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Rehabilitation of Children With Multiple Disabilities

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01379443
Recruitment Status : Completed
First Posted : June 23, 2011
Last Update Posted : June 23, 2011
McMaster University
Information provided by:
Children's Treatment Network

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.

Condition or disease Intervention/treatment Phase
Cerebral Palsy Autism Down's Syndrome Brain Injury Other: CTN model of care for children and their families Phase 1

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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 445 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: The Comparative Effect and Expense of More and Less Integration of Services That Provide Treatment and Rehabilitation for Children With Multiple Disabilities: A Randomized Controlled Trial
Study Start Date : April 2007
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Rehabilitation

Arm Intervention/treatment
Active Comparator: Parental reports of their children
Parental report of family-centered processes of care (MPOC) Parent mental health Parent perceived social support
Other: CTN model of care for children and their families
Parental reports on the quality of life of their children and service needs

No Intervention: 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.

Primary Outcome Measures :
  1. Parental reports in the Quality of Life of Children and Youth [ Time Frame: 12 and 24 month ]
    Parent report of family centred processes of care (MPOC) Parent mental health Parent perceived social support

Secondary Outcome Measures :
  1. Integration of teams amongst service providers. Integration was measured at two levels using the Integration of Human Services Measure. [ Time Frame: 12 months and 24 months ]

    The measure evaluates observed and expected depth of integration among service providers.

    CEO or senior manager participation in the Network was measured.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   up to 19 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01379443

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Canada, Ontario
McMaster University
Hamilton, Ontario, Canada, L8N 3Z5
Sponsors and Collaborators
Children's Treatment Network
McMaster University
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Principal Investigator: Sandy Thurston Children's Treatment Network

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Responsible Party: Sandy Thurston, Children's Treatment Network Identifier: NCT01379443     History of Changes
Other Study ID Numbers: 2008H00766
First Posted: June 23, 2011    Key Record Dates
Last Update Posted: June 23, 2011
Last Verified: June 2011
Keywords provided by Children's Treatment Network:
Family Functioning
Mental Health
Additional relevant MeSH terms:
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Intellectual Disability
Brain Injuries
Cerebral Palsy
Down Syndrome
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Craniocerebral Trauma
Trauma, Nervous System
Wounds and Injuries
Brain Damage, Chronic
Neurobehavioral Manifestations
Neurologic Manifestations
Abnormalities, Multiple
Congenital Abnormalities
Chromosome Disorders
Genetic Diseases, Inborn