Rehabilitation of Children With Multiple Disabilities
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
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
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.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
-
-
Ontario
-
Hamilton, Ontario, Canada, L8N 3Z5
- McMaster University
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-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Parental reports of their children
Parental report of family-centered processes of care (MPOC) Parent mental health Parent perceived social support
|
Parental reports on the quality of life of their children and service needs
|
|
Ingen indgriben: 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.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Parental reports in the Quality of Life of Children and Youth
Tidsramme: 12 and 24 month
|
Parent report of family centred processes of care (MPOC) Parent mental health Parent perceived social support
|
12 and 24 month
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Integration of teams amongst service providers. Integration was measured at two levels using the Integration of Human Services Measure.
Tidsramme: 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. |
12 months and 24 months
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Sandy Thurston, Children's Treatment Network
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Neurologiske manifestationer
- Sår og skader
- Neuroadfærdsmæssige manifestationer
- Medfødte abnormiteter
- Hjerneskade, kronisk
- Genetiske sygdomme, medfødte
- Kraniocerebralt traume
- Traumer, nervesystemet
- Intellektuel handicap
- Abnormiteter, multiple
- Kromosomlidelser
- Cerebral Parese
- Hjerneskader
- Downs syndrom
Andre undersøgelses-id-numre
- 2008H00766
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