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Central Nervous System Diseasesi-ACTNCT04692311

Pilot Study Concerning an Intelligent Activity-based Client-centred Training System in Neurorehabilitation

A study testing an intelligent client-centred task-oriented training and Semi-structured interview in people with Central Nervous System Diseases and Neurological Rehabilitation, run by PXL University College.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The pilot study was performed to evaluate the usability, credibility and expectancy of an intelligent, activity-based client-centred training system (i-ACT), and the motivation towards its use in neurological rehabilitation over a short period of time. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
an intelligent client-centred task-oriented training and Semi-structured interview
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
No sites listed yet
Study dates
4 Jan 2016to 31 Aug 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • age over 18 years old
  • a medical diagnosis of central nervous system disease
  • dysfunction in upper limb and/or core stability
  • Persons with multiple sclerosis (MS) had to be free of treatment with corticosteroids for one month.
  • Persons with stroke or spinal cord injury, had to be at least three months post injury.

Who cannot join

  • severe spasticity (when spasticity impedes movement)
  • severe cognitive impairment (person is not able to understand and follow instructions)
  • severe communicative impairment (person is not able to answer questions)
  • severe visual impairment (person is not able to see the television screen)
  • persons who use an electric wheelchair

About this study

Official title: Motivation, Usability and Functionality of an Intelligent Activity-based Client-centred Training System in Neurological Rehabilitation: a Pilot Study

The pilot study was performed to evaluate the usability, credibility and expectancy of an intelligent, activity-based client-centred training system (i-ACT), and the motivation towards its use in neurological rehabilitation over a short period of time.

Read the detailed description

A mixed-method study was performed in four rehabilitation centres in Belgium. An homogenous convenience sample was recruited among persons with central nervous system disorders.

Participants received 3 x 45 minutes of training with the i-ACT system during six weeks, additional to conventional care. The Canadian Occupational Performance Measure (COPM) was used to collect and evaluate patients' individual goals towards rehabilitation. These goals were discussed with the therapists before implementing movements and exercises for each patient in the i-ACT system.

The following demographic data were obtained from the medical files: age, gender, and diagnosis. Outcomes measures were collected at baseline (T0), after 2 (T1), 4 (T2) and 6 (T3) weeks of training and at 9 weeks follow-up (T4).

The primary outcome measures were the Intrinsic Motivation Inventory (IMI), the System Usability Scale (SUS), Credibility/Expectancy Questionnaire (CEQ), the Canadian Occupational Performance Measure (COPM), and Wolf Motor Function Test (WMFT). The secondary measures were the Manual Ability Measure-36 (MAM-36), Modified Fatigue Impact Scale (MFIS), Trunk Impairment Scale (TIS), and Active Range of Motion (AROM).

After final training with i-ACT, a semi-structured interview was performed to gather more information about the participants' perception towards i-ACT.

For quantitative data, within-group differences of all the assessments were analysed using Friedman's ANOVA and Wilcoxon signed-rank test. Alpha was set at 0.05; No Bonferroni correction was applied as it is not compulsory in an exploratory study and furthermore, results are regarded as hypothesis for further investigations.

The qualitative data was collected and recorded with a voice recorder. No specific analysis was used as the interview collected data to support or oppose the findings of the quantitative data.

Being tested
an intelligent client-centred task-oriented training, Semi-structured interview
Medical subject headings
Central Nervous System Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • an intelligent client-centred task-oriented trainingDevice

    Also called i-ACT

    3 x 45min of training with i-ACT system

  • Semi-structured interviewOther

    Participants, patients and therapists, were invited to a semi-structured interview after training period.

Study groups in NCT04692311
Study groupRoleWhat they receive
Persons with central nervous system diseasesExperimentalPersons with central nervous system diseases received additional training with i-ACT during 6 weeks. After final training, a semi-structured interview was performed. And at six weeks follow-up, a final assessment took place.
Receives: Device: an intelligent client-centred task-oriented training; Other: Semi-structured interview
Occupational therapistsOtherOccupational therapists were invited to a semi-structured interview to gather information about their professional opinion regarding i-ACT.
Receives: Other: Semi-structured interview

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Intrinsic Motivation Inventory

    Motivation towards a therapy, in this i-ACT

    Measured: 2 weeks

  2. Intrinsic Motivation Inventory

    Motivation towards a therapy, in this i-ACT

    Measured: 4 weeks

  3. Intrinsic Motivation Inventory

    Motivation towards a therapy, in this i-ACT

    Measured: 6 weeks

  4. Intrinsic Motivation Inventory

    Motivation towards a therapy, in this i-ACT

    Measured: 12 weeks (i.e. 6 weeks follow-up)

  5. System Usability Scale

    Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive).

    Measured: 2 weeks

  6. System Usability Scale

    Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive).

    Measured: 4 weeks

  7. System Usability Scale

    Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive).

    Measured: 6 weeks

  8. System Usability Scale

    Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive).

    Measured: 12 weeks (i.e. 6 weeks follow-up)

  9. Credibility/Expectancy Questionnaire

    Credibility and expectancy of a training system, in this i-ACT. The range of scores on each subscale (i.e. credibility and expectancy) is 27.

    Measured: 2 weeks

  10. Credibility/Expectancy Questionnaire

    Credibility and expectancy of a training system, in this i-ACT. The range of scores on each subscale (i.e. credibility and expectancy) is 27.

    Measured: 4 weeks

  11. Credibility/Expectancy Questionnaire

    Credibility and expectancy of a training system, in this i-ACT. The range of scores on each subscale (i.e. credibility and expectancy) is 27.

    Measured: 6 weeks

  12. Credibility/Expectancy Questionnaire

    Credibility and expectancy of a training system, in this i-ACT. The range of scores on each subscale (i.e. credibility and expectancy) is 27.

    Measured: 12 weeks (i.e. 6 weeks follow-up)

  13. Canadian Occupational Performance Measure

    By means of a semi-structured interview, participants are asked to identify their 5 main goals in self-care, productivity and/or leisure.

    Scores range from 0 to 10 (best score) in each defined goal.

    Measured: Baseline

  14. Canadian Occupational Performance Measure

    By means of a semi-structured interview, participants are asked to identify their 5 main goals in self-care, productivity and/or leisure.

    Scores range from 0 to 10 (best score) in each defined goal.

    Measured: 4 weeks

  15. Canadian Occupational Performance Measure

    By means of a semi-structured interview, participants are asked to identify their 5 main goals in self-care, productivity and/or leisure.

    Scores range from 0 to 10 (best score) in each defined goal.

    Measured: 6 weeks

  16. Canadian Occupational Performance Measure

    By means of a semi-structured interview, participants are asked to identify their 5 main goals in self-care, productivity and/or leisure.

    Scores range from 0 to 10 (best score) in each defined goal.

    Measured: 12 weeks (i.e. 6 weeks follow-up)

  17. Wolf Motor Function Test

    Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance).

    Measured: Baseline

  18. Wolf Motor Function Test

    Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance).

    Measured: 2 weeks

  19. Wolf Motor Function Test

    Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance).

    Measured: 4 weeks

  20. Wolf Motor Function Test

    Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance).

    Measured: 6 weeks

  21. Wolf Motor Function Test

    Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance).

    Measured: 12 weeks (i.e. 6 weeks follow-up)

Secondary outcomes (20)
  1. Manual Ability Measure-36

    Manual ability. Scores range from 0 (impossible to perform) to 4 (easy to perform)

    Measured: Baseline

  2. Manual Ability Measure-36

    Manual ability. Scores range from 0 (impossible to perform) to 4 (easy to perform)

    Measured: 2 weeks

  3. Manual Ability Measure-36

    Manual ability. Scores range from 0 (impossible to perform) to 4 (easy to perform)

    Measured: 4 Weeks

  4. Manual Ability Measure-36

    Manual ability. Scores range from 0 (impossible to perform) to 4 (easy to perform)

    Measured: 6 weeks

  5. Manual Ability Measure-36

    Manual ability. Scores range from 0 (impossible to perform) to 4 (easy to perform)

    Measured: 12 weeks (i.e. 6 weeks follow-up)

  6. Modified Fatigue Impact Scale

    Fatigue. Twenty-one items ar scored on a 5-point Likert scale (range from 0, never, to 4, almost always). The higher the score the most impact fatigue has on the life of the person. .

    Measured: Baseline

  7. Modified Fatigue Impact Scale

    Fatigue. Twenty-one items ar scored on a 5-point Likert scale (range from 0, never, to 4, almost always). The higher the score the most impact fatigue has on the life of the person. .

    Measured: 2 weeks

  8. Modified Fatigue Impact Scale

    Fatigue. Twenty-one items ar scored on a 5-point Likert scale (range from 0, never, to 4, almost always). The higher the score the most impact fatigue has on the life of the person. .

    Measured: 4 weeks

  9. Modified Fatigue Impact Scale

    Fatigue. Twenty-one items ar scored on a 5-point Likert scale (range from 0, never, to 4, almost always). The higher the score the most impact fatigue has on the life of the person. .

    Measured: 6 weeks

  10. Modified Fatigue Impact Scale

    Fatigue. Twenty-one items ar scored on a 5-point Likert scale (range from 0, never, to 4, almost always). The higher the score the most impact fatigue has on the life of the person. .

    Measured: 12 weeks (i.e. 6 weeks follow-up)

  11. Trunk Impairment Scale

    Trunk impairment. Scores range from 0 (minimum) to 23. The higher the score the less motor impairment is present in the trunk.

    Measured: Baseline

  12. Trunk Impairment Scale

    Trunk impairment. Scores range from 0 (minimum) to 23. The higher the score the less motor impairment is present in the trunk.

    Measured: 2 weeks

  13. Trunk Impairment Scale

    Trunk impairment. Scores range from 0 (minimum) to 23. The higher the score the less motor impairment is present in the trunk.

    Measured: 4 weeks

  14. Trunk Impairment Scale

    Trunk impairment. Scores range from 0 (minimum) to 23. The higher the score the less motor impairment is present in the trunk.

    Measured: 6 weeks

  15. Trunk Impairment Scale

    Trunk impairment. Scores range from 0 (minimum) to 23. The higher the score the less motor impairment is present in the trunk.

    Measured: 12 weeks (i.e. 6 weeks follow-up)

  16. Active Range of Motion

    Active range of motion

    Measured: Baseline

  17. Active Range of Motion

    Active range of motion

    Measured: 2 weeks

  18. Active Range of Motion

    Active range of motion

    Measured: 4 weeks

  19. Active Range of Motion

    Active range of motion

    Measured: 6 weeks

  20. Active Range of Motion

    Active range of motion

    Measured: 12 weeks (i.e. 6 weeks follow-up)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Dec 2020
  2. Study start4 Jan 2016
  3. Primary completion31 Aug 2016
  4. Study completion31 Aug 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Mixed-method pilot study in which persons with central nervous system diseases and occupational therapists were included
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04692311
Sponsor's protocol ID
i-ACT pilot
Acronym
i-ACT
Status last verified
Dec 2020
First submitted
21 Dec 2020
Last updated
31 Dec 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Upon reasonable request, the data (in Dutch) can be shared with other researchers.

Questions about this trial

What is this clinical trial studying?

A study testing an intelligent client-centred task-oriented training and Semi-structured interview in people with Central Nervous System Diseases and Neurological Rehabilitation, run by PXL University College.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Intrinsic Motivation Inventory (time frame: 2 weeks). The study lists 21 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Dec 2020.

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