Research Protocol
Effectiveness of the PACT Protocol for Caregivers of Children with Cerebral Palsy: A Research Protocol for Randomised Controlled Trial
LK05-LK07
Correspondence
Dr. Indu Prakash Alwadkar,
Florence Nightingale Training College of Nursing, Paloti Road, JNMC Campus, Sawangi Meghe, Wardha-442107, Maharashtra, India.
E-mail: indualwadkar@gmail.com
Introduction: Cerebral Palsy (CP) is a lifelong condition that affects a person’s movement, posture, and ability to perform daily self-care tasks, often making them dependent on caregivers. The newly developed PACT is a structured caregiver training protocol designed to support families by improving caregiving skills, encouraging greater independence in self-care, and enhancing overall care for individuals with CP in community settings.
Need of the study: Families often experience considerable emotional stress, social isolation, and physical fatigue while caring for individuals with CP. Therefore, there is a need for a structured caregiving protocol that can help reduce caregiver burden and improve their overall mental wellbeing.
Aim: To evaluate the effectiveness of a structured training programme, the Parent/Caregiver-Assisted Care and Training (PACT) protocol, in improving Activities of Daily Living (ADL) among caregivers of children with CP.
Materials and Methods: This randomised controlled trial will be conducted from June 2025 to September 2026 in selected community areas of Wardha district, Maharashtra, India. Caregivers of children with a confirmed CP diagnosis will be enrolled with Group A (control) receiving routine care, while Group B (intervention) will undergo a four-session evidence-based PACT programme focusing on daily care, home exercises, safe drug administration, communication, and stress management. Baseline and two-month postintervention assessments will be conducted using the Paediatric Evaluation of Disability Inventory (PEDI) and the Gross Motor Function Measure (GMFM). Data will be analysed using descriptive statistics, paired t-tests/Wilcoxon signed-rank tests for within-group changes, independent t-tests/Mann-Whitney U tests for between-group differences, and ANCOVA for adjusted comparisons, with significance at p-value <0.05.