Rehabilitation of Children With Multiple Disabilities

Sponsor

Children's Treatment Network (Other)

Overall Status

Completed

CT.gov ID

NCT01379443

Collaborator

McMaster University (Other)

445

Enrollment

Location

Arms

Duration (Months)

13.9

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

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 or Disease	Intervention/Treatment	Phase
Cerebral Palsy Autism Down's Syndrome Brain Injury	Other: CTN model of care for children and their families	Phase 1

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.

Study Design

Study Type:

Interventional

Actual Enrollment :

445 participants

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

Study Start Date :

Apr 1, 2007

Actual Primary Completion Date :

Dec 1, 2009

Actual Study Completion Date :

Dec 1, 2009

Arms and Interventions

Arm	Intervention/Treatment
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.

Arm

Intervention/Treatment

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.

Outcome Measures

Primary Outcome Measures

Parental reports in the Quality of Life of Children and Youth [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. [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.