Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study
We evaluated the outcome of a community-based early intervention and habilitation for children with cerebral palsy (CP) in Bangladesh. Children registered on the Bangladesh CP Register (BCPR) were recruited in two groups for this study: Group A received a comprehensive six-month long community-based...
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doaj-c4717768e04044db9fa7b4a7f76b601c2021-09-25T23:48:36ZengMDPI AGBrain Sciences2076-34252021-09-01111189118910.3390/brainsci11091189Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental StudyTasneem Karim0Mohammad Muhit1Israt Jahan2Claire Galea3Catherine Morgan4Hayley Smithers-Sheedy5Nadia Badawi6Gulam Khandaker7CSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCSF Global, Dhaka 1213, BangladeshCerebral Palsy Alliance Research Institute, University of Sydney, Sydney, NSW 2050, AustraliaSpecialty of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, NSW 2145, AustraliaSpecialty of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, NSW 2145, AustraliaSpecialty of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, NSW 2145, AustraliaSpecialty of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, NSW 2145, AustraliaWe evaluated the outcome of a community-based early intervention and habilitation for children with cerebral palsy (CP) in Bangladesh. Children registered on the Bangladesh CP Register (BCPR) were recruited in two groups for this study: Group A received a comprehensive six-month long community-based caregiver-led intervention program at the “Shishu Shorgo” (Bengali title, which translates to ‘Children’s Heaven’) Early Intervention and Rehabilitation Centres developed to support participants from the BCPR. Group B received standard care. A quasi-experimental study was conducted. Data were obtained at baseline, at the end of the program (i.e., 6 months), and at a 12-month follow-up. Outcome measures for children included gross motor functional measure (GMFM-66), Communication Function Classification System (CFCS), and Viking Speech Scale (VSS) and, for adult caregivers, the depression, anxiety, and stress scale (DASS 21). Between October 2016 and March 2017, 156 children with CP were recruited (77 in Group A and 79 in Group B). The total score of GMFM-66, CFCS level, and VSS level significantly improved statistically in Group A (<i>p <</i> 0.05 for all) and deteriorated in Group B (<i>p <</i> 0.001, <i>p =</i> 0.095, <i>p =</i> 0.232). The intervention showed promising outcomes particularly for children with CP under five years of age. There is a need for caregiver-led community-based programs for children with CP in LMICs.https://www.mdpi.com/2076-3425/11/9/1189cerebral palsychildrenearly interventioncommunity-basedlow- and middle-income countryBangladesh |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tasneem Karim Mohammad Muhit Israt Jahan Claire Galea Catherine Morgan Hayley Smithers-Sheedy Nadia Badawi Gulam Khandaker |
spellingShingle |
Tasneem Karim Mohammad Muhit Israt Jahan Claire Galea Catherine Morgan Hayley Smithers-Sheedy Nadia Badawi Gulam Khandaker Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study Brain Sciences cerebral palsy children early intervention community-based low- and middle-income country Bangladesh |
author_facet |
Tasneem Karim Mohammad Muhit Israt Jahan Claire Galea Catherine Morgan Hayley Smithers-Sheedy Nadia Badawi Gulam Khandaker |
author_sort |
Tasneem Karim |
title |
Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study |
title_short |
Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study |
title_full |
Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study |
title_fullStr |
Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study |
title_full_unstemmed |
Outcome of Community-Based Early Intervention and Rehabilitation for Children with Cerebral Palsy in Rural Bangladesh: A Quasi-Experimental Study |
title_sort |
outcome of community-based early intervention and rehabilitation for children with cerebral palsy in rural bangladesh: a quasi-experimental study |
publisher |
MDPI AG |
series |
Brain Sciences |
issn |
2076-3425 |
publishDate |
2021-09-01 |
description |
We evaluated the outcome of a community-based early intervention and habilitation for children with cerebral palsy (CP) in Bangladesh. Children registered on the Bangladesh CP Register (BCPR) were recruited in two groups for this study: Group A received a comprehensive six-month long community-based caregiver-led intervention program at the “Shishu Shorgo” (Bengali title, which translates to ‘Children’s Heaven’) Early Intervention and Rehabilitation Centres developed to support participants from the BCPR. Group B received standard care. A quasi-experimental study was conducted. Data were obtained at baseline, at the end of the program (i.e., 6 months), and at a 12-month follow-up. Outcome measures for children included gross motor functional measure (GMFM-66), Communication Function Classification System (CFCS), and Viking Speech Scale (VSS) and, for adult caregivers, the depression, anxiety, and stress scale (DASS 21). Between October 2016 and March 2017, 156 children with CP were recruited (77 in Group A and 79 in Group B). The total score of GMFM-66, CFCS level, and VSS level significantly improved statistically in Group A (<i>p <</i> 0.05 for all) and deteriorated in Group B (<i>p <</i> 0.001, <i>p =</i> 0.095, <i>p =</i> 0.232). The intervention showed promising outcomes particularly for children with CP under five years of age. There is a need for caregiver-led community-based programs for children with CP in LMICs. |
topic |
cerebral palsy children early intervention community-based low- and middle-income country Bangladesh |
url |
https://www.mdpi.com/2076-3425/11/9/1189 |
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