Article

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.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS