Um programa de esportes modificados associado a uma intervenção focada no contexto para crianças com paralisia cerebral: um ensaio clínico randomizado de viabilidade
Notice bibliographique
Résumé
The effectiveness of different intervention models to improve the participation of children with Cerebral Palsy has been demonstrated in the literature. Among them, we can mention modified sports interventions, which promote participation by improving factors intrinsic to the individual, and context-focused therapy, which concentrates on extrinsic factors related to the context in which participation occurs. Considering that both promote participation through distinct mechanisms of action, the question arises whether the combination of the two models can lead to better results. Therefore, the aim of the present study was to investigate the feasibility of conducting a randomized controlled trial (RCT) to evaluate the effectiveness of a modified sports intervention (Sports Stars Brazil) combined with a context-focused therapy (Pathways and Resources for Engagement and Participation - PREP), as well as the preliminary effects of this combination. This is a feasibility clinical trial. Nine participants were randomly allocated to the Sports Stars Brazil + PREP group, and nine to the Sports Stars Brazil group. Feasibility measures included: willingness to participate in an RCT; acceptability of random allocation; acceptability of screening procedures; feasibility of assessor blinding; contamination between groups; adherence and satisfaction with the treatment; communication among therapists; occurrence of adverse events and resources for implementation. Secondary outcomes were obtained using the Canadian Occupational Performance Measure (COPM), the Participation and Environment Measure for Children and Youth (PEM-CY), the Family Empowerment Scale (FES), the Physical Literacy Questionnaire (PLP-Quest), and an accelerometer. These instruments were used in pre- and post-intervention assessments, and at a 12-week follow-up. Descriptive statistics and appropriate tests were used for data analysis. Feasibility analysis revealed adequate levels of satisfaction, credibility, and acceptability of the interventions in both groups; however, the recruitment rate and contamination between groups were not adequate. Regarding secondary outcomes, statistically significant differences were found in favor of the Sports Stars Brazil + PREP group on the COPM, in the FES, as well as in school involvement assessed by the PEM-CY. It can be concluded that it is feasible to implement a more robust clinical trial to investigate the effectiveness of combining these interventions, although some procedural adjustments are necessary. Moreover, the combination has the potential to improve relevant outcomes.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,007 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,002 |
| Méta-épidémiologie (sens large) | 0,005 | 0,004 |
| Bibliométrie | 0,003 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,003 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,011 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».