Exploring the Experiences and Outcomes of a Summer Intensive Therapy Program- Mixed Methods Study

Study Overview
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Brief Summary
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The purpose of this study is to assess the effectiveness of an interdisciplinary intensive therapy program for ambulatory and non-ambulatory children with neurodevelopmental disorders across the ICF and to explore caregiver experiences and perspectives of the program.

Detailed Description
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The purpose of this study is to assess the effectiveness of an interdisciplinary intensive therapy program for ambulatory and non-ambulatory children with neurodevelopmental disorders across the ICF and to explore caregiver experiences and perspectives of the program. Research questions include: 1.) What are the effects of an intensive program on postural control and functional mobility for children with neurodevelopmental disorders? 2.) What are the effects of an intensive therapy program on dual tasking for children with neurodevelopmental disorders? 3.) What are the perceptions of caregivers of a multidisciplinary intensive therapy program for their children with neurodevelopmental disorders? Data will be gathered before and after the intensive program as part of usual care and ambulatory children will be further assessed in the motion analysis lab. Caregivers will complete a questionnaire about satisfaction with services and also a 4 question open-ended question survey about their experience with intensive therapy.

Official Title
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Exploring the Experiences and Outcomes of a Summer Intensive Therapy Program- Mixed Methods Study

Conditions
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Children With Neurodevelopmental Disorders

Intervention / Treatment
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* Other: An interdisciplinary intensive therapy program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children receiving therapy through Children's Therapy Center's Tiger Intensive Program and their caregivers from May 23, 2022, to Aug 19, 2022. Exclusion Criteria: none

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Cohort study of children receiving intensive therapy and their caregivers
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: An interdisciplinary intensive therapy program|Children will receive physical, occupation, and/or speech therapy 1-3 hours/day each for 4-5 days/week x 4 weeks.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Instrumented Gait Analysis | 3D gait analysis in gait lab | before intensive therapy episode of care, approximately 4 weeks | 
| Instrumented Gait Analysis | 3D gait analysis in gait lab | after intensive therapy episode of care, approximately 4 weeks | 
| Center of pressure measure | COP measure during balance task | after intensive therapy episode of care, approximately 4 weeks | 
| Center of pressure measure | COP measure during balance task | before intensive therapy episode of care, approximately 4 weeks | 
| Measures of processes of care (MOPC) | Questionnaire to assess satisfaction with therapy services | after intensive therapy episode of care, an average of 4 weeks | 
| Timed up and go | TUG assessment--timed assessment including standing from a chair, walking a distance and returning to the chair | before intensive therapy episode of care, an average of 4 weeks | 
| Timed up and go | TUG assessment--timed assessment including standing from a chair, walking a distance and returning to the chair | fter intensive therapy episode of care, an average of 4 weeks | 
| Modified Clinical Test of Sensory Integration and Balance | mCISIB--balance test in 4 conditions | after intensive therapy episode of care, an average of 4 weeks | 
| Modified Clinical Test of Sensory Integration and Balance | mCISIB--balance test in 4 conditions | before intensive therapy episode of care, an average of 4 weeks | 
| Pediatric Balance Scale | PBS-balance test | before intensive therapy episode of care, an average of 4 weeks | 
| Pediatric Balance Scale | PBS-balance test | after intensive therapy episode of care, an average of 4 weeks | 
| Functional Gait Assessment (FGA) | Assesses functional gait performance | before intensive therapy episode of care, an average of 4 weeks | 
| Functional Gait Assessment (FGA) | Assesses functional gait performance | after intensive therapy episode of care, an average of 4 weeks | 
| Segmental Assessment of Trunk Control (SATCo) | Assessment of trunk control | before intensive therapy episode of care, an average of 4 weeks | 
| Segmental Assessment of Trunk Control (SATCo) | Assessment of trunk control | after intensive therapy episode of care, an average of 4 weeks | 
| Survey | 4 open-ended questions about caregiver/child experience with intensive therapy program | after intensive therapy episode of care, an average of 4 weeks |