{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:49:39Z","timestamp":1791388179708,"version":"4.3.3"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,11,6]],"date-time":"2022-11-06T00:00:00Z","timestamp":1667692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012256","name":"Cerebral Palsy Alliance Research Foundation","doi-asserted-by":"publisher","award":["PG02218\u2010SUPPORT CP Trial"],"award-info":[{"award-number":["PG02218\u2010SUPPORT CP Trial"]}],"id":[{"id":"10.13039\/100012256","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To test the efficacy of an integrated microfinance\/livelihood and community\u2010based rehabilitation (IMCBR) programme in improving health\u2010related quality of life (HRQoL) and motor function of children with cerebral palsy (CP) and gain in social capital to their ultra\u2010poor families in rural Bangladesh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was an open\u2010label cluster randomized control trial. Children with CP aged 5\u2009years or under were randomly allocated to three arms; Arm A: IMCBR; Arm B: community\u2010based rehabilitation (CBR); and Arm C: care\u2010as\u2010usual. The CBR was modified with phone follow\u2010up followed by home\u2010based CBR at 2.5\u2009months post\u2010enrolment because of the COVID\u201019 pandemic. Intention\u2010to\u2010treat analysis was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010four clusters constituting 251 children\u2013primary caregivers' dyads were assigned to three arms (Arm A\u00a0=\u00a080; Arm B\u00a0=\u00a082; Arm C\u00a0=\u00a089). Between baseline and endline, the percentage mean change in the physical functioning domain of HRQoL was highest in Arm A (30.0%) with a significant mean difference between Arm A and Arm B (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.015). Improvement in the mean social capital score was significantly higher in Arm A compared to Arm C (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>The findings suggest that IMCBR could improve the HRQoL of children with CP and the social capital of their ultra\u2010poor families. Long\u2010term follow\u2010up of the trial participants and future exploration of such interventions are essential. The integrated livelihood and CBR programme holds potential to improve health and well\u2010being of children with CP and their ultra\u2010poor families.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Half of the families\u00a0who received livelihoods were impacted by a cold\u2010wave, suggesting the need for a more disaster\u2010resilient livelihood asset.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The integration of livelihood with community\u2010based rehabilitation programme helps to improve health\u2010related quality of life of children with cerebral palsy and the social capital of their ultra\u2010poor families.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.15445","type":"journal-article","created":{"date-parts":[[2022,11,6]],"date-time":"2022-11-06T15:09:43Z","timestamp":1667747383000},"page":"773-782","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["<scp>SUpporting<\/scp> People in extreme <scp>POverty<\/scp> with Rehabilitation and Therapy (<scp>SUPPORT CP<\/scp>): A trial among families of children with cerebral palsy in Bangladesh"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1670-9060","authenticated-orcid":false,"given":"Mahmudul Hassan","family":"Al Imam","sequence":"first","affiliation":[{"name":"CSF Global  Dhaka Bangladesh"},{"name":"Asian Institute of Disability and Development University of South Asia  Dhaka Bangladesh"},{"name":"School of Health, Medical and Applied Sciences Central Queensland University  Rockhampton 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