Best Practices Fo Early Diagnosis of Cerebral Palsy

Summary

In this research, the investigators are using an implementation science approach to enhance the uptake of a clinical practice guideline for earlier diagnosis of cerebral palsy (i.e. what is being implemented) in neonatal follow-up clinics across Canada. This clinical practice guideline should be part of what neonatal follow-up specialists do in their routine clinical work with children born preterm. However, there is a wide variability in practice. The goal of this project is to harmonize practices in the neonatal follow-up community in agreement with international recommendations for earlier diagnosis of cerebral palsy. This research will measure if clinicians are truly following the clinical practice guideline. If not, implementation strategies that address barriers and leverage on facilitators will be deployed for successful uptake of the clinical practice guideline. This research will also assess whether implementation of the clinical practice guideline is associated with better patient outcomes.

Conditions

• Cerebral Palsy
• Prematurity

Interventions

OTHER

Implementation group

Implementation strategies to increase uptake of the clinical practice guidelines for earlier diagnosis of cerebral palsy

OTHER

Standard of care

No active implementation strategies

Sponsors & Collaborators

• IWK Health Centre

  collaborator OTHER

• St. Boniface Hospital

  collaborator OTHER

• Sunnybrook Health Sciences Centre

  collaborator OTHER

• Montreal Children's Hospital of the MUHC

  collaborator OTHER

• Harvard University

  collaborator OTHER

• University of British Columbia

  collaborator OTHER

• Queen Alexandra Centre for Children's Health, Victoria

  collaborator UNKNOWN

• Jewish General Hospital

  collaborator OTHER

• CHU de Quebec-Universite Laval

  collaborator OTHER

• BC Women's Hospital & Health Centre

  collaborator OTHER

• Dr. Everett Chalmers Hospital

  collaborator UNKNOWN

• Janeway Children's Health and Rehabilitation Centre

  collaborator UNKNOWN

• Centre de recherche du Centre hospitalier universitaire de Sherbrooke

  collaborator OTHER

• Horizon Health Network

  collaborator OTHER

• Moncton hospital

  collaborator UNKNOWN

• Windsor Regional Hospital

  collaborator OTHER

• Maisonneuve-Rosemont Hospital

  collaborator OTHER

• The Hospital for Sick Children

  collaborator OTHER

• MOUNT SINAI HOSPITAL

  collaborator OTHER

• Health Sciences Centre, Winnipeg, Manitoba

  collaborator OTHER

• Glenrose Foundation

  collaborator OTHER

• Hamilton Health Sciences Centre

  collaborator UNKNOWN

• London Health Sciences Centre

  collaborator OTHER

• Children's Hospital of Eastern Ontario

  collaborator OTHER

• Kingston Health Sciences Centre

  collaborator OTHER

• Foothills Medical Centre

  collaborator OTHER

• Island Health, Victoria, BC

  collaborator OTHER

• Canadian Premature babies Foundation

  collaborator UNKNOWN

• St. Justine's Hospital

  lead OTHER

Principal Investigators

• Luu Thuy Mai, MD, M.Sc. · CHU Sainte-Justine hospital

Study Design

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

2 Months

Max Age

30 Months

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-02-01

Primary Completion

2026-11-01

Completion

2028-11-01

Countries

• Canada

Study Locations