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Published on: August 25, 2014
An evaluation of the paediatric acquired brain injury community outreach programme (PABICOP)
Janette McDougall1, Michelle Servais, Joy Sommerfreund
1Thames Valley Children's Centre, London, Ontario, Canada. janettem@tvcc.on.ca
Insights
The PABICOP program improved Acquired Brain Injury (ABI) knowledge for parents and community integration for children. More PABICOP services correlated with better outcomes, suggesting tailored support is key for pediatric ABI recovery.
Area of Science:
- Pediatric rehabilitation
- Neuroscience
- Family-centered care
Background:
- Acquired Brain Injury (ABI) significantly impacts children and their families.
- Standard care approaches may not fully address the complex needs of pediatric ABI.
- Coordinated, family/community-focused interventions are needed to improve outcomes.
Purpose of the Study:
- To compare a coordinated, family/community-focused program (PABICOP) with standard care for children with ABI.
- To evaluate the impact of PABICOP on child and family outcomes over a 1-year period.
- To determine the relationship between service utilization and outcomes in pediatric ABI.
Main Methods:
- Pre-test-post-test design with a comparison group and 12-month follow-up.
- Ninety-six children with ABI participated, with 64 receiving PABICOP and 32 receiving standard care.
- Measures assessed at baseline, 3 months, and 12 months.
Main Results:
- Parents with >10 PABICOP contacts showed higher ABI knowledge than those with ≤10 contacts or the comparison group.
- Parents with ≤10 PABICOP contacts reported greater improvements in child competence (CBCL) than other groups.
- Service intensity appears to influence knowledge and competence outcomes.
Conclusions:
- PABICOP may enhance ABI knowledge and community integration for children with ABI and their families.
- The PABICOP program shows potential as a superior approach compared to standard care.
- The quantity of services received is a significant factor in achieving positive outcomes.
Primary Objective:
To examine the utility of a coordinated, family/community-focused programme (PABICOP) vs. a standard approach for improving outcomes for children with ABI and their families.
Research Design:
Pre-test-post-test design, with comparison group and follow-up.
Methods And Procedures:
Ninety-six children (64 children receiving PABICOP services and 32 children receiving standard care) participated in the study. Measures were completed at baseline and 3 and 12 months later.
Main Outcomes And Results:
Parents/caregivers with more than 10 contacts with PABICOP scored significantly higher on an ABI knowledge quiz than either parents/caregivers with 10 contacts or less or the comparison group at post-test and follow-up. Parents/caregivers with 10 contacts or less with PABICOP reported significantly greater improvements in children's school and total competence on the CBCL than either parents/caregivers with more than 10 contacts or the comparison group at post-test and follow-up.
Conclusions:
PABICOP may be more useful for enhancing knowledge of ABI for parents/caregivers and for integrating children into the community over a 1-year period than a standard approach. The amount of service received appears to influence outcomes.
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