Cerebral Palsy, Cerebral Palsy (CP), Cerebral Palsy Infantile, Infant
Conditions
Keywords
physical therapy, occupational therapy, caregivers, caregiver
Brief summary
This study focuses on the caregiver's knowledge, comfort, and confidence in interacting with and supporting their infant with Cerebral Palsy (CP) or at high risk for Cerebral Palsy. Four caregivers with their infants will be in one cohort to assess the benefits of group intervention. The intervention is delivered in a group, bootcamp-style educational format led by clinical team including pediatric physiatrist, physical therapist and occupational therapist.
Detailed description
This program aims to provide caregivers with structured education and practical skills related to early intervention of cerebral palsy. Session content includes: (1) understanding the definition and nature of cerebral palsy; (2) the importance of early intervention and principles of infant neuroplasticity; and (3) foundational early motor strategies and CP-specific therapeutic principles commonly used in PT and OT. Sessions incorporate therapist demonstration, caregiver coaching, and guided motor play with the infant. In addition to knowledge-building, the intervention also aims to provide intentional caregiver support following the early diagnosis of CP, and achieves this via fostering peer support among families with similar experiences, and empowering caregivers in navigating and advocating within their child's early intervention system. Outcomes will be assessed through pre- and post-intervention parental Likert-scale surveys measuring (1) caregiver perceived knowledge, comfort, and confidence interacting with their infant, (2) perceived benefit of the group program, and (3) caregiver readiness to actively engage in ongoing longitudinal CP-specific early intervention.
Interventions
BEHAVIORALCaregiver knowledge
This study focuses on the caregiver's knowledge, comfort, and confidence in interacting with and supporting their infant with Cerebral Palsy (CP) or at high risk for Cerebral Palsy.
BEHAVIORALPhysical therapy
Demonstration and guided practice, caregiver-infant hands-on interaction practice, home exercise program, and support for strengthening parent-infant interaction on Cerebral Palsy basics.
BEHAVIORALOccupational Therapy
Demonstration and guided practice, caregiver-infant hands-on interaction practice, home exercise program, and support for strengthening parent-infant interaction on Cerebral Palsy basics.
Sponsors
University of California, San Francisco
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
4 caregivers and their infant will be in one group. There will be a total of 4 groups.
Eligibility
Sex/Gender
ALL
Age
3 Months to 15 Months
Healthy volunteers
No
Inclusion criteria
* Infants 3-15 months corrected age at enrollment * Diagnosed with CP or at high possibility of CP * Not yet independently walking at baseline * Medically stable for therapeutic handling and group play * Primary caregiver (\>=18years) able to attend all weekly group sessions * English-speaking only
Exclusion criteria
* Unstable medical condition (eg, frequent desaturations, emeses, uncontrolled seizures) or acute restrictions incompatible with participation * Concurrent enrollment in another intensive motor program * Profound sensory impairments that preclude group program participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver knowledge, comfort, and confidence | Baseline to 6 weeks. | Change from baseline in caregiver-perceived knowledge, comfort, and confidence in interacting with and supporting their infant with CP or high CP risk trhough integrated PT/OT caregiver-focused group intervention at 6 weeks. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Group intervention | Baseline to 6 weeks. | Change from baseline in caregiver perceived benefit of the group intervention on Parental Survey at 6 weeks. |
| Early Start | Baseline to 6 weeks. | Change from baseline readiness and acceptance of Early Start home-based early intervention services at 6 weeks. |
| Feasibility of Groups | Baseline to 6 weeks. | Change from baseline feasibility and acceptability of the group program on Parental Survey at 6 weeks. |
Countries
United States
Contacts
CONTACTJasmine Ng, MD
PRINCIPAL_INVESTIGATORJasmine Ng, MD
University of California San Frnacisco
Outcome results
None listed