Electronic Capturing of Activities During REhabilitation for Upper Limb After Stroke

NCT ID: NCT06527261

Last Updated: 2024-07-30

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

NOT_YET_RECRUITING

Total Enrollment

146 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-31

Study Completion Date

2026-12-31

Brief Summary

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This is a prospective cohort study to determine the feasibility of accurate, complete, and timely real-time electronic capturing of upper limb motor intervention sessions during usual care. In clinical trials accurate reporting of usual care for people with stroke is scarce, thus understanding the control group compared to the experimental group is poor. The unit of measure in this study is therapy sessions, where a clinician is providing usual care to a patient.

The observed sessions will occur in two Austin Health settings: Acute at Austin Hospital; subacute, across Royal Talbot Rehabilitation Centre or the Heidelberg Repatriation Hospital. For each session, patient characteristics, dose and content of upper limb interventions will be electronically captured in REDCap. Additionally, the sessions will be video recorded to allow a second rater to assess feasibility. The secondary aim is to determine if there is an association between the dose and content of upper limb intervention sessions and the contextual factors of stroke patients. Two participant groups will be recruited: Stroke patients and Clinicians (Occupational Therapists and Allied Health Assistants).

Detailed Description

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This is a prospective observational cohort study to determine the feasibility of accurate, complete, and timely real-time electronic capturing of upper limb motor intervention sessions during usual care.

In clinical trials accurate reporting of usual care for people with stroke is scarce, thus understanding the control group compared to the experimental group is poor.

The unit of measure is the therapy sessions, where a clinician is providing usual care to a patient. The observed sessions will occur across two Austin Health settings. Setting A: Acute at Austin Hospital, and Setting B: Subacute at Royal Talbot Rehabilitation Centre or the Heidelberg Repatriation Hospital.

For each session, patient characteristics, the multiple dimensions of dose, and the content of usual care motor upper limb interventions will be electronically captured in REDCap. The observed sessions will be video recorded and a second rater will review the session for dose data accuracy. Secondary to determining feasibility, the dose and content data from observed sessions will be analysed to investigate the association of context factors such as setting and upper limb impairment severity.

As such, this study aims to answer the following research questions:

* Is it feasible for clinicians to electronically capture accurate, complete, and timely upper limb motor intervention session dose during usual care of stroke patients?
* Is there an association between dose and content of upper limb intervention sessions and the contextual factors of stroke patients?

Conditions

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Stroke

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Acute Sessions

Observed sessions for patients who are in the acute inpatient setting. Each session will include a patient and a clinician

Real-time electronic data input into REDCap

Intervention Type OTHER

During usual care sessions, clinicians will real-time capture information about the intervention session into REDCap. This information is related to the multi-dimensional dose articulation framework e.g., content of the session and difficulty of the task, session length, episode length, and number of repetitions.

The usual care motor upper limb intervention the patient receives is determined by the clinician providing the care. The therapy may include but is not limited to strength training, task specific retraining, constraint induced movement therapy, mirror box, and electrical stimulation.

Subacute Sessions

Observed sessions for patients who are in the subacute inpatient setting. Each session will include a patient and a clinician

Real-time electronic data input into REDCap

Intervention Type OTHER

During usual care sessions, clinicians will real-time capture information about the intervention session into REDCap. This information is related to the multi-dimensional dose articulation framework e.g., content of the session and difficulty of the task, session length, episode length, and number of repetitions.

The usual care motor upper limb intervention the patient receives is determined by the clinician providing the care. The therapy may include but is not limited to strength training, task specific retraining, constraint induced movement therapy, mirror box, and electrical stimulation.

Interventions

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Real-time electronic data input into REDCap

During usual care sessions, clinicians will real-time capture information about the intervention session into REDCap. This information is related to the multi-dimensional dose articulation framework e.g., content of the session and difficulty of the task, session length, episode length, and number of repetitions.

The usual care motor upper limb intervention the patient receives is determined by the clinician providing the care. The therapy may include but is not limited to strength training, task specific retraining, constraint induced movement therapy, mirror box, and electrical stimulation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults (≥18 years) with a new, first or consecutive stroke, confirmed on CT or MRI.
* Motor upper limb impairment defined by a Shoulder Abduction and Finger Extension (SAFE) score of 0 through 9.
* Able to consent for themselves.
* Likely to receive at least one upper limb intervention session as determined by the treating clinical team.


* Occupational therapist or allied health assistant working with the stroke population in an acute or subacute settings within Austin Health.
* At least four months of clinical experience

Exclusion Criteria

* Existing co-morbidities that limit upper limb function and usual care treatment provided as determined by the treating clinical team e.g., neural or orthopeadic
* Receiving palliative care or have a limited life expectancy
* Deemed unable or unnecessary to participate in upper limb intervention by the treating clinical team
* Treating Occupational Therapist and local allied health assistant declined to participate in the research preventing recording of usual care data
* Unable to follow basic instructions in English

Group 2: Clinicians


• Clinicians expected to move into another clinical area within one month.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Melbourne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kate Hayward

Role: PRINCIPAL_INVESTIGATOR

University of Melbourne

Locations

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Austin Health

Melbourne, Victoria, Australia

Site Status

Countries

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Australia

Central Contacts

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Kate Hayward, PhD

Role: CONTACT

+61 03 9035 5511

Sarah P Newton, BOccTh(Hons)

Role: CONTACT

+61 03 94965105

Facility Contacts

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Sarah Newton

Role: primary

61 03 94965105

Other Identifiers

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HREC/107078/Austin-2024

Identifier Type: -

Identifier Source: org_study_id

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