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dc.contributor.authorBarton, Catherine
dc.contributor.authorBuckley, John P.
dc.contributor.authorSamia, Pauline
dc.contributor.authorWilliams, Fiona
dc.contributor.authorTaylor, Sue
dc.contributor.authorLindoewood, Rachel
dc.date.accessioned2020-10-12T12:59:33Z
dc.date.available2020-10-12T12:59:33Z
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/623851/Barton%20et%20al.%2c%20APT%20Diasab%20%26%20Rehab%20JBV1%20FINAL%20CATH%20%5b29103%5d.pdf?sequence=1
dc.identifier.citationBarton, C., Buckley, J. P., Samia, P., Williams, F., Taylor, S. & Lindoewood, R. (2020). The efficacy of using Appropriate Paper-based Technology postural support devices in Kenyan children with Cerebral Palsy. Disability and Rehabilitation: Assistive Technology.en_US
dc.identifier.doi10.1080/17483107.2020.1830442
dc.identifier.urihttp://hdl.handle.net/10034/623851
dc.descriptionThis is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation: Assistive Technology on forthcoming, available online: doi to be supplied.en_US
dc.description.abstractPurpose: Appropriate paper-based technology (APT) is used to provide postural support for children with cerebral palsy (CP) in low-resourced settings. This pilot study aimed to evaluate the impact of APT on the children’s and families’ lives. Materials and methods: A convenience sample of children with CP and their families participated. Inclusion was based on the Gross Motor Function Classification System levels IV and V. APT seating or standing frames were provided for six months. A mixed methods impact of APT devices on the children and families included the Family Impact Assistive Technology Scale for Adaptive Seating (FIATS-AS); the Child Engagement in Daily Life (CEDL) questionnaire; and a qualitative assessment from diary/log and semi-structured interviews. Results: Ten children (median 3 years, range 9 months - 7 years). Baseline to follow-up median (IQR) FIATS-AS were: 22.7 (9.3) and 30.3 (10.2), respectively (p = 0.002). Similarly mean (SD) CEDL scores for “frequency” changed from 30.5 (13.2) to 42.08 (5.96) (p=0.021) and children’s enjoyment scores from 2.23 (0.93) to 2.91 (0.79) (p = 0.019). CEDL questionnaire for self-care was not discriminatory; seven families scored zero at both baseline and 6 months. Qualitative interviews revealed three key findings; that APT improved functional ability, involvement/interaction in daily-life situations, and a reduced family burden of care. Conclusion: APT devices used in Kenyan children with non-ambulant CP had a meaningful positive effect on both the children’s and their families’ lives.en_US
dc.publisherTaylor and Francisen_US
dc.relation.urlhttps://www.tandfonline.com/toc/iidt20/currenten_US
dc.rightsCC0 1.0 Universal*
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/en_US
dc.subjectassistive devicesen_US
dc.subjectstanding framesen_US
dc.subjectadaptive seatingen_US
dc.subjectpaper technologyen_US
dc.subjectresource-limited countryen_US
dc.subjectCerebral palsyen_US
dc.titleThe efficacy of using Appropriate Paper-based Technology postural support devices in Kenyan children with Cerebral Palsyen_US
dc.typeArticleen_US
dc.identifier.eissn1748-3115en_US
dc.contributor.departmentUniversity Centre Shrewsbury - University of Chesteren_US
dc.identifier.journalDisability and Rehabilitation: Assistive Technologyen_US
or.grant.openaccessYesen_US
rioxxterms.funderGibbs Trust, Welsh Government and WCVA’s Welsh Africa Community Links programme, Powys Health Board research funding, and a Jiraffe (UK) donation.en_US
rioxxterms.identifier.projectPowys Health Boarden_US
rioxxterms.versionAMen_US
rioxxterms.versionofrecordhttps://doi.org/10.1080/17483107.2020.1830442
rioxxterms.licenseref.startdate2021-10-19
rioxxterms.publicationdate2020
dc.dateAccepted2020-09-26
dc.date.deposited2020-10-12en_US
dc.indentifier.issn1748-3107en_US


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