Pilot Study Concerning an Intelligent Activity-based Client-centred Training System in Neurorehabilitation

NCT ID: NCT04692311

Last Updated: 2020-12-31

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

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-04

Study Completion Date

2016-08-31

Brief Summary

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The pilot study was performed to evaluate the usability, credibility and expectancy of an intelligent, activity-based client-centred training system (i-ACT), and the motivation towards its use in neurological rehabilitation over a short period of time.

Detailed Description

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A mixed-method study was performed in four rehabilitation centres in Belgium. An homogenous convenience sample was recruited among persons with central nervous system disorders.

Participants received 3 x 45 minutes of training with the i-ACT system during six weeks, additional to conventional care. The Canadian Occupational Performance Measure (COPM) was used to collect and evaluate patients' individual goals towards rehabilitation. These goals were discussed with the therapists before implementing movements and exercises for each patient in the i-ACT system.

The following demographic data were obtained from the medical files: age, gender, and diagnosis. Outcomes measures were collected at baseline (T0), after 2 (T1), 4 (T2) and 6 (T3) weeks of training and at 9 weeks follow-up (T4).

The primary outcome measures were the Intrinsic Motivation Inventory (IMI), the System Usability Scale (SUS), Credibility/Expectancy Questionnaire (CEQ), the Canadian Occupational Performance Measure (COPM), and Wolf Motor Function Test (WMFT). The secondary measures were the Manual Ability Measure-36 (MAM-36), Modified Fatigue Impact Scale (MFIS), Trunk Impairment Scale (TIS), and Active Range of Motion (AROM).

After final training with i-ACT, a semi-structured interview was performed to gather more information about the participants' perception towards i-ACT.

For quantitative data, within-group differences of all the assessments were analysed using Friedman's ANOVA and Wilcoxon signed-rank test. Alpha was set at 0.05; No Bonferroni correction was applied as it is not compulsory in an exploratory study and furthermore, results are regarded as hypothesis for further investigations.

The qualitative data was collected and recorded with a voice recorder. No specific analysis was used as the interview collected data to support or oppose the findings of the quantitative data.

Conditions

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Central Nervous System Diseases Neurological Rehabilitation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Mixed-method pilot study in which persons with central nervous system diseases and occupational therapists were included
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Persons with central nervous system diseases

Persons with central nervous system diseases received additional training with i-ACT during 6 weeks. After final training, a semi-structured interview was performed. And at six weeks follow-up, a final assessment took place.

Group Type EXPERIMENTAL

an intelligent client-centred task-oriented training

Intervention Type DEVICE

3 x 45min of training with i-ACT system

Semi-structured interview

Intervention Type OTHER

Participants, patients and therapists, were invited to a semi-structured interview after training period.

Occupational therapists

Occupational therapists were invited to a semi-structured interview to gather information about their professional opinion regarding i-ACT.

Group Type OTHER

Semi-structured interview

Intervention Type OTHER

Participants, patients and therapists, were invited to a semi-structured interview after training period.

Interventions

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an intelligent client-centred task-oriented training

3 x 45min of training with i-ACT system

Intervention Type DEVICE

Semi-structured interview

Participants, patients and therapists, were invited to a semi-structured interview after training period.

Intervention Type OTHER

Other Intervention Names

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i-ACT

Eligibility Criteria

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Inclusion Criteria

* age over 18 years old
* a medical diagnosis of central nervous system disease
* dysfunction in upper limb and/or core stability
* Persons with multiple sclerosis (MS) had to be free of treatment with corticosteroids for one month.
* Persons with stroke or spinal cord injury, had to be at least three months post injury.

Exclusion Criteria

* severe spasticity (when spasticity impedes movement)
* severe cognitive impairment (person is not able to understand and follow instructions)
* severe communicative impairment (person is not able to answer questions)
* severe visual impairment (person is not able to see the television screen)
* persons who use an electric wheelchair
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hasselt University

OTHER

Sponsor Role collaborator

Hogeschool West-Vlaanderen

UNKNOWN

Sponsor Role collaborator

Jessa Hospital

OTHER

Sponsor Role collaborator

Ziekenhuis Oost-Limburg

OTHER

Sponsor Role collaborator

Revalidatie & MS Centrum Overpelt

OTHER

Sponsor Role collaborator

Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role collaborator

PXL University College

OTHER

Sponsor Role lead

Responsible Party

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Els Knippenberg

Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Annemie Spooren, Prof.Dr

Role: STUDY_CHAIR

PXL University College

Other Identifiers

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i-ACT pilot

Identifier Type: -

Identifier Source: org_study_id