Stroke Clinical Trial
Official title:
An International Randomized Clinical Trial of Activity Feedback During In-patient Stroke Rehabilitation Enabled by Smart Watches
The amount of activity completed by individuals within rehabilitation programs, even when units are well staffed, is often far below that required for optimal stroke rehabilitation, and is not individually adapted on a day-to-day basis. Daily feedback on their activity levels may motivate stroke survivors to engage in greater skills practice and thus outcome after stroke. To date only a few trials suggests that augmented feedback may be effective. There is a need for a large pragmatic trial to explore the impact of augmented activity feedback on top of their standard care. The purpose of this study is to determine the effect of augmented activity feedback by smart watches to support in-patient stroke rehabilitation.
Status | Recruiting |
Enrollment | 200 |
Est. completion date | August 2018 |
Est. primary completion date | January 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - Admission for acute/sub-acute in-patient neurorehabilitation of a first stroke at the 2nd affiliated hospital of Anhui University of Traditional Medicine and Acupuncture, Hefei, China. - Time from onset of stroke to admission for rehabilitation <16 weeks. - Ability to follow a two stage command; pick up an object, put object on table. - Independent in mobility prior to admission. Subjects can use any type of assistive device and brace needed. - Able to understand and repeat information related to the Informed Consent. Exclusion Criteria: - Admission for second stroke. - Subjects who are unable to provide consent due to a cognitive impairment. |
Country | Name | City | State |
---|---|---|---|
China | The 2nd Affiliated Hospital to Anhui University of Tranditional Chinese Medicine | Hefei | Anhui |
Lead Sponsor | Collaborator |
---|---|
The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine | Oxford Brookes University, Oxford International Rehabilitation Foundation and Innovation, University of Warwick |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in activity counts as measured by a triaxial accelerometer from a smart watch from admission to 3 weeks or discharge from rehabilitation | Baseline, Three weeks or at discharge from in-patient rehabilitation if sooner | ||
Secondary | Activity goal attainment as measured and provided by the smart watch | Participants in feedback group receive a preset activity goal based on their previous activity levels at baseline. The smart watch will then provide graduated encouragement by increasing their activity goal by about 5%. Every 10-15 minutes the screen lights up and participants can see their activity progress expressed by activity bars (representing 0-100%). Participants reaching their activity goal is used to measure goal attainment. | At three weeks, or discharge if sooner | |
Secondary | Change in walking mobility | Change in walking speed and spatio-temporal characteristics of walking as measured by an inertial sensor on the lower trunk during a 10m walk test. | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner | |
Secondary | Fatigue | Fatigue Severity Index | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner | |
Secondary | Health status on EQ-5D-5L | This scale is used a measure for health status and compromises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner, and 12 weeks (by telephone) | |
Secondary | Change in functional mobility as measured by Rivermead Mobility Index (RMI) | This scale assesses functional mobility in gait, balance and transfers after stroke | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner, and 12 weeks (by telephone) | |
Secondary | Change in cognitive function as measured by The Montreal Cognitive Assessment (MoCA) | This is a screening instrument for to measure mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner | |
Secondary | Change in arm function recovery | Grip dynamometer | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner | |
Secondary | Change in performance of activities of daily living as measured by Barthel ADL Index | This scale is used to record what the participant undertakes in personal activities, to establish a degree of independence from any help, physical or verbal. | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner | |
Secondary | Change in disability as measured by WHO Disability Assessment Scale (12 item version) | This scale provides a global measure of disability covering 6 domains: cognition, mobility, self-care, getting along, life activities, and participation | Baseline, Three weeks or discharge from in-patient rehabilitation if sooner, and 12 weeks | |
Secondary | Adverse events | Self-reported adverse events | At three weeks, or discharge if sooner and at 12 weeks |
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