Evidence map›Paper›PMID 31291989›Full record

ArticleTrials2019

The effect of visual support strategies on the quality of life of children with cerebral palsy and cerebral visual impairment/perceptual visual dysfunction in Nigeria: study protocol for a randomized controlled trial.

Roseline Duke, Komomo Eyong, Kathryn Burton, David MacLeod, Gordon N Dutton, Clare Gilbert, Richard Bowman

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05113433 (Effects of Different Time Period of Standing Frame on Spasticity and Gait in Children With Spastic Cerebral Palsy.), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05113433 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Effects of Different Time Period of Standing Frame on Spasticity and Gait in Children With Spastic Cerebral Palsy.

TypeinterventionalSponsorShifa Tameer-e-Millat UniversityRan2021 to 2021Enrolled60ConditionsSpastic Cerebral Palsy, Spastic GaitArmsconventional physical therapy, standing frame.
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. What assessments are currently used to investigate and diagnose cerebral visual impairment (CVI) in children? A systematic review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2021
    Pooled it
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Roseline DukeLondon School of Hygiene and Tropical Medicine, International Centre for Eye Health, London, WC1E 7HT, UK. dr.roselineduke@gmail.com.ORCID http://orcid.org/0000-0001-8222-2579
Komomo EyongPaediatric Neurology Unit, Department of Paediatrics, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.
Kathryn BurtonCambridge Community Services NHS Trust, Cambridge, UK.
David MacLeodCalabar Childrens' Eye Center, Department of Ophthalmology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.
Gordon N Dutton, Glasgow, UK.
Clare GilbertLondon School of Hygiene and Tropical Medicine, International Centre for Eye Health, London, WC1E 7HT, UK.
Richard BowmanLondon School of Hygiene and Tropical Medicine, International Centre for Eye Health, London, WC1E 7HT, UK.

Funding

Queen Elizabeth Diamond Jubilee Trust/Commonwealth Eye Health Consortium.London School of Hygiene and Tropical Medicine ITCRZC6814
6 · The paper itself

Abstract

backgroundCerebral visual impairment (CVI), including perceptual visual dysfunction (PVD), is common in children with cerebral palsy (CP). Inventories of questions relating to practical aspects of visual perception in everyday life, in particular the closed-ended Insight Questions Inventory (IQI), can be used to assess CVI/PVD. Studies linking responses to the inventory with specific visual support strategies, aimed at modifying the child's environment and/or behaviour to minimize the impact of the CVI/PVD, have been piloted. The IQI and tailored strategies have not been used in an African population, nor have they been tested in a controlled trial. This trial will compare the effectiveness of the IQI and linked visual support strategies versus general supportive treatments on the quality of life of children with CVI/PVD and CP through a randomized controlled trial. METHODS/

designThis is a prospective, double-blind, parallel-arm, randomized controlled trial. The primary outcome is change in quality of life scores between the two arms of the trial at 6 weeks, assessed using the Paediatric Quality of Life Inventory (PedsQL) generic 4.0 and CP 3.0 module. All children will undergo baseline assessment including the Open Questions Inventory, IQI, PedsQL 3.0, PedsQL 4.0 generic, and the Strengths and Difficulties Questionnaire (SDQ). Eligible children with CP aged 4 years to < 16 years will be stratified and blocked by the age groups 4-9 and 10 to < 16 years and by Gross Motor Function Classification System (GMFCS) levels 1-3 and 4-5. Families in the intervention arm will receive tailored insight visual support strategies and telephone calls during the 6-week trial period. The control arm will receive standard treatment and the intervention after the 6-week trial period. Follow-up interviews will be performed in both arms at 6 weeks with a repeat administration of the PedsQL CP 4.0 and 3.0, the IQI and the SDQ. Secondary outcomes include a change in functional vision. DISCUSSION: This randomized controlled trial will provide evidence of the effectiveness of this intervention for children with CP in a resource-poor setting.

trial registrationPan African Clinical Trials Registration, PACTR201612001886396 . Registered on 3 December 2016.

Indexed as

Quality of LifeVisual PerceptionAdolescentAge FactorsCerebral PalsyChildChild, PreschoolChildren with DisabilitiesDouble-Blind MethodFemaleHumansMaleNigeriaPersons with Visual DisabilitiesProspective StudiesRandomized Controlled Trials as TopicCerebral palsyCerebral visual impairmentInsight Questions InventoryPaediatric quality of lifePerceptual visual dysfunctionVisual support strategies

Identifiers

PMID31291989
PMCPMC6617659

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.