Feedback and Rewards to Increase Motivation for Therapy in Stroke Rehabilitation

NCT ID: NCT02315963

Last Updated: 2021-02-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2020-12-31

Brief Summary

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High motivation is a predictor for good therapy results in physical therapy \[Grahn 2000\]. The investigator want to show that it is possible to increase patients motivation for stroke rehabilitation by providing them objective performance feedback about the patients therapy progress.

Detailed Description

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High motivation is a predictor for good therapy results in physical therapy \[Grahn 2000\]. Additional focus on motivation and rewards has fallen on the topic of stroke rehabilitation since it was shown in an animal model that the brain centers involved with motivation and rewards are crucial to motor learning \[Hosp 2011\].

The investigators goal is to target the overall motivation for therapy. During the guided therapy sessions the therapists will be the main motivators and the investigators do not want to interfere with that. But the amount of guided therapy sessions is often limited due to economical reason rather than therapeutic ones. Therefore patients are encouraged to do training on their own if possible and to be active during the patients stay in the rehabilitation clinic. The investigators target the patients motivation to train by themselves and be active but also the patients attitude towards the guided therapies. It is known that performance feedback can improve motivation \[Harackiewicz 1979\]. Therefore the investigators want to use the data about therapy progress to produce feedback for patients visualizing the patients progress and efforts during the patients stay in the clinic.

The investigators will compare patients who receive normal therapy to patients who receive normal therapy plus performance feedback regarding a variety of motivation measures.

Conditions

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Stroke

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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No intervention group

Patients in stroke rehabilitation receiving standard therapy

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention group

Patients in stroke rehabilitation receiving standard therapy plus performance feedback

Group Type ACTIVE_COMPARATOR

Performance Feedback

Intervention Type OTHER

Performance Feedback regarding the patients efforts and accomplishments during the patients stay in the rehabilitation clinic, an expected average of 6 weeks. The data available about the patients progress will be analysed and processed to create a visual illustration shown to the patient on a daily bases.

Interventions

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Performance Feedback

Performance Feedback regarding the patients efforts and accomplishments during the patients stay in the rehabilitation clinic, an expected average of 6 weeks. The data available about the patients progress will be analysed and processed to create a visual illustration shown to the patient on a daily bases.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* First time Inpatient at the Cereneo rehabilitation clinic

Exclusion Criteria

* Rey-Figur Kopie \<= 25 AND Rechnerisches Denken WIE \<=5
* Becks Depression Inventar (BDI) \> 17
* Major aphasia preventing understanding of study materials (according to the treating physician).
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cereneo AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cereneo, Center For Rehabilitation and Neurology

Vitznau, Canton of Lucerne, Switzerland

Site Status

Countries

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Switzerland

References

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Grahn B, Ekdahl C, Borgquist L. Motivation as a predictor of changes in quality of life and working ability in multidisciplinary rehabilitation. A two-year follow-up of a prospective controlled study in patients with prolonged musculoskeletal disorders. Disabil Rehabil. 2000 Oct 15;22(15):639-54. doi: 10.1080/096382800445443.

Reference Type BACKGROUND
PMID: 11087060 (View on PubMed)

Hosp JA, Pekanovic A, Rioult-Pedotti MS, Luft AR. Dopaminergic projections from midbrain to primary motor cortex mediate motor skill learning. J Neurosci. 2011 Feb 16;31(7):2481-7. doi: 10.1523/JNEUROSCI.5411-10.2011.

Reference Type BACKGROUND
PMID: 21325515 (View on PubMed)

Harackiewicz, Judith M. The effects of reward contingency and performance feedback on intrinsic motivation. Journal of Personality and Social Psychology, Vol 37(8), Aug 1979, 1352-1363.

Reference Type BACKGROUND

Other Identifiers

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KFSP Feedback Study

Identifier Type: -

Identifier Source: org_study_id

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