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. 2023 Jul 6;12:790. [Version 1] doi: 10.12688/f1000research.133314.1

Table 1. Characteristics of the included studies.

Author, year, Country Sample Size Participants (Children with CP) Age in years Mean (SD) or median (IQR) Sex in % Participants (Caregivers) Age in years Mean (SD) or median (IQR) Intervention group Control group
Weindling et al., 2007 33
United Kingdom
N=88
Intervention 1: 31
Intervention 2: 28
Control: 29
Children with spastic CP < 4 years
FSWG: 21.2 ± 9.2 months, 59% male
PAG: 19.3 ± 8.7 months, 57% males
Control: 18.9 ± 8.7 months, 68% males
Caregivers of children with CP
Maternal age: 30.9 ± 0.2 years
Paternal age 34.4 ± 6.6 years
Intervention 1: Family support worker group (FSWG):
Standard physiotherapy + Family support worker to discuss family needs and provide support
Intervention 2: Physiotherapy assistant group (PAG): Extra Physiotherapy along with standard physiotherapy to increase dose of intervention Standard Physiotherapy (mainly NDT)
Mlinda et al., 2018 26
Tanzania
N= 118
Intervention: 69
Control: 49
Children < 5 years with moderate-to-severe CP
Intervention: 28.5 (12.3) months, 46.0% males
Control: 28.9 (13.0) months, 48.9% males
Caregivers of children with CP
Intervention: 30.3 ± 5.2 years
Control: 31.5 ± 5.34 years
Nutrition education and training on feeding and positioning skills Usual Care
Whittingham et al., 2014 32
Secondary study: Whittingham et al., 2016 39
Australia
N= 67
Intervention 1: 22
Intervention 2: 23
Control: 22
Children with CP, 2– 12 years of age, GMFCS level I-V
SSTP: 5.45 ± 3.16 years, 59.1 % boys
SSTP + ACT: 5.52 ± 3.17 years, 73.9 % boys
Waitlist: 4.96 ± 2.95 years, 59.1% boys
Parents of children with CP who self-identified the need for a parenting intervention
SSTP: 38.67 (5.55) years
SSTP + ACT: 37.88 (9.39) years
Waitlist: 39.65 (6.09) years
Intervention 1: Stepping Stones Triple P (SSTP)
Parenting Interventions for targeting behavioural and emotional problems in childhood
Intervention 2: Stepping Stones Triple P and Acceptance and Commitment Therapy (SSTP + ACT)
ACT: Cognitive behavioural therapy for improving psychological flexibility to handle behavioural problems
Waitlist
After postintervention assessment, SSTP was offered.
Whittingham et al., 2022 29
Australia
N= 67
Intervention: 37
Control: 30
Child with CP, between 2-10 years
Intervention: 5 years 8 months ± 2.36, 59% males
Waitlist: 5 years 6 months ± 2.60, 87% males
Parents of children with CP
Age not reported
Immediate Parenting Acceptance and Commitment Therapy (PACT) intervention via an online course to improve psychological flexibility to parent this population Waitlist control
Hielkema et al., 2020 35
Secondary study: Hielkema et al., 2020 37
Netherlands
N=43
Intervention: 23
Control: 20
Infants at very high-risk of CP before 9 months CA
Intervention: 1.4 (0.7–2.8) months, 65% males
Control: 2.5 (1.8–4.7) months, 55% males
Parents of infants at high risk of CP
Intervention: 29 (27–35) years
Control: 31 (29–35) years
Coping with and caring for infants with special needs (COPCA) intervention involving parent coaching and adaptive infant motor training Typical infant physiotherapy (TIP)
NDT with a functional approach
Saquetto et al., 2018 28
Brazil
N=60
Intervention: 29
Control: 31
Children with CP between 1–12 years of age.
Intervention: 4.66 ± 2.78 years, 41.4% boys
Control: 4.52 ± 2.71, 71% boys
Full-time caregiver of child with CP
Intervention: 33.38 ± 9.6 years
Control: 34.42±10.92 years
Educational programme for primary caregivers to create opportunities for their infants to practice motor control via everyday activities along with conventional rehabilitation Conventional rehabilitation
Myrhaug et al., 2018 31
Secondary study: Myrhaug et al., 2019 38
Norway
N= 21
Intervention: 11
Control: 10
Children with CP between 3–6 years. All types and functional levels of CP who are eligible for CE courses
Intervention: 4 (3–4.5) years, 45% male
Control: 4 (3–4) years,
70% males
Parents of children with CP
Age not reported
Conductive education (CE) followed by conventional practice Waiting list: Conventional practice (Functional training)
Kahjoogh et al., 2019 6
Iran
N=30
Intervention: 15
Control: 15
Children with CP, aged 5–11 years with learning capacity
GMFCS level I-V
Intervention: 6.64 ± 0.97, 46.7% boys
Control: Age 7.56 ± 1.59, 66.7% boys
Mothers between 25 and 50 years
Intervention: 34.69 ± 4.29 years
Control: 38.22 ± 5.98 years
Occupational Performance Coaching (OPC) providing emotional support, information and a structured problem solving process that helped achieve goals along with standard occupational therapy services Standard occupational therapy services (mainly NDT)
Morgan et al., 2016 34
Australia
N=30
Intervention: 15
Control: 15
Infants aged between 3 and 6 months CA with a diagnosis of CP or at high-risk of CP
Intervention: 15.73 ± 4.76 weeks, 53% boys
Control: 20.07 ± 5.08 weeks, 60% boys
Mothers of children with CP
Intervention: 33.73 (4.73) years
Control: 31.07 ± 7.11 years
Goals, Activity and Motor Enrichment (GAME) intervention involving task practice using motor learning strategies delivered along with parent education and involvement. Standard care
Law et al., 2011 30
Canada
N=91
Intervention: 67
Control: 79
Children between 12 months and 5 years 11 months of age, diagnosed with CP, and all GMFCS levels.
Intervention: 3.92 ± 1.42 years, 51% males
Control: 3.53 ± 1.43 years, 70% males
Parents of children with CP
Age not reported
Context-Focused Approach that involved parents to change constraints in task or environment that hinder child’s performance Child-Focused Approach: contemporary interventions such as ROM, weight-bearing, etc
Fonvig et al., 2020 27
Secondary study: Rasmussen et al., 2019 36
Denmark
N=60
Intervention: 30
Control: 30
Children with spastic CP, between 5-8 years, GMFCS level I-II
Median age: 6 years and 10 months
Intervention: Median 6y 6m (2y 8m), 70% boys
Control: Median 6y 11m (1y 10 m), 60% boys
Parents of children with CP
Age not reported
Individually tailored interdisciplinary intervention based on recommendations from clinical examination as well as an IGA report. Family involvement in planning treatment. Standard care: Individually tailored interdisciplinary intervention based on clinical examinations without an IGA report.

Note. ACT: Acceptance and Commitment Therapy; CA: Corrected age; CE: Conductive education; COPCA: Coping with and Caring for infants with special needs; CP: Cerebral Palsy; FSWG: Family support worker; GAME: Goals, Activity and Motor Enrichment; GMFCS: Gross Motor Function Classification System; IQR: Inter-quartile range; NDT: neurodevelopmental therapy; OPC: Occupational Performance Coaching; PACT: Parenting Acceptance and Commitment Therapy; PAG: physiotherapy assistant group; SSTP: Stepping Stones Triple P; TIP: Typical infant physiotherapy;