Creating a Decision Support System for the Corporate Management of Physical Therapy
NCT ID: NCT03586401
Last Updated: 2018-07-13
Study Results
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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UNKNOWN
1000 participants
OBSERVATIONAL
2017-11-01
2020-05-21
Brief Summary
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Condition or disease Hemoblastosis Solid brain tumors The condition after hematopoietic stem cell transplantation
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Detailed Description
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The treatment of the oncological diseases are significantly destroyed the physical health of the patients, negatively affecting the cardiovascular, respiratory and musculoskeletal systems. In the absence of a targeted rehabilitation measures, the toxic effect of the treatment increases with time and leads to the development of disabling diseases. Physical therapy and motor activity are recognized as the most effective for the maximum rehabilitation of people who have been through the oncological disease and the prevention of chronic diseases and repeated tumors. Motor activity should be regular, controlled, adapted to the needs and capabilities of a particular person. The main role in maintaining of the level and quality of motor activity is assigned to the patient and his inner circle. Specialists are assigned the role of consultants and supervisors.
The methods, means and intensity of the motor loads should be selected on the basis of a detailed analysis of physical health and existing limitations. To do this, it is proposed to create a qualification model of physical health, in which many indicators will be reduced to a limited number of variables: the response of the cardiovascular and respiratory systems to stress, vegetative and neuromuscular physical activity, the state of motor functions and motor skills, the general resistance to physical loads, etc. To create a model, mathematical modeling methods will be applied.
To create personal program of physical activity, the rules for the selection and adaptation of the methods and means and a database of methods and means that provide a choice considering goals and existing limitations will be developed. The interactive forms for self-analysis and monitoring of the patient's motor activity, available for viewing by specialists will be developed.
The software product, within which the interaction between patients and specialists will be realized, is supposed to be created in the Splunk system. The system allows to search both the real-time data and the archived data, based on the results of the search Splunk gives you the opportunity to: analyze the results with the visualization tools, generate reports and warnings, create a monitoring and notification systems in real time. These can be expanded - you can create new applications using the specialized development platform that comes with Splunk. The study will be attended by at least 1000 patients and their families who have concluded an agreement with the Medical-Rehabilitation Scientific Center "Russe pole", and come to the examination at least 2 times a year.
PRIMARY OBJECTIVES:
1. To develop a model of a detailed qualification of the health status and physical limitations for children treated for cancer.
2. To develop the rules for choosing methods and means of physical therapy, dosing sessions for duration and intensity, depending on the qualification of the health status and the identified physical limitations.
3. To create a bank of methods and means of physical therapy available for use both in a rehabilitation organization and at home.
4. To develop a software product for Clinical Decision Expert System for corporate management of physical therapy of children treated for cancer and evaluate its effectiveness.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Childhood Cancer Survivors
The study will be attended by 1000 families with children who have completed treatment for cancer at least 6 months before the start of the trial and undergo rehabilitation courses at the Medical and Rehabilitation Research Center "Russkoe pole" at least twice a year.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Persistent remission not less than 6 months after.
* Age not less than 4 years and not more than 16 years at the time of signing the agreement on participation in the protocol.
* Collaboration with the patient's family and the patient.
Exclusion Criteria
* Recurrence of cancer.
* Failure to fulfill the obligations under the contract, failure to attend the next survey.
4 Years
18 Years
ALL
Yes
Sponsors
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Federal Research Institute of Pediatric Hematology, Oncology and Immunology
OTHER
Responsible Party
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Serafima Chechelnitskaya
Head of Physical Rehabilitation Department
Principal Investigators
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Vladimir N. Kasatkin, professor
Role: PRINCIPAL_INVESTIGATOR
The National Medical Research Center of Children's Hematology, Oncology and Immunology named after Dmitry Rogachev of the Ministry of Health of the Russian Federation
Locations
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Dmitry Rogachev Federal Research and Clinical Centre of Paediatric Haematology, Oncology and Immunology
Moscow, , Russia
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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9э/4-17
Identifier Type: -
Identifier Source: org_study_id
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