TY - JOUR
T1 - Modified sports intervention combined with a context-focused intervention for children with cerebral palsy
T2 - a feasibility randomised clinical trial
AU - da Silva, Luana Cristina
AU - Magalhães, Rafael Coelho
AU - Soares Santos, Acsa
AU - Andrade Ramos de Souza, Ana Carolina
AU - Ribeiro, Emily Martins
AU - Xavier, Julia Melo Rocha
AU - de Sousa Junior, Ricardo Rodrigues
AU - Anaby, Dana
AU - Clutterbuck, Georgina
AU - Longo, Egmar
AU - Camargos, Ana Cristina Resende
AU - Souto, Deisiane Oliveira
AU - Leite, Hércules Ribeiro
PY - 2025
Y1 - 2025
N2 - Aims: To investigate the feasibility and preliminary effects of a modified sports intervention (Sports Stars) combined with a contextual-focused approach (Pathways and Resources for Engagement in Participation- PREP). Methods: This is a feasibility randomized clinical trial (RCT), registered under RBR-4m3b4b6 and U1111-1256-4998. Eighteen children with cerebral palsy (CP) were allocated to either the Sports Stars Brazil + PREP group (n = 9) or the Sports Stars Brazil group (n = 9). Feasibility outcomes included willingness to participate; acceptability of random allocation and screening; evaluator blinding feasibility; group contamination; treatment adherence and satisfaction; therapist communication; adverse events, and implementation resources. Effectiveness outcomes included performance and satisfaction with participation goals, participation pattern, physical literacy, family empowerment, and physical activity level. Descriptive statistics and tests were applied. Results: Feasibility analysis showed a high completion rate and adequate satisfaction, credibility, and acceptability in both groups. Significant differences were found favoring the Sports Stars Brazil + PREP group in performance (p = 0.02) and satisfaction (p = 0.04); family empowerment at post-intervention (p = 0.005); and involvement in school (p = 0.04) at follow-up. No significant differences were found for other outcomes. Conclusions: A future robust clinical trial appears feasible with adjustments. Combining a context-focused intervention with a modified sports approach shows potential to improve participation outcomes.
AB - Aims: To investigate the feasibility and preliminary effects of a modified sports intervention (Sports Stars) combined with a contextual-focused approach (Pathways and Resources for Engagement in Participation- PREP). Methods: This is a feasibility randomized clinical trial (RCT), registered under RBR-4m3b4b6 and U1111-1256-4998. Eighteen children with cerebral palsy (CP) were allocated to either the Sports Stars Brazil + PREP group (n = 9) or the Sports Stars Brazil group (n = 9). Feasibility outcomes included willingness to participate; acceptability of random allocation and screening; evaluator blinding feasibility; group contamination; treatment adherence and satisfaction; therapist communication; adverse events, and implementation resources. Effectiveness outcomes included performance and satisfaction with participation goals, participation pattern, physical literacy, family empowerment, and physical activity level. Descriptive statistics and tests were applied. Results: Feasibility analysis showed a high completion rate and adequate satisfaction, credibility, and acceptability in both groups. Significant differences were found favoring the Sports Stars Brazil + PREP group in performance (p = 0.02) and satisfaction (p = 0.04); family empowerment at post-intervention (p = 0.005); and involvement in school (p = 0.04) at follow-up. No significant differences were found for other outcomes. Conclusions: A future robust clinical trial appears feasible with adjustments. Combining a context-focused intervention with a modified sports approach shows potential to improve participation outcomes.
KW - Cerebral palsy
KW - context-focused intervention
KW - feasibility
KW - modified Sports
KW - participation
UR - http://www.scopus.com/inward/record.url?scp=105014215138&partnerID=8YFLogxK
UR - https://go.openathens.net/redirector/westernsydney.edu.au?url=https://doi.org/10.1080/01942638.2025.2547374
U2 - 10.1080/01942638.2025.2547374
DO - 10.1080/01942638.2025.2547374
M3 - Article
AN - SCOPUS:105014215138
SN - 0194-2638
VL - 45
SP - 934
EP - 955
JO - Physical and Occupational Therapy in Pediatrics
JF - Physical and Occupational Therapy in Pediatrics
IS - 6
ER -