Evidence map›Paper›PMID 39964674›Full record

Trial reportDevelopmental medicine and child neurology2025

Participation in activities of daily living after the Akwenda Intervention Program for children and young people with cerebral palsy in Uganda: A cluster-randomized trial.

Elizabeth Asige, Gillian Saloojee, Godfrey Wanjala, Carin Andrews, Lukia H Namaganda, Angelina Kakooza-Mwesige, Diane L Damiano, Hans Forssberg

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Developmental medicine and child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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

8 authors.

Elizabeth AsigeDepartment of Pediatrics and Child Health, Makerere University, Kampala, Uganda.
Gillian SaloojeeCURIE Study Consortium, Iganga-Mayuge Health and Demographic Surveillance System, Iganga, Uganda.ORCID 0000-0003-1582-0151
Godfrey WanjalaCURIE Study Consortium, Iganga-Mayuge Health and Demographic Surveillance System, Iganga, Uganda.
Carin AndrewsCURIE Study Consortium, Iganga-Mayuge Health and Demographic Surveillance System, Iganga, Uganda.ORCID 0000-0002-9928-4423
Lukia H NamagandaCURIE Study Consortium, Iganga-Mayuge Health and Demographic Surveillance System, Iganga, Uganda.
Angelina Kakooza-MwesigeDepartment of Pediatrics and Child Health, Makerere University, Kampala, Uganda.ORCID 0000-0002-1189-3671
Diane L DamianoCURIE Study Consortium, Iganga-Mayuge Health and Demographic Surveillance System, Iganga, Uganda.ORCID 0000-0002-2770-5356
Hans ForssbergCURIE Study Consortium, Iganga-Mayuge Health and Demographic Surveillance System, Iganga, Uganda.ORCID 0000-0003-2069-6618

Funding

Stiftelsen Frimurare Barnhuset i StockholmStiftelsen PromobiliaStiftelsen Sunnerdahls HandikappfondVetenskapsrådet 2017-05474
6 · The paper itself

Abstract

aimTo evaluate the efficacy of the Akwenda Intervention Program on participation attendance and involvement of children and young people with cerebral palsy (CP) in rural Uganda.

methodThis was a cluster-randomized, controlled, single-blind, interventional study of 100 participants with CP (aged 2-23 years; 48 females; allocated to the intervention or waiting list control group). Picture My Participation interviews assessed participation attendance and involvement in 20 home and community activities. Group differences were analysed using a Mann-Whitney U test and effect sizes were calculated. Change in attendance was related to age and functional level, and to improvements in child functioning, which was published in a previous report from the same study.

resultsAttendance increased more in the intervention compared to the control group (p < 0.001; r = 0.48; z = -4.62) and across both Gross Motor Function Classification System (GMFCS) subgroups and two age subgroups (2-5 years and 13-23 years). Positive correlations were found between increases in attendance and higher GMFCS levels (ρ = 0.25, p = 0.03) and with all three caregiver assistance scales and the social function child scale of the Ugandan version of the Pediatric Evaluation of Disability Inventory. The intervention group had larger increases in involvement than the controls (p < 0.001; r = 0.41; z = -3.95), although positive changes were seen in both groups.

interpretationThe Akwenda Intervention Program, which intervened at the level of the child, family, and community, was successful in enhancing participation for children with CP.

Indexed as

Activities of Daily LivingCerebral PalsyAdolescentChildChild, PreschoolFemaleHumansMaleRural PopulationSingle-Blind MethodTreatment OutcomeUgandaYoung Adult

Identifiers

PMID39964674
PMCPMC12336405

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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.