Référence bibliographique [22626]
Camden, Chantal, Zwicker, Jill G., Morin, Mélanie, Schuster, Tibor, Couture, Mélanie, Poder, Thomas G., Maltais, Désirée B., Battista, Marie-Claude, Baillargeon, Jean-Patrice, Goyette, Mathier, Pratte, Gabrielle, Hurtubise, Karen, Phoenix, Michelle, Nguyen, Tram, Berbari, Jade et Tousignant, Michel. 2021. «Web-Based Early Intervention for Children with Motor Difficulties Aged 3-8 Years Old Using Multimodal Rehabilitation (WECARE): Protocol of a Patient-Centred Pragmatic Randomised Trial of Paediatric Telerehabilitation to Support Families ». BMJ Open, vol. 11, no 4, p. 1-10.
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Fiche synthèse
1. Objectifs
Intentions :
«The primary objective is to evaluate, in comparison with usual care, the effectiveness of the WECARE [Web-based Early intervention for Children using multimodAl REhabilitation] Programme for improving the child’s performance on parent-identified motor targets.» (p. 2) There are three secondary objectives. The first one is «[t]o evaluate the effect of the intervention on children’s functional abilities, parental knowledge and skills and the children and parents’ health-related quality of life (HRQoL).» (p. 2) The second one is «[t]o explore factors influencing the implementation of the intervention within the current service delivery context.» (p. 2) The third one is «[t]o compare the service delivery trajectories and costs across trial arms.» (p. 2)
Questions/Hypothèses :
«The primary hypothesis is that children in the experimental arm will perform better on motor performance outcomes than children in the usual care arm. Secondary hypotheses are that children in the experimental arm will display higher functional abilities, and their families will report greater knowledge and skills and and greater HRQoL, will use less public and private healthcare services and will incur fewer out-of-pocket and system-level expenses after the 1-year intervention period.» (p. 2)
2. Méthode
Échantillon/Matériau :
«A family-centred innovative pragmatic, parallel-group, allocation-concealed, superiority randomised controlled trial assessing real-world effectiveness of the WECARE intervention will be offered to families of children with motor difficulties living in Québec, Canada, and receiving no public rehabilitation services.» (p. 2) «Participants randomised into the control arm will receive usual care as per the service delivery models available in their region.» (p. 3) Participants recruited in the experimental arm will follow the WECARE Programme. The authors aim for a «study sample of 59 participants per study arm, for a total of 118 participants.» (p. 4) «Participants will be referred to the project by a health or education professional. They may also be self-referred […].» (p. 4)
Instruments :
- Questionnaires
- Guide d’entretien
Type de traitement des données :
Analyse statistique
Analyse de contenu
3. Résumé
«The WECARE intervention was developed based on lessons learnt in a previous pilot study, a systematic review of telerehabilitation interventions and a consultation of parents, clinicians and other stakeholders who may take part in such an intervention. It provides families of children with motor difficulties with access to rehabilitation therapists for 1 year.» (p. 3) Data will be used to determine «if families in the experimental arm attained more clinically meaningful goals than the families in the control arm.» (p. 7) «The effects of the WECARE intervention will […] be examined within the following participant subgroups: severity of motor difficulties and child/participant sex. The effect of the following intervention-specific covariates will also be explored: intervention dosage (exposure to the different WECARE modes of service, ie, time spent on information, forums and chat and virtual appointments) and date of inclusion in the intervention (categorised by month).» (p. 7)