The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: the Mitii randomized controlled trial

Comans, Tracy, Mihala, Gabor, Sakzewski, Leanne, Boyd, Roslyn N. and Scuffham, Paul (2017) The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: the Mitii randomized controlled trial. Developmental Medicine and Child Neurology, 59 7: 756-761. doi:10.1111/dmcn.13414


Author Comans, Tracy
Mihala, Gabor
Sakzewski, Leanne
Boyd, Roslyn N.
Scuffham, Paul
Title The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: the Mitii randomized controlled trial
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2017-02-01
Year available 2017
Sub-type Article (original research)
DOI 10.1111/dmcn.13414
Open Access Status Not yet assessed
Volume 59
Issue 7
Start page 756
End page 761
Total pages 6
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract AimTo estimate the cost-effectiveness of the Mitii training system for improvements in upper limb function for children with unilateral cerebral palsy (CP). Mitii is a web-based programme delivered at home with set-up and monitoring by therapists.
Formatted abstract
Aim: To estimate the cost-effectiveness of the Mitii training system for improvements in upper limb function for children with unilateral cerebral palsy (CP). Mitii is a web-based programme delivered at home with set-up and monitoring by therapists.

Method: A randomized controlled trial was conducted comparing the Mitii training programme to usual care. The Assessment of Motor and Process Skills (AMPS) and Canadian Occupational Performance Measure (COPM) were collected for each child at baseline and 20 weeks. Responders to training were characterized as those who met a minimally important difference on either the AMPS (0.3 logits) or COPM (2 points). Costs of the intervention were calculated by quantifying the equipment and staff cost. A cost per responder was calculated for each of the outcome measures.

Results: A total of 102 participants (52 males, 50 females) were included in the analysis. There were significantly more responders in the training group on both the AMPS motor and process scales and the COPM performance and satisfaction scales. The cost per responder for the Mitii programme ranged from AU$3078 to AU$4191 depending on the scale used.

Interpretation: The cost of delivering the Mitii training system is modest relative to the improvements in function.
Keyword Clinical Neurology
Pediatrics
Neurosciences & Neurology
Pediatrics
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 1037220
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Admin only - CHRC
Child Health Research Centre Publications
 
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