Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games

Stroke Clinical Trial

Official title:

Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games: A 3-arm Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03482414
• Other study ID #: NUSingapore_WP
• Status: Completed
• Phase: N/A
• First received: February 1, 2018
• Last updated: March 22, 2018
• Start date: August 7, 2017
• Est. completion date: October 30, 2017

Study information

• Verified date: March 2018
• Source: National University, Singapore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This 12-week randomized controlled trial involves two intervention groups (i.e., single-player game group, competition game group) and one control group (i.e., conventional checkerboard group). The main objective of this study is to examine the effects of game-based training on patient motivation, exercise duration, and functional outcomes in comparison with the control group.

Description:

A 12-week three-arm randomized controlled trial was conducted to compare the effects between the single-player game, competitive game and a control group (i.e. conventional training) on the motivation, exercise duration and functional improvement in a rehabilitation program. A mix of quantitative method (i.e., questionnaire) and qualitative methods (i.e., interview and observation) were used. The outcome measurements were: (1) motivation: Intrinsic Motivation Inventory (IMI), (2) participation: exercise duration, (3) functional improvement: nine-hole peg test (NHPT) and box and block test (BBT), and (4) user feedback.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 35
• Est. completion date: October 30, 2017
• Est. primary completion date: October 30, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

1. Age=65 years

2. Has neurological disorders (e.g. cerebrovascular accident) with the need of upper limb rehabilitation;

3. Able to stand or sit unsupported for 10 minutes;

4. Discharged from hospital and living in community;

5. Able to communicate either in English or Mandarin; and

6. Able to provide informed written consent.

Exclusion Criteria:

1. Has severe cognitive impairments (Mini-Mental State Examination (MMSE) score <10),

2. With serious cardiorespiratory conditions,

3. With capacity but do not wish to sign the consent form.

Related Conditions & MeSH terms

• Stroke

Intervention

Other:
• traditional wooden checkerboard
upper limb training with traditional wooden checkerboard
• gaming board with single-player games
upper limb training with a LED-based interactive gaming board equipped with single-player games
• gaming board with two-player games
upper limb training with two LED-based interactive gaming boards equipped with two-player competitive games

Locations

Country	Name	City	State
Singapore	Wang Pan	Singapore	Singapore - No State

Sponsors (2)

Lead Sponsor	Collaborator
National University, Singapore	AWWA Rehab and Day Care Centre

Country where clinical trial is conducted

Singapore, 

References & Publications (5)

Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther. 1985 Jun;39(6):386-91. — View Citation

McAuley E, Duncan T, Tammen VV. Psychometric properties of the Intrinsic Motivation Inventory in a competitive sport setting: a confirmatory factor analysis. Res Q Exerc Sport. 1989 Mar;60(1):48-58. — View Citation

McDonnell M. Action research arm test. Aust J Physiother. 2008;54(3):220. — View Citation

Oxford Grice K, Vogel KA, Le V, Mitchell A, Muniz S, Vollmer MA. Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. Am J Occup Ther. 2003 Sep-Oct;57(5):570-3. — View Citation

Popovic MD, Kostic MD, Rodic SZ, Konstantinovic LM. Feedback-mediated upper extremities exercise: increasing patient motivation in poststroke rehabilitation. Biomed Res Int. 2014;2014:520374. doi: 10.1155/2014/520374. Epub 2014 Jun 2. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline motivation at 12 weeks	Intrinsic Motivation Inventory (IMI) - psychological measurement of motivation questionnaire	week 1, week 12
Secondary	Change from baseline function of manual dexterity at 12 weeks	Measuring gross manual dexterity Block and Box Test (BBT)	week 1, week 12
Secondary	Change from baseline function of finger dexterity at 12 weeks	Measuring finger dexterity with Nine-Hole Peg Test (NHPT)	week 1, week 12
Secondary	Exercise duration	Overall exercise duration over12 weeks	week 1 to week 12