A magic-themed upper limb intervention for children with unilateral cerebral palsy: The perspectives of parents

Hines, Ashleigh; Bundy, Anita; Haertsch, Maggie; Wallen, Margaret

doi:10.1080/17518423.2018.1442372

Cited by 15 publications

(10 citation statements)

References 22 publications

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“…Second, children reported that the magic itself was a fun skill. This echoes qualitative findings from interviews with parents from another magic-themed upper limb intervention that found that novelty and specialness of the magic approach was particularly enjoyable for children and their families and helped to increase self-belief and overall motivation [ 24 ]. Learning and having fun are key elements identified by the review on participation for children and youth with disabilities referenced above that are thought to contribute to meaningful participation [ 47 ].…”

Section: Discussionsupporting

confidence: 56%

“…Previously, Green et al (2013) found that magic-themed interventions deliver significant improvements in children’s self-confidence. Further, a qualitative study of parents whose children were involved in a magic-themed upper limb intervention reported that children felt ‘okay’ to be themselves as well as experiencing new feelings of motivation relating to improved self-belief [ 24 ]. This study builds on the findings from these two previous studies by identifying specific psychological benefits such as improved determination, self-motivation, self-esteem, self-awareness, self-determination, and optimism for the future.…”

Section: Discussionmentioning

confidence: 99%

“…To date, a few studies have identified factors within magic-based HABIT programmes that could be considered mechanisms. For example, a qualitative study found that novelty and specialness of the magic approach were key components in making magic-themed HABIT and helped to increase self-belief and overall motivation [ 24 ]. Further, a quantitative study specifically of Breathe Magic identified improvements in children’s self-confidence [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Identifying mechanisms of change in a magic-themed hand-arm bimanual intensive therapy programme for children with unilateral spastic cerebral palsy: a qualitative study using behaviour change theory

2020

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Background There has been much research into how to promote upper-limb skills to achieve functional independence in children with unilateral spastic cerebral palsy (USCP). One researched intervention is the Breathe Magic programme, which follows the protocol of hand-arm bimanual intensive therapy (HABIT) whilst, incorporating magic tricks to develop children’s motor skills and bimanual skills. However, whilst research has found the programme to be effective, there has been little consideration of how the intervention leads to a positive outcome: what the psychological, social and physical mechanisms of action are. Methods Qualitative semi-structured interviews with 21 children with USCP who participated in the Breathe Magic HABIT intervention, and focus groups with 17 parents and/or carers were undertaken. Analysis was conducted through the lens of the COM-B behaviour change model using a combined deductive framework and inductive thematic analysis. Reliability of coding was confirmed through random extraction and double coding of a portion of responses and the calculation of inter-rater reliability. Results Breathe Magic brings about change and positive outcomes by increasing children’s psychological and physical capabilities, providing social opportunities, and enhancing reflective and automatic motivation. Additionally, a number of enablers to engaging in the intervention were identified, particularly under psychological capabilities, social opportunities and both reflective and automatic motivation. Very few barriers were raised; those that were raised were of relatively low frequency of reporting. Conclusions By conducting a theory-based qualitative process evaluation, this study demonstrated the mechanisms of change behind the Breathe Magic HABIT intervention for children with USCP. Breathe Magic was found to be a well-structured combination of intended and unintended mechanisms of change. Overall, the success of Breathe Magic was observed through not only its intended mechanisms to enhance hand skills, but also through unintended psychological improvements in children’s hand function, as well as social and motivational benefits resulting from interaction between children and parents.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Identifying mechanisms of change in a magic-themed hand-arm bimanual intensive therapy programme for children with unilateral spastic cerebral palsy: a qualitative study using behaviour change theory

2020

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“…learning magic tricks) are often adopted in upper-limb interventions. 47 The goal-oriented tasks proposed in our study required constant bimanual coordination, yet were achievable by all participants, regardless of their manipulative hand pattern. Such a flexible approach to movement, together with the attractive feedback received after recruitment of the affected limb, might have encouraged children to use the paretic arm during execution, ultimately promoting its motor improvement.…”

Section: Discussion Outcomesmentioning

confidence: 88%

“…In order to enhance motivation and increase self‐confidence, engaging themes (e.g. learning magic tricks) are often adopted in upper‐limb interventions …”

Section: Discussionmentioning

confidence: 99%

Efficacy of a home‐based platform for child‐to‐child interaction on hand motor function in unilateral cerebral palsy

Nuara

Avanzini

Rizzolatti

et al. 2019

Develop Med Child Neuro

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Aim To evaluate the feasibility and effectiveness of an action observation treatment (AOT) home‐based platform promoting child‐to‐child interaction to improve hand motor function in unilateral cerebral palsy (CP). Method Twenty children (14 males, six females; mean age 6y 7mo, standard deviation 1y 7mo; range 5y 1mo–10y 6mo) with unilateral CP underwent 20 sessions where they had to observe and then imitate a wizard performing dexterity‐demanding magic tricks; a child‐to‐child live video‐session to practise the same exercise then took place. We assessed hand‐motor skills with the Besta Scale, neurological motor impairment with Fugl‐Meyer Assessment for upper extremity, as well as spasticity, muscle strength, visual analogue scale, and global impression of change 1‐month before (T‐1), at baseline (T0), and at the end of treatment (T1). Results We observed a T0 to T1 improvement in global hand‐motor and bimanual skills, and a significant correlation between motor improvement and difference in hand motor skills relative to the peer (r=–0.519). Interpretation AOT associated with child‐to‐child interaction effectively improves hand motor function in unilateral CP. This improvement is linked to differences in hand motor ability among peers, suggesting that children should observe others with superior motor skills to their own. This study extends traditional AOT toward novel socially‐enriched scenarios, where children might simultaneously be recipients and leaders within a motor learning process. What this paper adds Home‐based action observation treatment (AOT) based on child‐to‐child interaction improves hand motor function in children with unilateral cerebral palsy. Interaction with a more capable peer increases the chances of positive outcome in child‐to‐child AOT.

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Impact of a magic recreation program on older adults with minor depressive symptoms in a long-term care facility: A pilot randomized controlled trial

Lee

Wang²,

Yang³

2022

Geriatric Nursing

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A magic-themed upper limb intervention for children with unilateral cerebral palsy: The perspectives of parents

Abstract: AMC appears to capture intrinsic motivation for children with unilateral CP to complete challenging tasks.

Cited by 15 publications

References 22 publications

Identifying mechanisms of change in a magic-themed hand-arm bimanual intensive therapy programme for children with unilateral spastic cerebral palsy: a qualitative study using behaviour change theory

Identifying mechanisms of change in a magic-themed hand-arm bimanual intensive therapy programme for children with unilateral spastic cerebral palsy: a qualitative study using behaviour change theory

Efficacy of a home‐based platform for child‐to‐child interaction on hand motor function in unilateral cerebral palsy

Impact of a magic recreation program on older adults with minor depressive symptoms in a long-term care facility: A pilot randomized controlled trial

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