title: The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: the Mitii randomized controlled trial.
abstract: To estimate the cost-effectiveness of the Mitii training system for improvements in upper limb function for children with unilateral cerebral palsy (CP). Mitii is a web-based programme delivered at home with set-up and monitoring by therapists.
  
  
  
  A randomized controlled trial was conducted comparing the Mitii training programme to usual care. The Assessment of Motor and Process Skills (AMPS) and Canadian Occupational Performance Measure (COPM) were collected for each child at baseline and 20 weeks. Responders to training were characterized as those who met a minimally important difference on either the AMPS (0.3 logits) or COPM (2 points). Costs of the intervention were calculated by quantifying the equipment and staff cost. A cost per responder was calculated for each of the outcome measures.
  
  
  
  A total of 102 participants (52 males, 50 females) were included in the analysis. There were significantly more responders in the training group on both the AMPS motor and process scales and the COPM performance and satisfaction scales. The cost per responder for the Mitii programme ranged from AU$3078 to AU$4191 depending on the scale used.
  
  
  
  The cost of delivering the Mitii training system is modest relative to the improvements in function.
authors.affiliation: Centre for Applied Health Economics, Menzies Health Institute Queensland, Griffith University, Nathan, Qld, Australia.|Metro North Hospital and Health Service, Herston, Qld, Australia.
authors.forename: Tracy
authors.initials: T
authors.lastname: Comans
authors.affiliation: Centre for Applied Health Economics, Menzies Health Institute Queensland, Griffith University, Nathan, Qld, Australia.
authors.forename: Gabor
authors.initials: G
authors.lastname: Mihala
authors.affiliation: Queensland Cerebral Palsy and Rehabilitation Research Centre, Centre for Children's Health Research, Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.
authors.forename: Leanne
authors.initials: L
authors.lastname: Sakzewski
authors.affiliation: Queensland Cerebral Palsy and Rehabilitation Research Centre, Centre for Children's Health Research, Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.
authors.forename: Roslyn N
authors.initials: RN
authors.lastname: Boyd
authors.affiliation: Centre for Applied Health Economics, Menzies Health Institute Queensland, Griffith University, Nathan, Qld, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: Scuffham
mesh_terms: D000293:Adolescent; D001315:Australia; D002547:Cerebral Palsy / Q000191:economics* / Q000503:physiopathology / Q000534:rehabilitation*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000191:economics*; D003131:Combined Modality Therapy / Q000191:economics; D003362:Cost-Benefit Analysis; D005260:Female; D007839:Functional Laterality; D006801:Humans; D020407:Internet; D008297:Male; D009043:Motor Activity; D017060:Patient Satisfaction; D012720:Severity of Illness Index; D000069350:Telerehabilitation / Q000191:economics*; D013813:Therapy, Computer-Assisted / Q000191:economics; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology