherbrooke Faculté de Médecine et des Sciences de la Santé, Sherbrooke, Québec, CanadaBC Children’s Hospital, Vancouver, British Columbia, CanadaÉcole de réadaptation, Universite de Sherbrooke Faculté de Médecine et des Sciences de la Santé, Sherbrooke, Québec, CanadaÉcole de réadaptation, Universite de Sherbrooke Faculté de Médecine et des Sciences de la Santé, Sherbrooke, Québec, CanadaDépartement de sexologie, Université du Québec à Montréal, Montreal, Québec, CanadaÉcole de réadaptation, Universite de Sherbrooke Faculté de Médecine et des Sciences de la Santé, Sherbrooke, Québec, CanadaÉcole de réadaptation, Universite de Sherbrooke Faculté de Médecine et des Sciences de la Santé, Sherbrooke, Québec, Canada4 The Royal Women`s Hospital, Parkville, Victoria, AustraliaCentre de recherche du Centre hospitalier universitaire de Sherbrooke, CIUSSS de lEstrie—CHUS, Sherbrooke, Québec, CanadaÉcole de réadaptation, Universite de Sherbrooke Faculté de Médecine et des Sciences de la Santé, Sherbrooke, Québec, CanadaIntroduction Mild motor difficulties in children are underdiagnosed despite being highly prevalent, leaving such children often underserved and at higher risk for secondary consequences such as cardiovascular disease and anxiety. Evidence suggests that early patient-oriented interventions, coaching parents and providing children with early stimulation should be provided, even in the absence of a diagnosis. Such interventions may be effectively delivered via telerehabilitation.Methods and analysis A family-centred, pragmatic randomised controlled trial will be carried out to evaluate the real-world effectiveness of a Web-based Early intervention for Children using multimodAl REhabilitation (WECARE). Families of children with motor difficulties, 3–8 years of age, living in Quebec, Canada, and receiving no public rehabilitation services (n=118) will be asked to determine up to 12 performance goals, evaluated using the Canadian Occupational Performance Measure (COPM, the primary outcome). Families will be randomised to receive either usual care or the WECARE intervention. The WECARE intervention will be delivered for 1 year via a web-based platform. Families will have access to videoconferences with an assigned rehabilitation therapist using a collaborative coaching approach, a private chat function, a forum open to all intervention arm participants and online resources pertaining to child development. Participants will be asked to re-evaluate the child’s COPM performance goals every 3 months up to 1 year post allocation. The COPM results will be analysed using a mixed Poisson regression model. Secondary outcomes include measures of the child’s functional ability, parental knowledge and skills and health-related quality of life, as well as qualitative outcomes pertaining to parental satisfaction and service delivery trajectories. Investigators and quantitative data analysts will be blinded to group allocation.Ethics and dissemination The CIUSSS de l’Estrie—CHUS ethics committee approved this trial (2020-3429). Study results will be communicated via peer-reviewed journal publications, conference presentations and stakeholder-specific knowledge transfer activities.Trial registration number NCT04254302.https://bmjopen.bmj.com/content/11/4/e046561.full |
| spellingShingle | Thomas G Poder Desiree B Maltais Tibor Schuster Marie-Claude Battista Michelle Phoenix Jean-Patrice Baillargeon Chantal Camden Jill G Zwicker Melanie Morin Melanie Couture Mathieu Goyette Gabrielle Pratte Karen Hurtubise Tram Nguyen Jade Berbari Michel Tousignant Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families BMJ Open |
| title | Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families |
| title_full | Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families |
| title_fullStr | Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families |
| title_full_unstemmed | Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families |
| title_short | Web-based early intervention for children with motor difficulties aged 3–8 years old using multimodal rehabilitation (WECARE): protocol of a patient-centred pragmatic randomised trial of paediatric telerehabilitation to support families |
| title_sort | web based early intervention for children with motor difficulties aged 3 8 years old using multimodal rehabilitation wecare protocol of a patient centred pragmatic randomised trial of paediatric telerehabilitation to support families |
| url | https://bmjopen.bmj.com/content/11/4/e046561.full |
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