The Impact of an Evidence-Informed Spinal Cord Injury Activities of Daily Living Educational Manual

NCT ID: NCT04735887

Last Updated: 2021-02-03

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

132 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2021-12-31

Brief Summary

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This study argues that providing evidence-based occupational therapy patient education is vital in order to optimize rehabilitation outcomes. The planned trial aims to evaluate the SADL-eM intervention for people with SCI compared with standard treatment.

Detailed Description

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This is a parallel randomized clinical trial with two study arms, intervention and control. Ninety patients treated in three inpatient rehabilitation settings will be randomly allocated to two study groups. Both groups will receive standard care. The intervention group will also receive a copy of the SADL-eM from their treating occupational therapist during an individual session. Assessment on admission (baseline measure) and after six weeks of admission will use the SCIM-SR as the primary outcome measure. Secondary outcomes include the SCIM-III, Private Religiousness Practices Scale, Organizational Religiousness Short-Form, additional domains of ADL covered by the educational manual, and adherence to the intervention. The effect will be determined using repeated-measures ANOVA.

Conditions

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Spinal Cord Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The research assistant who will perform data collection will be blinded to the patient group.

Study Groups

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SADL-eM & conventional therapy

Patients with SCI treated in an inpatient rehabilitation setting who receive a copy of the SADL-eM in addition to conventional therapy.

Group Type EXPERIMENTAL

SADL-eM

Intervention Type OTHER

The SADL-eM includes three elements essential to the intervention, namely: knowledge, skills, and advice. The manual includes 92 A5 pages with six detailed sections: an Introduction and five chapters: (1) Rehabilitation team, (2) Activities of Daily Living, (3) Assistive devices, (4) Home environment adaptation, and (5) Knowledge guide. The SADL-eM uses text and illustrative pictures that are carefully selected for contextual relevance. The manual is simple, easy, and suitable for people with a non-medical background.

Conventional therapy

Patients with SCI treated in an inpatient rehabilitation setting who receive conventional therapy.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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SADL-eM

The SADL-eM includes three elements essential to the intervention, namely: knowledge, skills, and advice. The manual includes 92 A5 pages with six detailed sections: an Introduction and five chapters: (1) Rehabilitation team, (2) Activities of Daily Living, (3) Assistive devices, (4) Home environment adaptation, and (5) Knowledge guide. The SADL-eM uses text and illustrative pictures that are carefully selected for contextual relevance. The manual is simple, easy, and suitable for people with a non-medical background.

Intervention Type OTHER

Other Intervention Names

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Spinal Cord Injury Activities of Daily Living Educational Manual

Eligibility Criteria

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Inclusion Criteria

* Confirmed SCI diagnosis by computed tomography or magnetic resonance report.
* ASIA: A, B, and C
* Age between 18 and 65 years old.
* Stable medical condition.
* Time elapsed after SCI is not more than 6 months.
* Minimum time of stay in the inpatient rehabilitation unit is six weeks.
* Active involvement in the rehabilitation program.
* Sufficient comprehension (read/write) of the Arabic language.

Exclusion Criteria

* Unconfirmed diagnosis.
* Patients who have communication and/or cognitive disorders such as global aphasia and memory deficit.
* Patients with a disturbed level of awareness such as coma or lethargy.
* Time elapsed since SCI is more than 6 months.
* ASIA: D and E
* Unstable medical condition.
* Patients who have other cause(s) of disability in addition to SCI such as stroke or amputation.
* Age less than 18 or more than 65 years old.
* Time of stay in the inpatient rehabilitation unit is less than six weeks.
* Inactive involvement in the rehabilitation program.
* Patients with progressive disease or a psychiatric condition that would interfere with active participation in the rehabilitation programs.
* Patients with cardiovascular contraindications.
* Persons who become walking ambulatory during the inpatient period.
* Persons with complete tetraplegia C4 or above.
* Persons on a mechanical ventilator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Stellenbosch

OTHER

Sponsor Role lead

Responsible Party

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Moussa Abu Mostafa

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Moussa Abu Mostafa, Master

Role: PRINCIPAL_INVESTIGATOR

Hamad Rehabilitation Hospital

Locations

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Hamad Rehabilitation Hospital

Gaza, Gaza Strip, Palestinian Territories

Site Status

ElAmal Rehabilitation Hospital

Khan Yunis, Gaza Strip, Palestinian Territories

Site Status

ElWafa Rehabilitation Hospital

Zahra City, Gaza Strip, Palestinian Territories

Site Status

Countries

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Palestinian Territories

Central Contacts

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Moussa Abu Mostafa, Master

Role: CONTACT

0597401091

Facility Contacts

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Rafat H Lubad, Board

Role: primary

00972595425003

Fuad Luzon, Master

Role: primary

0599485898

Jamal Khoswan, PhD

Role: primary

0598887086

References

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Reference Type BACKGROUND

Mostafa, M. A., Plastow, A. N., and Savin-Baden, M. (2020). Developing of an Evidence-Informed Activities of Daily Living Educational Manual. Manuscript submitted for publication

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Abu Mostafa M, Plastow NA, Savin-Baden M, Ayele B. The Impact of an Evidence-Informed Spinal Cord Injury Activities of Daily Living Education Manual (SADL-eM): Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2022 Jul 22;11(7):e30611. doi: 10.2196/30611.

Reference Type DERIVED
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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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972225221

Identifier Type: -

Identifier Source: org_study_id

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