科研之友
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摘要
AimTo estimate the cost-effectiveness of the Mitii training system for improvements in upper limb function for children with unilateral cerebral palsy (CP). Mitii is a web-based programme delivered at home with set-up and monitoring by therapists. MethodA randomized controlled trial was conducted comparing the Mitii training programme to usual care. The Assessment of Motor and Process Skills (AMPS) and Canadian Occupational Performance Measure (COPM) were collected for each child at baseline and 20 weeks. Responders to training were characterized as those who met a minimally important difference on either the AMPS (0.3 logits) or COPM (2 points). Costs of the intervention were calculated by quantifying the equipment and staff cost. A cost per responder was calculated for each of the outcome measures. ResultsA total of 102 participants (52 males, 50 females) were included in the analysis. There were significantly more responders in the training group on both the AMPS motor and process scales and the COPM performance and satisfaction scales. The cost per responder for the Mitii programme ranged from AU$3078 to AU$4191 depending on the scale used. InterpretationThe cost of delivering the Mitii training system is modest relative to the improvements in function. What this paper adds A multimodal web-based programme delivered at home confers better effectiveness than usual care rehabilitation in children with unilateral cerebral palsy. Additional costs per motor and process skills (Assessment of Motor and Process Skills) or occupational performance (Canadian Occupational Performance Measure) responder were relatively small. For the limited costs and greater gains in health outcomes, the Mitii web-based programme offers a cost-effective adjunct to direct rehabilitation. This article is commented on by Kerr on pages 677-678 of this issue.
- 出版日期2017-7
