{
  "abstract": "Background Cerebral palsy (CP) is the most common motor disability among children in low- and middle-income countries (LMICs). Unlike in high-income settings, families in LMICs often lack access to rehabilitation services and therefore serve as the primary providers of therapeutic care. However, little is known about caregiver-focused interventions available in these contexts. This systematic review aimed to summarize such interventions for children with CP in LMICs.Methods Following PRISMA guidelines, we searched eight electronic databases, most recently in February 2024. Eligible studies described caregiver-led interventions for children ≤18 years with CP, performed in LMICs, and reported child or caregiver outcomes. Two reviewers independently extracted data, assessed risk of bias using the NIH Study Quality Assessment Tool, and qualitatively synthesized findings. The heterogeneity of outcomes and interventions prevented a meta-analysis.Results From 16,485 titles screened, 250 full-texts were reviewed, and 16 met inclusion criteria. These studies were conducted in 10 LMICs, primarily in Asia and West Africa. Most interventions (n=12) were group-based and facilitated by trained health workers or community volunteers. Outcomes targeted caregivers (n=5), children (n=5), or both (n=6). Child motor function (n=10) and caregiver mental health or wellbeing (n=11) were the most common measures. Benefits included improved caregiver adaptability and knowledge, alongside enhanced child physical function. Study quality was rated fair (n=9) or good (n=7).Conclusions Caregiver-focused interventions in LMICs can improve caregiver wellbeing and child outcomes. Group-based delivery appears feasible and effective. Future work should explore sustainable implementation strategies to broaden reach and impact.",
  "authors": [
    {
      "affiliations": [
        "Indiana University Indianapolis, Indianapolis, USA"
      ],
      "name": "Courtney Allen"
    },
    {
      "affiliations": [
        "Indiana University School of Medicine, Indianapolis, USA"
      ],
      "name": "Geneva Baumberger"
    },
    {
      "affiliations": [
        "University of Illinois-Chicago, Chicago, USA"
      ],
      "name": "Anjali Rao"
    },
    {
      "affiliations": [
        "University of Illinois-Chicago, Chicago, USA"
      ],
      "name": "Folasade Adeniyi"
    },
    {
      "affiliations": [
        "Indiana University School of Medicine, Indianapolis, USA"
      ],
      "name": "Laura Menard"
    },
    {
      "affiliations": [
        "Indiana University Indianapolis, Indianapolis, USA"
      ],
      "name": "Kristen Cunningham"
    },
    {
      "affiliations": [
        "Indiana University School of Medicine, Indianapolis, USA"
      ],
      "name": "Melissa Thomas"
    },
    {
      "affiliations": [
        "University of Illinois-Chicago, Chicago, USA"
      ],
      "name": "Reshma Shah"
    },
    {
      "affiliations": [
        "Indiana University School of Medicine, Indianapolis, USA"
      ],
      "name": "Megan McHenry"
    }
  ],
  "title": "230 A systematic review of caregiver-focused interventions for children with cerebral palsy in low- And middle-income countries",
  "uid": "db60fa03-48fc-59e0-91d5-aff0ff70f168"
}