'Uptime' Participation Intervention in Girls and Women With Rett Syndrome

Rett Syndrome Clinical Trial

Official title:

Feasibility and Effectiveness of an Individualized 12-week 'Uptime' Participation Intervention (U-PART) in Girls and Women With Rett Syndrome

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03848442
• Other study ID #: Center for RTT- 2017
• Status: Completed
• Phase: N/A
• Start date: February 7, 2017
• Est. completion date: December 15, 2017

Study information

• Verified date: February 2019
• Source: Rigshospitalet, Denmark
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of the study is to evaluate the feasibility and health-related effects of an individualized 12wk 'uptime' participation intervention in girls and women with Rett syndrome. Girls and women above 5 years of age with Rett syndrome and a confirmed MECP2 mutation will be included. Each individual program focuses on participation in enjoyable activities to promote 'uptime' in home, school/day center and community settings. Primary outcomes are sedentary time and daily steps. Secondary outcomes are gross motor skills, walking capacity, quality of life and participation-level goals. Outcomes are evaluated on four occasions: at baseline and after a 6-week interval, immediately following the 12-week intervention program and 12 weeks after the intervention program.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 14
• Est. completion date: December 15, 2017
• Est. primary completion date: December 15, 2017
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 5 Years and older

Eligibility

Inclusion Criteria:

• Girls and women above 5 years of age with Rett syndrome and a confirmed MECP2 mutation

• Hoffer ambulation scale levels I-IV

Exclusion Criteria:

• Girls and women who have undergone orthopedic surgery in the lower extremities within the last 6 months

• Girls and women who have undergone spinal fusion within the last 12 months

Related Conditions & MeSH terms

• Rett Syndrome
• Syndrome

Intervention

Other:
• 'Uptime' participation
The intervention are designed for each individual and are consistent with the model for participation-based interventions. The interventions are goal-oriented (meaningful and family/client-selected goals), family/client-centered (promoted self-determination and decision making), collaborative (partnership between caregivers), strength-based (built on participant and caregiver strengths) and ecological (natural environment and real-life experiences). Design of the intervention comprised three steps: 1) Preparation period (6 weeks); 2) Intervention period (12 weeks); 3) Follow-up period (12 weeks)

Locations

Country	Name	City	State
Denmark	Center for Rett syndrome, Department of Paediatrics and Adolescents Medicine	Copenhagen	København Ø

Sponsors (1)

Lead Sponsor	Collaborator
Rigshospitalet, Denmark

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	ActivPAL	Change in sedentary time	Assessed four times; twice at baseline; once after the 12 week intervention and once after a further 12 week follow-up
Primary	Stepwatch Activity Monitor	Change in daily step count	Assessed four times; twice at baseline; once after the 12 week intervention and once after a further 12 week follow-up
Secondary	Rett Syndrome Gross Motor Scale	Change in gross motor skills	Assessed four times; twice at baseline; once after the 12 week intervention and once after a further 12 week follow-up
Secondary	2 minute walk test	Change in walking capacity	Assessed four times; twice at baseline; once after the 12 week intervention and once after a further 12 week follow-up
Secondary	Quality of Life Inventory - Disability, questionnaire	Change in quality of life. The Quality of Life Inventory-Disability was used to assess quality of life. This 32 item-questionnaire was developed for children 5-18 years of age with ID. Responses are used to calculate an overall score and six subscale scores (social interaction, positive emotions, physical health, negative emotions, leisure/outdoors and independence), each scored on a 0-100 scale with higher scores representing better quality of life.	Assessed four times; twice at baseline; once after the 12 week intervention and once after a further 12 week follow-up
Secondary	Goal attainment scaling	Change in participation level goals. Goal attainment scaling is a validated method for evaluating achievement of individual goals. Individual goals were assessed on a five-point rating scale ranging from -2 to +2. Baseline was set at -2, the expected level after the intervention at zero and the most favorable outcome at +2. The goals were graded in relation to frequency or duration of an activity.	Assessed twice; at baseline and after the 12 week intervention