Cluster-randomized trial on Akwenda Intervention program for children and young people with cerebral palsy in Uganda: functioning and activity outcomes

SND-ID: 2024-9. Version: 1. DOI: https://doi.org/10.48723/k9wd-9j90

Citation

Creator/Principal investigator(s)

Hans Forssberg - Karolinska Institutet, Department of Women's and Children's Health orcid

Angelina Kakooza Mwesige - Makerere University, Kampala, Uganda, Department of Pediatrics and Child Health orcid

Karolinska Institutet, Department Women's and Children's Health

Research principal

Karolinska Institutet - Department of Women's and Children's Health rorId

Principal's reference number

2017-05474

Description

This was a cluster-randomized, controlled, single-blinded study on a cohort of children and young people with CP in the Iganga-Mayuge Health and Demographic Surveillance Site. The CP cohort was divided in two arms: one receiving the Akwenda Intervention program, and the other serving as control waiting to receive the intervention the following year. Children with seizures in both groups were provided anti-seizure medications. Outcomes were assessed prior to and after the intervention period.
The Excel sheet includes the data collected before the intervention started (2021; baseline), and after the 11 months intervention ended (2022).
Randomized, controlled, intervention trial.
Baseline data: Sociodemographic information and clinical data including anthropometry, Gross Motor Function Classification System (GMFCS) levels.
Primary outcome: GMFM-66 (Gross motor function measure).
Secondary outcome: PEDI-UG (Ugandan version of the Pediatric Evaluation of Disability Inventory.

Data contains personal data

Yes

Sensitive personal data

Yes

Type of personal data

Data is pseudonymized. Age, sex, GMFMCS level, anthropometric data, socio-economic data.

Code key exists

Yes

Language

Method and outcome

Unit of analysis

Population

A total of 100 children and young people with CP aged 2-23 years were included (52 males). Most were from a population-based cohort identified in a three-stage screening at the IM-HDSS in 20152 which has been followed and studied in a series of articles.10,13-16 An additional group of 27 children between ages 2-6 years were conveniently sampled to include younger participants and achieve statistical power. CP diagnosis was confirmed by a child neurologist using the European CP surveillance definition.

Time Method

Study design

Registry-based randomised controlled trial (R-RCT)

Description of study design

This was a quasi-randomized, controlled, single-blinded study on a cohort of children and young people with CP in the Iganga-Mayuge Health and Demographic Surveillance Site (IM-HDSS) covering a population of approximately 80,000 inhabitants .
The CP cohort was divided in two arms: one receiving the Akwenda Intervention program, and the other serving as control waiting to receive the intervention the following year. Children with seizures in both groups were provided anti-seizure medications. Outcomes were assessed prior to and after the intervention period.

Sampling procedure

Total universe/Complete enumeration
Population based study on all children and young people with cerebral palsy aged 2-23 living at the IM-HDSS.

Time period(s) investigated

2021-07-01 – 2022-11-30

Variables

40

Number of individuals/objects

100

Weighting

No

Response rate/participation rate

94%

Of the 100 participants enrolled in the trial, 94 completed the study: 48 in the intervention group and 46 in the control group. In the intervention group two participants withdrew while three children in the control group were deceased at follow-up and one child withdrew.

Data format / data structure

Data collection
Geographic coverage

Geographic spread

Geographic location: Uganda

Geographic description: Iganga-Mayuge district, Uganda

Lowest geographic unit

Municipality

Highest geographic unit

Municipality

Administrative information

Responsible department/unit

Department of Women's and Children's Health

Contributor(s)

Angelina Kakooza-Mwesige - Makerere University, Kampala, Uganda, Department of Pediatrics and Child Health orcid

Funding 1

  • Funding agency: Stiftelsen Sunnerdahls Handikappfond
  • Funding agency's reference number: F 9/20
  • Project name on the application: An innovative intervention for children with cerebral palsy living in low-resource settings

Funding 2

  • Funding agency: Swedish Research Council rorId
  • Funding agency's reference number: 2017-05474

Ethics Review

Other - Ref. UNCST, SS-5173

The study was approved by the Uganda National Council for Science and Technology

Topic and keywords

Research area

Neurology (Standard för svensk indelning av forskningsämnen 2011)

Pediatrics (Standard för svensk indelning av forskningsämnen 2011)

Occupational therapy (Standard för svensk indelning av forskningsämnen 2011)

Physiotherapy (Standard för svensk indelning av forskningsämnen 2011)

Medication and treatment (CESSDA Topic Classification)

Physical fitness and exercise (CESSDA Topic Classification)

Keywords

Cerebral palsy

Publications

Accepted Developmental Medicine and Child Neurology 2024-05-25
SwePub: https://doi.org/10.48723/k9wd-9j90

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Published: 2024-05-30