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May 16, 2026Istanbul Medical Journal0 citationsOpen Access

The Impact of a Structured Homecare Intervention Program on Caregivers’ Knowledge of Children with Cerebral Palsy in Kirkuk City

HMHuda Faeeq MohammedSHShukir S. Hasan

Key Points

  • This study aims to evaluate the effectiveness of a structured homecare intervention program for caregivers of children with cerebral palsy (CP).
  • Quasi-experimental study design with non-probability sampling of 60 caregivers (30 intervention, 30 control).
  • Intervention group received an educational program on homecare for children with CP, while the control group did not.
  • Knowledge was assessed through face-to-face interviews, and the Mann-Whitney test was used for analysis.
  • The intervention group showed a statistically significant increase in knowledge scores after the program (p<0.05).
  • No significant difference in knowledge scores was observed in the control group after the intervention.
  • Most caregivers (66.7-76.7%) were mothers, and the most common type of CP was spastic, found in both groups.

Abstract

growth restriction, hyperbilirubinemia, low birth weight, microcephaly, multiple pregnancies, small for gestational age, infections (such as chorioamnionitis, maternal urinary tract infections, cytomegalovirus, and neurotropic virus infection), and other factors can lead to CP (4,5).Globally, this neuro-developmental disorder affects around 17 million people (5).The prevalence of CP ranges from 1 to 4 per 1000 live births worldwide, predominantly reported in high-income countries, while data from low-and middle-income countries suggest higher rates, with estimates of 3 to 4 per 1,000 live births (6).The incidence of CP is estimated at approximately 3 per 1,000 children, with a reported maleto-female ratio of 1.4:1 (7).Classification of CP is primarily based on the predominant type of motor impairment, which may include involuntary ABSTRACT Introduction: Cerebral palsy (CP) describes a group of long-term neurological disorders that affect posture, mobility, and muscle tone due to damage to the developing brain, usually before or immediately after birth.Children with CP may have difficulty with balance, coordination, and fine motor skills.Some may also experience problems with speech, vision, or learning.The severity of symptoms can vary widely between people.For children with CP, prompt diagnosis and treatment-such as occupational therapy, physical therapy, and supportive care-are essential to improving function, independence, and general quality of life.Methods: A quasi-experimental study design was used.Caregivers and their children who had CP attended physiotherapy in the rehabilitation units at Azadi Teaching Hospital in Kirkuk City, Iraq.Non-probability sampling (purposive) was used to recruit 60 caregivers (30 in the intervention group and 30 in the control group).The intervention group received a specific educational program to improve caregivers' knowledge of home care, while the control group did not receive it.Only caregivers caring for children with CP were included.Data were collected through face-to-face interviews; the Mann-Whitney test was used to compare pre-and post-test measurements.The p value 0.05 was considered a statistically significant difference.Results: Most caregivers (66.7-76.7%)were mothers from diverse educational and socioeconomic backgrounds.The most frequent type of spastic CP, occurring in 66.7-76.7% of cases, was observed in both groups.The pre-test results revealed no significant difference between the two groups before implementing the program.The program's effectiveness was demonstrated by the intervention group's statistically significant difference between pre-and post-test scores, whereas the control group's post-test scores remained unchanged. Conclusion:The structured educational program significantly enhanced caregivers' knowledge in the intervention group, with no improvement in the control group.

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Cite This Study

Mohammed et al. (2026) studied this question.

synapsesocial.com/papers/6a0808ffa487c87a6a40b099https://doi.org/10.4274/imj.galenos.2026.65657
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