Article

OBJECTIVE: To examine the efficacy of a multi-modal web-based therapy program,
Move it to improve it (Mitii) delivered at home to improve Executive Functioning
(EF) in children with an acquired brain injury (ABI). DESIGN: Randomised Waitlist
controlled trial. SETTING: Home environment. PARTICIPANTS: Sixty children with an
ABI were matched in pairs by age and intelligence quotient then randomised to
either 20-weeks of Mitii training or 20 weeks of Care As Usual (waitlist control;
n=30; 17 males; mean age=11y, 11m (+/-2y, 6m); Full Scale IQ=76.24+/-17.84).
Fifty-eight children completed baseline assessments (32 males; mean
age=11.87+/-2.47; Full Scale IQ=75.21+/-16.76). MAIN MEASURES: Executive
functioning was assessed on four domains: attentional control, cognitive
flexibility, goal setting, and information processing using subtests from the
Wechsler Intelligence Scale for Children (WISC-IV), Delis-Kaplan Executive
Functioning System (D-KEFS), Comprehensive Trail Making Test (CTMT), Tower of
London (TOL), and Test of Everyday Attention for Children (Tea-Ch). Executive
functioning performance in everyday life was assessed via parent questionnaire
(Behaviour Rating Inventory of Executive Functioning; BRIEF). RESULTS: No
differences were observed at baseline measures. Groups were compared at 20-weeks
using linear regression with no significant differences found between groups on
all measures of EF. Out of a potential total dose of 60 hours, children in the
Mitii group completed a mean of 17 hours of Mitii intervention. CONCLUSION:
Results indicate no additional benefit to receiving Mitii compared to standard
care. Mitii, in its current form, was not shown to improve EF in children with ABI.

Langue : ANGLAIS