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. 2022 Aug 10;22:480. doi: 10.1186/s12887-022-03525-6

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© The Author(s) 2022

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 2 — Experimental Design with Measurement Time Points. Participants are randomly allocated to either receive the ELEVATE intervention immediately (Immediate Group) or delay the intervention for 6 months (Waitlist-control Group) before they are offered the optional ELEVATE training. Children undergo monthly assessments for 12 months (including 9 months of follow-up for the Immediate Group and 3 months of follow-up for the Waitlist-control Group). Outcome measures are obtained as indicated by arrows and stars. GMFM-66: Gross Motor Function Measure-66; PSAD: Portable Spasticity Assessment Device; PedsQL CP: The Pediatric Quality of Life Inventory™ module for cerebral palsy; YC-PEM: Young Children's Participation and Environment Measure; RUQ: Resource Use Questionnaire