Rehabilitation of Children With Multiple Disabilities
|Cerebral Palsy Autism Down's Syndrome Brain Injury||Other: CTN model of care for children and their families||Phase 1|
|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|
- 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
- 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.
|Study Start Date:||April 2007|
|Study Completion Date:||December 2009|
|Primary Completion Date:||December 2009 (Final data collection date for primary outcome measure)|
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.
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01379443
|Hamilton, Ontario, Canada, L8N 3Z5|
|Principal Investigator:||Sandy Thurston||Children's Treatment Network|