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Cognitive Rehabilitation in Pediatric Acquired Brain Injury (CORE-pABI)

Primary Purpose

Brain Injuries

Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Pediatric Goal Management Training
Pediatric Brain Health Workshop
Sponsored by
St. Olavs Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Brain Injuries focused on measuring Child, Rehabilitation, Psychotherapy, groups

Eligibility Criteria

10 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • diagnosed with traumatic brain injury, brain tumor or damage by inflammation in the brain
  • more than 12 months since injury/illness or more than 12 months since ended cancer therapy
  • evidence of executive dysfunction in everyday life

Exclusion Criteria:

  • cognitive, sensory, physical, or language impairment affecting the capacity to attend mainstream school and/or complete the training program
  • pre-injury neurological disease or psychiatric disorder
  • recently detected brain tumor relapse
  • unfit for evaluation of outcome (independent evaluation by 2 investigators)
  • not fluent in Norwegian language

Sites / Locations

  • Oslo universitetssykehus HF
  • Barne og ungdomsklinikken St Olavs Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

pGMT

pBHW

Arm Description

Pediatric Goal Management Training

Pediatric Brain Health Workshop

Outcomes

Primary Outcome Measures

executive function in daily life
Behavior Rating Inventory of Executive Function (BRIEF; self, teacher and parent form

Secondary Outcome Measures

Performance on Conners Continuous Performance Test III
Performance on BADS-C
Performance on D-KEFS Trail Making Test 1-4
performance on D-KEFS Color Word Interference Test
Performance on Children's Cooking Task test
Performance on NEPSY-II Social Perception test
Score on Health Behaviour Inventory
questionnaire
Score on Glasgow Outcome Scale Extended Pediatric
questionnaire
Score an EQ-5D-Y
questionnaire
Score on Family Functioning Scale
questionnaire
Score on Center for Epidemiologic Studies Depression Scale
questionnaire
Score on Pediatric Quality of Life Inventory
questionnaire
Score on Cognitive Failures Questionnaire
Score on ADHD Rating Scale IV
questionnaire
Score on Child Behavior Checklist
questionnaire
Score on Harter Self Perception Profile for Children
questionnaire

Full Information

First Posted
July 11, 2017
Last Updated
December 12, 2021
Sponsor
St. Olavs Hospital
Collaborators
Oslo University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03215342
Brief Title
Cognitive Rehabilitation in Pediatric Acquired Brain Injury
Acronym
CORE-pABI
Official Title
Cognitive Rehabilitation in Pediatric Acquired Brain Injury - a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
December 2021
Overall Recruitment Status
Completed
Study Start Date
December 1, 2017 (Actual)
Primary Completion Date
November 30, 2019 (Actual)
Study Completion Date
November 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Olavs Hospital
Collaborators
Oslo University Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Acquired brain injury (e.g., traumatic brain injury, brain tumour, brain infections) is one of the leading causes of death and disability for children and adolescents. Importantly, injuries affecting the brain in childhood or adolescence appear during a time of development when the brain is particularly vulnerable. Thus, pediatric acquired brain injury does not only impact cognitive functions at the time of injury or onset of disease, but also cognitive functions that are yet to develop. Changes in cognitive function, and in particular executive dysfunction due to acquired brain injury, cause significant real-life disability, yet solid evidence in support of executive functioning interventions for children and adolescents is lacking. In the present study different group-based cognitive rehabilitation interventions will be compared. The aim of the study is to investigate if a group-based "brain training" intervention is able to improve executive function in children and adolescents after acquired brain injury. Efficacy will be assessed immediately after intervention, but also six months after the intervention. The project is in line with international research efforts aimed at establishing more knowledge about how children and adolescents with brain injuries respond to cognitive rehabilitation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Brain Injuries
Keywords
Child, Rehabilitation, Psychotherapy, groups

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
76 (Actual)

8. Arms, Groups, and Interventions

Arm Title
pGMT
Arm Type
Experimental
Arm Description
Pediatric Goal Management Training
Arm Title
pBHW
Arm Type
Experimental
Arm Description
Pediatric Brain Health Workshop
Intervention Type
Behavioral
Intervention Name(s)
Pediatric Goal Management Training
Other Intervention Name(s)
GMT
Intervention Description
7 GMT modules will be administered in 7x2 hours sessions (ten groups). Manualized intervention; metacognitive strategies for improving attention and problem solving. Homework assignments between sessions.
Intervention Type
Behavioral
Intervention Name(s)
Pediatric Brain Health Workshop
Other Intervention Name(s)
active control condition, pBHW
Intervention Description
7 pBHW modules will be administered in 7x2 hours sessions (ten groups). Psychoeducation; brain (dys)function, plasticity, memory, executive function, and attention. Stress, physical exercise, sleep, nutrition, and energy management. Homework assignments between sessions
Primary Outcome Measure Information:
Title
executive function in daily life
Description
Behavior Rating Inventory of Executive Function (BRIEF; self, teacher and parent form
Time Frame
change from baseline up to 6 months
Secondary Outcome Measure Information:
Title
Performance on Conners Continuous Performance Test III
Time Frame
change from baseline up to 6 months
Title
Performance on BADS-C
Time Frame
change from baseline up to 6 months
Title
Performance on D-KEFS Trail Making Test 1-4
Time Frame
change from baseline up to 6 months
Title
performance on D-KEFS Color Word Interference Test
Time Frame
change from baseline up to 6 months
Title
Performance on Children's Cooking Task test
Time Frame
change from baseline up to 6 months
Title
Performance on NEPSY-II Social Perception test
Time Frame
change from baseline up to 6 months
Title
Score on Health Behaviour Inventory
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on Glasgow Outcome Scale Extended Pediatric
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score an EQ-5D-Y
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on Family Functioning Scale
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on Center for Epidemiologic Studies Depression Scale
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on Pediatric Quality of Life Inventory
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on Cognitive Failures Questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on ADHD Rating Scale IV
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on Child Behavior Checklist
Description
questionnaire
Time Frame
change from baseline up to 6 months
Title
Score on Harter Self Perception Profile for Children
Description
questionnaire
Time Frame
change from baseline up to 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
10 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: diagnosed with traumatic brain injury, brain tumor or damage by inflammation in the brain more than 12 months since injury/illness or more than 12 months since ended cancer therapy evidence of executive dysfunction in everyday life Exclusion Criteria: cognitive, sensory, physical, or language impairment affecting the capacity to attend mainstream school and/or complete the training program pre-injury neurological disease or psychiatric disorder recently detected brain tumor relapse unfit for evaluation of outcome (independent evaluation by 2 investigators) not fluent in Norwegian language
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kari Risnes, md phd
Organizational Affiliation
St. Olavs Hospital
Official's Role
Study Director
Facility Information:
Facility Name
Oslo universitetssykehus HF
City
Oslo
Country
Norway
Facility Name
Barne og ungdomsklinikken St Olavs Hospital
City
Trondheim
Country
Norway

12. IPD Sharing Statement

Citations:
PubMed Identifier
31375619
Citation
Hypher RE, Brandt AE, Risnes K, Ro TB, Skovlund E, Andersson S, Finnanger TG, Stubberud J. Paediatric goal management training in patients with acquired brain injury: study protocol for a randomised controlled trial. BMJ Open. 2019 Aug 1;9(8):e029273. doi: 10.1136/bmjopen-2019-029273. Erratum In: BMJ Open. 2019 Aug 23;9(8):e029273corr1.
Results Reference
background
PubMed Identifier
34724955
Citation
Brandt AE, Finnanger TG, Hypher RE, Ro TB, Skovlund E, Andersson S, Risnes K, Stubberud J. Rehabilitation of executive function in chronic paediatric brain injury: a randomized controlled trial. BMC Med. 2021 Nov 2;19(1):253. doi: 10.1186/s12916-021-02129-8.
Results Reference
result
PubMed Identifier
35925734
Citation
Hypher R, Brandt AE, Skovlund E, Skarbo AB, Barder HE, Andersson S, Ro TB, Risnes K, Finnanger TG, Stubberud J. Metacognitive strategy training versus psychoeducation for improving fatigue in children and adolescents with acquired brain injuries: A randomized controlled trial. Neuropsychology. 2022 Oct;36(7):579-596. doi: 10.1037/neu0000845. Epub 2022 Aug 4.
Results Reference
derived
PubMed Identifier
34197132
Citation
Hypher R, Andersson S, Finnanger TG, Brandt AE, Hoorelbeke K, Lie HC, Barder HE, Larsen SM, Risnes K, Ro TB, Stubberud J. Fatigue following pediatric acquired brain injury: Interplay with associated factors in a clinical trial population compared to healthy controls. Neuropsychology. 2021 Sep;35(6):609-621. doi: 10.1037/neu0000753. Epub 2021 Jul 1.
Results Reference
derived

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Cognitive Rehabilitation in Pediatric Acquired Brain Injury

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