Evidence map›Paper›PMID 34972100›Full record

ArticlePloS one2021

Supporting Ultra Poor People with Rehabilitation and Therapy among families of children with Cerebral Palsy in rural Bangladesh (SUPPORT CP): Protocol of a randomised controlled trial.

Mahmudul Hassan Al Imam, Israt Jahan, Mohammad Muhit, Manik Chandra Das, Rosalie Power, Arifuzzaman Khan, Delwar Akbar, Nadia Badawi, Gulam Khandaker

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

9 authors at 5 institutions in 2 countries.

Mahmudul Hassan Al ImamCSF Global, Dhaka, Bangladesh.ORCID 0000-0002-1670-9060
Israt JahanCSF Global, Dhaka, Bangladesh.
Mohammad MuhitCSF Global, Dhaka, Bangladesh.
Manik Chandra DasCSF Global, Dhaka, Bangladesh.
Rosalie PowerAsian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.ORCID 0000-0001-9434-3941
Arifuzzaman KhanCSF Global, Dhaka, Bangladesh.ORCID 0000-0003-4770-8308
Delwar AkbarSchool of Business and Law, Central Queensland University, Rockhampton, Queensland, Australia.
Nadia BadawiCerebral Palsy Alliance, Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia.
Gulam KhandakerSchool of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.
University of South Asia · BDQueensland Health · AUThe University of Sydney · AUCentral Queensland University · AUTranslational Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPoverty is a key contributor to delayed diagnosis and limited access to early intervention and rehabilitation for children with cerebral palsy (CP) in rural Bangladesh. 97% of families of children with CP live below the poverty line in Bangladesh. Therefore, in low-and middle-income countries (LMICs), efforts to improve outcomes for children with CP (including health-related quality of life, motor function, communication, and nutritional attainments) should also include measures to improve family economic and social capital. We propose a randomised controlled trial (RCT) to evaluate the effectiveness of an integrated microfinance/livelihood and community-based rehabilitation (IMCBR) program for ultra-poor families of children with CP in rural Bangladesh. MATERIAL AND

methodsThis will be a cluster RCT comparing three arms: (a) integrated microfinance/livelihood and community-based rehabilitation (IMCBR); (b) community-based rehabilitation (CBR) alone; and (c) care-as-usual (i.e. no intervention). Seven clusters will be recruited within each arm. Each cluster will consist of 10 child-caregiver dyads totalling 21 clusters with 210 dyads. Parents recruited in the IMCBR arm will take part in a microfinance/livelihood program and Parent Training Module (PTM), their children with CP will take part in a Goal Directed Training (GDT) program. The programs will be facilitated by specially trained Community Rehabilitation Officers. The CBR arm includes the same PTM and GDT interventions excluding the microfinance/livelihood program. The care-as-usual arm will be provided with information about early intervention and rehabilitation. The assessors will be blinded to group allocation. The duration of the intervention will be 12 months; outcomes will be measured at baseline, 6 months, 12 months, and 18 months.

conclusionThis will be the first RCT of an integrated microfinance/livelihood and CBR program for children with CP in LMIC settings. Evidence from the study could transform approaches to improving wellbeing of children with CP and their ultra-poor families.

Indexed as

Rural PopulationBangladeshCerebral PalsyChildChild, PreschoolFamilyGeographyHumansPilot ProjectsPovertyRandomized Controlled Trials as TopicResidence Characteristics

Identifiers

PMID34972100
PMCPMC8719685
OpenAlexW4206049427

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.