Best Practices Fo Early Diagnosis of Cerebral Palsy

Condition(s) studied

Investigational drug(s) / intervention(s)

Implementation group: Implementation strategies to increase uptake of the clinical practice guidelines for earlier diagnosis of cerebral palsy

Standard of care: No active implementation strategies

Study summary

In this research, the investigators are using an implementation science approach to enhance the uptake of a clinical practice guideline for earlier diagnosis of cerebral palsy (i.e. what is being implemented) in neonatal follow-up clinics across Canada. This clinical practice guideline should be part of what neonatal follow-up specialists do in their routine clinical work with children born preterm. However, there is a wide variability in practice. The goal of this project is to harmonize practices in the neonatal follow-up community in agreement with international recommendations for earlier diagnosis of cerebral palsy. This research will measure if clinicians are truly following the clinical practice guideline. If not, implementation strategies that address barriers and leverage on facilitators will be deployed for successful uptake of the clinical practice guideline. This research will also assess whether implementation of the clinical practice guideline is associated with better patient outcomes.

Eligibility

Primary outcome measure(s)

• Intervention : corrected age at detection of early signs of CP. — Birth to 18-24 months CA
  This is calculated from the date at which the clinician identifies early signs of CP and shares this diagnosis with family. This diagnosis must be followed by an immediate action i.e., referral for CP-targeted intervention and/or evaluation. Outcome data will be collected through retrospective chart review.
• Intervention : Developmental functioning at 18-24 month CA — Birth to 18-24 months CA
  Evaluation of the developmental functioning using the Bayley Scales of Infant and Toddler Development, 4th edition (Bayley-4), a widely used, standardized, norm-referenced instrument for direct assessment of children aged 1-42 mo. Cognition, language, and motor composite scores are obtained (mean 100±15).

Trial sites (1)

More St. Justine's Hospital trials in Canada

Other trials for the same condition