The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial

Aim: To 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. Method: A randomized controlled trial was conducte...

Full description

Bibliographic Details
Main Authors: Comans, T., Mihala, G., Sakzewski, L., Boyd, Roslyn, Scuffham, P.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd. 2017
Online Access:http://hdl.handle.net/20.500.11937/51319
_version_ 1848758667781865472
author Comans, T.
Mihala, G.
Sakzewski, L.
Boyd, Roslyn
Scuffham, P.
author_facet Comans, T.
Mihala, G.
Sakzewski, L.
Boyd, Roslyn
Scuffham, P.
author_sort Comans, T.
building Curtin Institutional Repository
collection Online Access
description Aim: To 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. Method: A 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. Results: A 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. Interpretation: The cost of delivering the Mitii training system is modest relative to the improvements in function.
first_indexed 2025-11-14T09:47:38Z
format Journal Article
id curtin-20.500.11937-51319
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T09:47:38Z
publishDate 2017
publisher Wiley-Blackwell Publishing Ltd.
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-513192017-09-13T15:46:01Z The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial Comans, T. Mihala, G. Sakzewski, L. Boyd, Roslyn Scuffham, P. Aim: To 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. Method: A 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. Results: A 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. Interpretation: The cost of delivering the Mitii training system is modest relative to the improvements in function. 2017 Journal Article http://hdl.handle.net/20.500.11937/51319 10.1111/dmcn.13414 Wiley-Blackwell Publishing Ltd. restricted
spellingShingle Comans, T.
Mihala, G.
Sakzewski, L.
Boyd, Roslyn
Scuffham, P.
The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial
title The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial
title_full The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial
title_fullStr The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial
title_full_unstemmed The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial
title_short The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trial
title_sort cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: the mitii randomized controlled trial
url http://hdl.handle.net/20.500.11937/51319