TEleRehabilitation Nepal (TERN) to Improve Quality of Life of People With Spinal Cord Injury and Acquired Brain Injury
NCT ID: NCT04914650
Last Updated: 2021-11-08
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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COMPLETED
NA
100 participants
INTERVENTIONAL
2019-12-01
2021-07-31
Brief Summary
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1. estimate the rehabilitation needs in individuals after stroke, brain injury and spinal cord injury in rural communities after discharge from SIRC
2. hold user and stakeholder workshops to explore the role of multidisciplinary teleconferencing methods for remote assessment and management and agree systems for piloting
3. deploy and pilot a novel telerehabilitation system to improve the lives of these individuals, and evaluate it in terms of feasibility and acceptability
Detailed Description
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Work Package 1: Identifying baseline and context
Individuals discharged from SIRC between January 2018 and December 2019 will be identified and recruited to the study. Initially, a cross sectional study will capture their experiences and baseline community outcomes using both standardised quantitative outcome measures and qualitative data from semi-structured interviews. Recruitment and data collection for this part of the study will be conducted by partners in Nepal. Analysis and management of this data will be joint between Nepal and Leeds teams.
Work Package 2: Assessing utility of telerehabilitation to address needs
Informed by previous work package, user and stakeholder workshops will be used to explore the role of multidisciplinary video teleconferencing, telemedicine follow-up clinics, remote management using mobile phone camera monitoring and other methods identified to reach consensus on interventions to address the most pressing clinical challenges. These workshops will be facilitated by all the researchers and will involve service users, family members, clinicians, hospital managers, community health providers, NGO representatives and national policy makers.
Work Package 3: Pilot and rapid evaluation
The telerehabilitation interventions agreed in work package 2 will then be piloted by the clinical team at SIRC and the participants recruited in work package 1. This will involve post discharge follow up facilitated by the telerehabilitation system, and may result in further clinical rehabilitation care as appropriate (advice, provision of equipment, etc.).
This is followed by a rapid, mixed-methods evaluation which will assess of the feasibility and acceptability of telerehabilitation interventions by incorporating:
* analysis of routinely collected clinical caseload data
* standardised quantitative outcome measures
* semi-structured interviews with service user participants and focus group discussions with staff
* case studies of exemplar cases including video recording
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Telerehabilitation intervention
Telerehabilitation
Providing multidisciplinary rehabilitation to individuals with spinal cord injury or brain injury using virtual conference methods
Interventions
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Telerehabilitation
Providing multidisciplinary rehabilitation to individuals with spinal cord injury or brain injury using virtual conference methods
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Spinal Injury Rehabilitation Center
OTHER
University of Leeds
OTHER
Responsible Party
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Dr Manoj Sivan
Dr
Principal Investigators
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Manoj Sivan, MD
Role: PRINCIPAL_INVESTIGATOR
University of Leeds
Locations
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Spinal Injury Rehabilitation Centre
Bhainsepati, Kavre, Nepal
Countries
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References
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Dhakal R, Baniya M, Solomon RM, Rana C, Ghimire P, Hariharan R, Makower SG, Meng W, Halpin S, Xie SQ, O'Connor RJ, Allsop MJ, Sivan M. TEleRehabilitation Nepal (TERN) for People With Spinal Cord Injury and Acquired Brain Injury: A Feasibility Study. Rehabil Process Outcome. 2022 Oct 18;11:11795727221126070. doi: 10.1177/11795727221126070. eCollection 2022.
Other Identifiers
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MREC 19-031
Identifier Type: -
Identifier Source: org_study_id