Browsing by Author "Asige, Elizabeth"

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    Functioning and activity outcomes of the Akwenda Intervention Program for children and young adults with cerebral palsy in Uganda: A cluster-randomized trial
    (John Wiley and Sons Inc, 2025-01) Asige, Elizabeth; Saloojee, Gillian; Andrews, Carin; Namaganda, Lukia H; Kakooza‐Mwesige, Angelina; Damiano, Diane L; Forssberg, Hans
    Aim To evaluate the efficacy of the Akwenda Intervention Program on motor, self-care, and social function of children and young people with cerebral palsy (CP). Method This was a cluster-randomized, controlled, single-blinded, intervention study of 100 participants with CP (2–23 years; 52 males) in rural eastern Uganda. Half were allocated to the intervention program, the remainder served as waitlist controls. Gross Motor Function Measure-66 (GMFM-66) and the Ugandan version of Pediatric Evaluation of Disability Inventory (PEDI-UG) were collected before group allocation and after intervention. General linear models and t -tests were used to compare changes within and between groups. Cohen's d estimated the effect size of group differences. Change scores were evaluated by age and mobility subgroups. Results Significant group by time interactions were found for GMFM-66 ( p  =0.003) and PEDI-UG outcomes ( p  <0.001), except mobility, with the intervention group demonstrating greater changes. Both groups increased their scores on the GMFM-66 and child PEDI-UG, while only the intervention group had significant increases in caregiver assistance scores and across all age and mobility subgroups. Cohen's d showed large effect sizes ( d  >0.8) of differences for PEDI-UG outcomes except mobility. Interpretation The Akwenda Intervention Program had a large positive impact on functioning and activity across age and mobility levels.