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Rehabilitation of Children With Multiple Disabilities

This study has been completed.
McMaster University
Information provided by:
Children's Treatment Network Identifier:
First received: June 14, 2011
Last updated: June 22, 2011
Last verified: June 2011
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 Intervention Phase
Cerebral Palsy Autism Down's Syndrome Brain Injury Other: CTN model of care for children and their families Phase 1

Study Type: Interventional
Study Design: 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

Resource links provided by NLM:

Further study details as provided by Children's Treatment Network:

Primary Outcome Measures:
  • 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:
  • 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.

Enrollment: 445
Study Start Date: April 2007
Study Completion Date: December 2009
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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.

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.


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.

  Contacts and Locations
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Please refer to this study by its identifier: NCT01379443

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

Responsible Party: Sandy Thurston, Children's Treatment Network Identifier: NCT01379443     History of Changes
Other Study ID Numbers: 2008H00766
Study First Received: June 14, 2011
Last Updated: June 22, 2011

Keywords provided by Children's Treatment Network:
Family Functioning
Mental Health

Additional relevant MeSH terms:
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
Intellectual Disability
Neurobehavioral Manifestations
Neurologic Manifestations
Abnormalities, Multiple
Congenital Abnormalities
Chromosome Disorders
Genetic Diseases, Inborn processed this record on August 22, 2017