Brain InjuriesCORE-pABINCT03215342
Cognitive Rehabilitation in Pediatric Acquired Brain Injury
A study testing Pediatric Goal Management Training and Pediatric Brain Health Workshop in people with Brain Injuries, run by St. Olavs Hospital at 2 sites in Norway.
Trial summary
Acquired brain injury (e.g., traumatic brain injury, brain tumour, brain infections) is one of the leading causes of death and disability for children and adolescents. Importantly, injuries affecting the brain in childhood or adolescence appear during a time of development when the brain is particularly vulnerable. Read more about this study
- Who is it for?
- Ages 10 to 18 years
- Conditions the study is for
- Brain Injuries
- What is being tested?
- Pediatric Goal Management Training and Pediatric Brain Health Workshop
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 76 participants
- Where
- 2 sitesNorway
- Study dates
- 1 Dec 2017to 30 Nov 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 10 to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- diagnosed with traumatic brain injury, brain tumor or damage by inflammation in the brain
- more than 12 months since injury/illness or more than 12 months since ended cancer therapy
- evidence of executive dysfunction in everyday life
Who cannot join
- cognitive, sensory, physical, or language impairment affecting the capacity to attend mainstream school and/or complete the training program
- pre-injury neurological disease or psychiatric disorder
- recently detected brain tumor relapse
- unfit for evaluation of outcome (independent evaluation by 2 investigators)
- not fluent in Norwegian language
Trial locations and contacts
2 sites in 1 country.
Norway2 sites
Oslo universitetssykehus HF
Oslo
Barne og ungdomsklinikken St Olavs Hospital
Trondheim
About this study
Official title: Cognitive Rehabilitation in Pediatric Acquired Brain Injury - a Randomized Controlled Trial
Acquired brain injury (e.g., traumatic brain injury, brain tumour, brain infections) is one of the leading causes of death and disability for children and adolescents. Importantly, injuries affecting the brain in childhood or adolescence appear during a time of development when the brain is particularly vulnerable. Thus, pediatric acquired brain injury does not only impact cognitive functions at the time of injury or onset of disease, but also cognitive functions that are yet to develop. Changes in cognitive function, and in particular executive dysfunction due to acquired brain injury, cause significant real-life disability, yet solid evidence in support of executive functioning interventions for children and adolescents is lacking. In the present study different group-based cognitive rehabilitation interventions will be compared. The aim of the study is to investigate if a group-based "brain training" intervention is able to improve executive function in children and adolescents after acquired brain injury. Efficacy will be assessed immediately after intervention, but also six months after the intervention. The project is in line with international research efforts aimed at establishing more knowledge about how children and adolescents with brain injuries respond to cognitive rehabilitation.
- Conditions
- Brain Injuries
- Being tested
- Pediatric Goal Management Training, Pediatric Brain Health Workshop
- Keywords
- Child, Rehabilitation, Psychotherapy, groups
- Medical subject headings
- Brain Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pediatric Goal Management TrainingBehavioural
Also called GMT
7 GMT modules will be administered in 7x2 hours sessions (ten groups). Manualized intervention; metacognitive strategies for improving attention and problem solving. Homework assignments between sessions.
Pediatric Brain Health WorkshopBehavioural
Also called active control condition, pBHW
7 pBHW modules will be administered in 7x2 hours sessions (ten groups). Psychoeducation; brain (dys)function, plasticity, memory, executive function, and attention. Stress, physical exercise, sleep, nutrition, and energy management. Homework assignments between sessions
| Study group | Role | What they receive |
|---|---|---|
| pGMT | Experimental | Pediatric Goal Management Training Receives: Behavioral: Pediatric Goal Management Training |
| pBHW | Experimental | Pediatric Brain Health Workshop Receives: Behavioral: Pediatric Brain Health Workshop |
What is being measured
The primary outcome is the main question the study is designed to answer.
executive function in daily life
Behavior Rating Inventory of Executive Function (BRIEF; self, teacher and parent form
Measured: change from baseline up to 6 months
Secondary outcomes (16)
Performance on Conners Continuous Performance Test III
Measured: change from baseline up to 6 months
Performance on BADS-C
Measured: change from baseline up to 6 months
Performance on D-KEFS Trail Making Test 1-4
Measured: change from baseline up to 6 months
performance on D-KEFS Color Word Interference Test
Measured: change from baseline up to 6 months
Performance on Children's Cooking Task test
Measured: change from baseline up to 6 months
Performance on NEPSY-II Social Perception test
Measured: change from baseline up to 6 months
Score on Health Behaviour Inventory
questionnaire
Measured: change from baseline up to 6 months
Score on Glasgow Outcome Scale Extended Pediatric
questionnaire
Measured: change from baseline up to 6 months
Score an EQ-5D-Y
questionnaire
Measured: change from baseline up to 6 months
Score on Family Functioning Scale
questionnaire
Measured: change from baseline up to 6 months
Score on Center for Epidemiologic Studies Depression Scale
questionnaire
Measured: change from baseline up to 6 months
Score on Pediatric Quality of Life Inventory
questionnaire
Measured: change from baseline up to 6 months
Score on Cognitive Failures Questionnaire
Measured: change from baseline up to 6 months
Score on ADHD Rating Scale IV
questionnaire
Measured: change from baseline up to 6 months
Score on Child Behavior Checklist
questionnaire
Measured: change from baseline up to 6 months
Score on Harter Self Perception Profile for Children
questionnaire
Measured: change from baseline up to 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jul 2017
- Study start1 Dec 2017
- Primary completion30 Nov 2019
- Study completion30 Nov 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Brain InjuriesStudies of the same condition, open and under way.
- More trials run by St. Olavs HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 76 participants (actual)
Sponsor and investigators
- Lead sponsor
- St. Olavs Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Oslo University Hospital
- Responsible party
- Sponsor
- Investigators
- Kari Risnes, md phd, Study director, St. Olavs Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03215342
- Sponsor's protocol ID
- 2017/772
- Acronym
- CORE-pABI
- Status last verified
- Dec 2021
- First submitted
- 11 Jul 2017
- Last updated
- 14 Dec 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Hypher RE, Brandt AE, Risnes K, Ro TB, Skovlund E, Andersson S, Finnanger TG, Stubberud J. Paediatric goal management training in patients with acquired brain injury: study protocol for a randomised controlled trial. BMJ Open. 2019 Aug 1;9(8):e029273. doi: 10.1136/bmjopen-2019-029273.
PubMed 31375619Brandt AE, Finnanger TG, Hypher RE, Ro TB, Skovlund E, Andersson S, Risnes K, Stubberud J. Rehabilitation of executive function in chronic paediatric brain injury: a randomized controlled trial. BMC Med. 2021 Nov 2;19(1):253. doi: 10.1186/s12916-021-02129-8.
PubMed 34724955Hypher R, Brandt AE, Skovlund E, Skarbo AB, Barder HE, Andersson S, Ro TB, Risnes K, Finnanger TG, Stubberud J. Metacognitive strategy training versus psychoeducation for improving fatigue in children and adolescents with acquired brain injuries: A randomized controlled trial. Neuropsychology. 2022 Oct;36(7):579-596. doi: 10.1037/neu0000845. Epub 2022 Aug 4.
PubMed 35925734Hypher R, Andersson S, Finnanger TG, Brandt AE, Hoorelbeke K, Lie HC, Barder HE, Larsen SM, Risnes K, Ro TB, Stubberud J. Fatigue following pediatric acquired brain injury: Interplay with associated factors in a clinical trial population compared to healthy controls. Neuropsychology. 2021 Sep;35(6):609-621. doi: 10.1037/neu0000753. Epub 2021 Jul 1.
PubMed 34197132
Study at a glance
From the registry record, last updated by the sponsor on 14 Dec 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cognitive Rehabilitation in Pediatric Acquired Brain Injury - a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT03215342
- Acronym / sponsor ID
- CORE-pABI / 2017/772
- Conditions
- Brain Injuries
- Keywords
- Child, Rehabilitation, Psychotherapy, groups
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 76 participants (actual)
- Lead sponsor
- St. Olavs HospitalUniversity, hospital or other
- Collaborators
- Oslo University Hospital
- Study start
- 1 Dec 2017 (actual)
- Primary completion
- 30 Nov 2019 (actual)
- Study completion
- 30 Nov 2019 (actual)
- First posted
- 12 Jul 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Acquired brain injury (e.g., traumatic brain injury, brain tumour, brain infections) is one of the leading causes of death and disability for children and adolescents. Importantly, injuries affecting the brain in childhood or adolescence appear during a time of development when the brain is particularly vulnerable. Thus, pediatric acquired brain injury does not only impact cognitive functions at the time of injury or onset of disease, but also cognitive functions that are yet to develop. Changes in cognitive function, and in particular executive dysfunction due to acquired brain injury, cause significant real-life disability, yet solid evidence in support of executive functioning interventions for children and adolescents is lacking. In the present study different group-based cognitive rehabilitation interventions will be compared. The aim of the study is to investigate if a group-based "brain training" intervention is able to improve executive function in children and adolescents after acquired brain injury. Efficacy will be assessed immediately after intervention, but also six months after the intervention. The project is in line with international research efforts aimed at establishing more knowledge about how children and adolescents with brain injuries respond to cognitive rehabilitation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| pGMT | Experimental | Behavioral: Pediatric Goal Management TrainingPediatric Goal Management Training |
| pBHW | Experimental | Behavioral: Pediatric Brain Health WorkshopPediatric Brain Health Workshop |
Who may qualify
- Ages
- 10 to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (3 listed)
- diagnosed with traumatic brain injury, brain tumor or damage by inflammation in the brain
- more than 12 months since injury/illness or more than 12 months since ended cancer therapy
- evidence of executive dysfunction in everyday life
Key exclusion criteria (5 listed)
- cognitive, sensory, physical, or language impairment affecting the capacity to attend mainstream school and/or complete the training program
- pre-injury neurological disease or psychiatric disorder
- recently detected brain tumor relapse
- unfit for evaluation of outcome (independent evaluation by 2 investigators)
- not fluent in Norwegian language
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pediatric Goal Management TrainingAlso: GMT7 GMT modules will be administered in 7x2 hours sessions (ten groups). Manualized intervention; metacognitive strategies for improving attention and problem solving. Homework assignments between sessions. | Behavioural | pGMT |
| Pediatric Brain Health WorkshopAlso: active control condition, pBHW7 pBHW modules will be administered in 7x2 hours sessions (ten groups). Psychoeducation; brain (dys)function, plasticity, memory, executive function, and attention. Stress, physical exercise, sleep, nutrition, and energy management. Homework assignments between sessions | Behavioural | pBHW |
Primary outcome
executive function in daily life
Time frame: change from baseline up to 6 months
Behavior Rating Inventory of Executive Function (BRIEF; self, teacher and parent form
16 secondary outcomes
Performance on Conners Continuous Performance Test III
Time frame: change from baseline up to 6 months
Performance on BADS-C
Time frame: change from baseline up to 6 months
Performance on D-KEFS Trail Making Test 1-4
Time frame: change from baseline up to 6 months
performance on D-KEFS Color Word Interference Test
Time frame: change from baseline up to 6 months
Performance on Children's Cooking Task test
Time frame: change from baseline up to 6 months
Performance on NEPSY-II Social Perception test
Time frame: change from baseline up to 6 months
Score on Health Behaviour Inventory
Time frame: change from baseline up to 6 months
Score on Glasgow Outcome Scale Extended Pediatric
Time frame: change from baseline up to 6 months
Score an EQ-5D-Y
Time frame: change from baseline up to 6 months
Score on Family Functioning Scale
Time frame: change from baseline up to 6 months
Score on Center for Epidemiologic Studies Depression Scale
Time frame: change from baseline up to 6 months
Score on Pediatric Quality of Life Inventory
Time frame: change from baseline up to 6 months
Score on Cognitive Failures Questionnaire
Time frame: change from baseline up to 6 months
Score on ADHD Rating Scale IV
Time frame: change from baseline up to 6 months
Score on Child Behavior Checklist
Time frame: change from baseline up to 6 months
Score on Harter Self Perception Profile for Children
Time frame: change from baseline up to 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Dec 2021.
- Background: PubMed 31375619Hypher RE, Brandt AE, Risnes K, Ro TB, Skovlund E, Andersson S, Finnanger TG, Stubberud J. Paediatric goal management training in patients with acquired brain injury: study protocol for a randomised controlled trial. BMJ Open. 2019 Aug 1;9(8):e029273. doi: 10.1136/bmjopen-2019-029273.
- Results publication: PubMed 34724955Brandt AE, Finnanger TG, Hypher RE, Ro TB, Skovlund E, Andersson S, Risnes K, Stubberud J. Rehabilitation of executive function in chronic paediatric brain injury: a randomized controlled trial. BMC Med. 2021 Nov 2;19(1):253. doi: 10.1186/s12916-021-02129-8.
- Derived from this study: PubMed 35925734Hypher R, Brandt AE, Skovlund E, Skarbo AB, Barder HE, Andersson S, Ro TB, Risnes K, Finnanger TG, Stubberud J. Metacognitive strategy training versus psychoeducation for improving fatigue in children and adolescents with acquired brain injuries: A randomized controlled trial. Neuropsychology. 2022 Oct;36(7):579-596. doi: 10.1037/neu0000845. Epub 2022 Aug 4.
- Derived from this study: PubMed 34197132Hypher R, Andersson S, Finnanger TG, Brandt AE, Hoorelbeke K, Lie HC, Barder HE, Larsen SM, Risnes K, Ro TB, Stubberud J. Fatigue following pediatric acquired brain injury: Interplay with associated factors in a clinical trial population compared to healthy controls. Neuropsychology. 2021 Sep;35(6):609-621. doi: 10.1037/neu0000753. Epub 2021 Jul 1.
Related trials for Brain Injuries
Not yet recruiting
Feasibility of a Robot-Guided Active Play Intervention for Children With Cerebral Palsy
Cerebral Palsy
Recruiting
Additional Effects on tDCS With AOT on Lower Limb Functions on Children With Diplegic CP
Diplegic Cerebral Palsy
Recruiting
Sensory Integration Therapy vs Conventional Physical Therapy in Children With Mixed Cerebral Palsy
Cerebral Palsy
Recruiting
Telerehabilitation Compared With Clinic-Based Physiotherapy in Children With Spastic Cerebral Palsy
Spastic Cerebral Palsy
Active, not recruitingObservational study
Transforming Research and Clinical Knowledge in Traumatic Brain Injury Epileptogenesis Project (TRACK-TBI EPI)
Traumatic Brain Injury, Post-traumatic Epilepsy
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kari Risnes, md phd study director
St. Olavs Hospital
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Pediatric Goal Management Training and Pediatric Brain Health Workshop in people with Brain Injuries, run by St. Olavs Hospital at 2 sites in Norway.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
executive function in daily life (time frame: change from baseline up to 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03215342, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Dec 2021.