Brain computer interface: Families will first complete an in-person visit to review available activities, set their first goals, and learn to use BCI independently. A BCI "kit" will be given to each family, with a headset and the equipment and software required to pursue their identified goals. Following this, families will participate in 12 virtual sessions over 3-6 months. Scheduling will be flexible to accommodate complex family needs. Daily online support will be provided via a messaging application. Participants who choose to continue using BCI beyond 12 sessions will be provided kits and supported.
Study summary
The goal of this trial is to evaluate use of brain computer interfaces (BCI) at home for children with severe severe physical disabilities. The main questions it aims to answer are:
1. Can a home BCI program enable children with disabilities to achieve personalized life participation goals?
2. Can a home BCI program promote implementation reach?
Eligibility
Sex
ALL
Min age
5 Years
Max age
18 Years
Healthy volunteers
No
Inclusion Criteria:
* Age 5-18 years
* Severe motor impairment including inability to walk and minimal functional hand use, and/or;
* Severe communication impairment
* Ability to follow simple instructions and attend to simple tasks
* Home environment suitable for the program based on clinician and family discussion;
* Informed assent/consent
Exclusion Criteria:
* Epileptic encephalopathy
* Unstable epilepsy, or
* Brain imaging incompatible with BCI functionality
Primary outcome measure(s)
Canadian Occupational Performance Measure — Baseline and end of treatment at 6 months The primary effectiveness outcome is achievement of child and family-identified participation-based goals, as measured by the Canadian Occupational Performance Measure (COPM). Participants/families will set 3-5 goals, and then score the Importance, Performance, and Satisfaction with each goal on a 1-10 scale.
Implementation Reach — through study completion, an average of 2 years The primary implementation outcome is the proportion of children recruited from equity-deserving groups. A baseline survey will capture comprehensive demographics.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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