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This study assessed the implementation and effectiveness of an 8-week, upper limb (UL) home-based intervention with a movement-tracking videogame (Bootle Blast) in Costa Rican children with CP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Children established a weekly playtime goal and two UL activities of daily living (ADLs) that they would like to improve on. A multiple-baseline, single-case experimental design, was used with the Performance Quality Rating Scale (PQRS) as the repeated measure to track changes in performance of the selected ADLs between the baseline (usual care) and intervention (Bootle Blast) phases. The Canadian Occupational Performance Measure (COPM), the Box and Blocks Test (BBT) and the Children\u2019s Hand-Use Experience Questionnaire (CHEQ) were collected before and after the intervention. Technical barriers were documented during weekly video calls with a monitoring therapist. Treatment effect size, slope changes and percentage of non-overlapping data were identified for the PQRS. Descriptive statistics summarized results for the BBT, CHEQ, videogame logs (e.g., playtime) and technical barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen children participated and 13 completed the intervention. Both participants who dropped out did so after completing baseline assessments, but before experiencing Bootle Blast. Children\u2019s mean\n                      <jats:italic>active<\/jats:italic>\n                      playtime (i.e., mini-games targeting the UL) across the 8-weeks was 377\u00a0min, while mean\n                      <jats:italic>total<\/jats:italic>\n                      time spent engaging with Bootle Blast (\n                      <jats:italic>active<\/jats:italic>\n                      \u2009+\u2009\n                      <jats:italic>passive<\/jats:italic>\n                      play time [e.g., time navigating menus, reviewing rewards]) was 728\u00a0min. In total, eight technical issues (from five children) were reported, and all but three were resolved within 48\u00a0h. Partial effectiveness was associated with the intervention. Specifically, 85% of participants improved on the PQRS and 69% achieved clinically important improvements \u2265\u20092 points in performance on the COPM. Children improved by 1.8 blocks on average on the BBT, while on the CHEQ, five children had a clinically important increase of 10% of the total number of UL activities performed with both hands.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bootle Blast is a feasible and effective option to facilitate access and engage children with cerebral palsy in UL home rehabilitation.<\/jats:p>\n                    <jats:p>\n                      <jats:italic>Trial registration<\/jats:italic>\n                      Trial registration number: NCT05403567.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12984-024-01446-2","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T21:02:03Z","timestamp":1725397323000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Feasibility of a home-based home videogaming intervention with a family-centered approach for children with cerebral palsy: a randomized multiple baseline single-case experimental design"],"prefix":"10.1186","volume":"21","clinical-trial-number":[{"clinical-trial-number":"nct05403567","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5643-4292","authenticated-orcid":false,"given":"Daniela","family":"Chan-V\u00edquez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heilyn","family":"Fern\u00e1ndez-Huertas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8311-0615","authenticated-orcid":false,"given":"Carles","family":"Montserrat-Gonzalez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2813-0961","authenticated-orcid":false,"given":"Ajmal","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2680-1028","authenticated-orcid":false,"given":"Darcy","family":"Fehlings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0595-8395","authenticated-orcid":false,"given":"Sarah","family":"Munce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9713-4536","authenticated-orcid":false,"given":"F. 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Consent was first obtained from the parents via telephone, followed by the signing of the consent form. Assent was obtained from the child (under 12\u00a0years old) during the same phone call to which the parent provided consent. For children above 12\u00a0years old, consent forms were signed by both the parent and the child. This study was registered at clinicaltrials.com under registration # NCT05403567.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication has been obtained from parents and their children via the consent\/assent process required by the Bloorview Research Institute and the University of Costa Rica.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Holland Bloorview is supporting the creation of a company called Pearl Interactives to commercialize Bootle Blast so that it can be made widely available to those who can benefit from it. EB and AK are shareholders in Pearl Interactives and may financially benefit from this interest if Pearl Interactives is successful in marketing Bootle Blast. The terms of this arrangement have been reviewed and approved by Holland Bloorview Kids Rehabilitation Hospital and the University of Toronto in accordance with its policy on objectivity in research and will continue to be actively monitored to mitigate and manage any conflicts of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"151"}}