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dc.contributor.authorRohrer-Baumgartner, Nina
dc.contributor.authorHolthe, Ingvil Laberg
dc.contributor.authorSvendsen, Edel Jannecke
dc.contributor.authorRøe, Cecilie
dc.contributor.authorEgeland, Jens
dc.contributor.authorBorgen, Ida Maria Henriksen
dc.contributor.authorHauger, Solveig Lægreid
dc.contributor.authorForslund, Marit Vindal
dc.contributor.authorBrunborg, Cathrine
dc.contributor.authorØra, Hege Prag
dc.contributor.authorBragstad, Line Kildal
dc.contributor.authorKilli, Eli Marie
dc.contributor.authorSandhaug, Maria
dc.contributor.authorKleffelgård, Ingerid
dc.contributor.authorStrand-Saugnes, Anine
dc.contributor.authorDahl-Hilstad, Ingeborg
dc.contributor.authorPonsford, Jennie
dc.contributor.authorWinter, Laraine
dc.contributor.authorWade, Shari L.
dc.contributor.authorLøvstad, Marianne
dc.contributor.authorHilde Margrete, Dahl
dc.coverage.spatialNorwayen_US
dc.date.accessioned2022-05-03T11:02:30Z
dc.date.available2022-05-03T11:02:30Z
dc.date.created2022-02-24T09:44:42Z
dc.date.issued2022-02-22
dc.identifier.issn1745-6215
dc.identifier.urihttps://hdl.handle.net/11250/2993872
dc.description.abstractBackground: Pediatric acquired brain injury (pABI) is associated with long-term cognitive, behavioral, social, and emotional problems, which may affect the quality of life, school, and family functioning. Yet, there is a lack of evidence-based community-centered rehabilitation programs for chronic pABI and these children do not systematically receive comprehensive rehabilitation. The Child In Context Intervention (CICI) study is a pragmatic randomized controlled trial (RCT) for children with chronic pABI, which aims to evaluate the effectiveness of an individualized and goal-oriented intervention targeting everyday functioning of the child and family. Methods: Children aged 6–16 years with MRI/CT-verified intracranial abnormalities will be included in the CICI study if they have persistent self- or parent-reported cognitive, emotional, and/or behavioral challenges 1 year or more after insult and attend school regularly. A total of 70 families will be randomized 1:1 to an intervention or a control group. The intervention consists of seven family sessions, one parent seminar, and four school sessions delivered over approximately 6 months. The parent seminar will be held in person, and the other sessions will mainly be video based. The children’s and families’ self-reported major challenges in everyday life will be targeted using SMART goals. Evidence-based strategies, when available, will be applied to achieve the goals, combined with psychoeducation. Goal attainment scaling (GAS) will be used to evaluate goal attainment. Data is collected at baseline and after approximately 6 and 9 months. External assessors are blinded to group allocation. Primary outcomes are parent-reported brain injury symptoms in children and parenting self-efficacy at 9 months of follow-up. Secondary outcomes include child-reported brain injury symptoms, quality of life, executive functioning in daily life, parent emotional symptoms, family functioning, and unmet family health care needs. A process evaluation will be conducted. Discussion: The current study provides an innovative approach to rehabilitation for children in the chronic phase of ABI and their families. This complex intervention may contribute to the development of evidence-based, high-quality rehabilitation for a large patient group, which is underrepresented in clinical research. It may also improve collaboration between specialized rehabilitation facilities, schools, and local health care services. Inclusion for the trial started in April 2021.en_US
dc.description.sponsorshipThe project is funded by the Research Council of Norway, project number 288172 (“The Child-In-Context-Intervention (CICI): A randomized controlled trial addressing chronic symptoms of Pediatric Acquired Brain Injury”) [Additional file 3].en_US
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.ispartofseriesTrials;23, Article number: 169 (2022)
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectPediatric brain injuriesen_US
dc.subjectAcquired brain injuriesen_US
dc.subjectGoal-oriented interventionsen_US
dc.subjectFamily interventionsen_US
dc.subjectSchoolsen_US
dc.subjectCommunitiesen_US
dc.subjectHealth care needsen_US
dc.titleRehabilitation for children with chronic acquired brain injury in the Child in Context Intervention (CICI) study: study protocol for a randomized controlled trialen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© The Author(s). 2022en_US
dc.source.articlenumber169en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doihttps://doi.org/10.1186/s13063-022-06048-8
dc.identifier.cristin2005053
dc.source.journalTrialsen_US
dc.source.volume23en_US
dc.source.issue23en_US
dc.source.pagenumber1-14en_US
dc.relation.projectNorges forskningsråd: 288172en_US


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Navngivelse 4.0 Internasjonal
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