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Trial registered on ANZCTR
Registration number
ACTRN12617000745347
Ethics application status
Approved
Date submitted
10/05/2017
Date registered
22/05/2017
Date last updated
26/06/2019
Date data sharing statement initially provided
26/06/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Interactive Virtual Therapy for community-dwelling Stroke survivors
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Scientific title
Efficacy of an innovative STRoke Interactive Virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors: a randomised controlled trial protocol.
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Secondary ID [1]
291903
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
303209
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loss of arm function
303370
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Condition category
Condition code
Stroke
302639
302639
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0
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Haemorrhagic
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Stroke
302642
302642
0
0
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Ischaemic
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Physical Medicine / Rehabilitation
302682
302682
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will be participation in interactive computer based activities using the kinect camera and software designed for stroke rehabilitation (JRS wave technology). Participants will view screen based activities and perform tasks that give feedback on arm and body position in space. Between 3 and 5 upper limb exercises will be performed which are functional upper limb tasks that require shoulder flexion, abduction and adduction with elbow flexion, extension and forearm supination. the dose will be for up to 50 minutes twice per week in a community setting for 8 weeks. Sessions will be supervised by an exercise physiologist 1:1 face to face and attendance recorded. The software records duration and number of activities participated in.
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Intervention code [1]
298025
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Rehabilitation
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Intervention code [2]
298051
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Treatment: Devices
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Comparator / control treatment
The control group will be instructed to go about their normal daily activities and comply with their scheduled treatment plans. The control group participants will only be required to attend the testing sessions (at baseline and after 8 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary outcome of upper limb function will be measured using composite scores
1.The Fugl-Meyer Upper Extremity (FMUE) scale,
2. Upper limb spasticity as measured by the Modified Ashworth Scale
3.Motor Activity Log-28 (MAL-28) for daily arm use
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Assessment method [1]
302054
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Timepoint [1]
302054
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Baseline and at 8 weeks
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Primary outcome [2]
302089
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Stroke-Specific Quality-of-Life (SS-QoL) scale to measure the impact of reduced arm use.
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Assessment method [2]
302089
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Timepoint [2]
302089
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Baseline and at 8 weeks
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Secondary outcome [1]
334633
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Changes in cortical activation during motor tasks by functional near-infrared spectroscopy (fNIRS)
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Assessment method [1]
334633
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Timepoint [1]
334633
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Baseline and at 8 weeks
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Eligibility
Key inclusion criteria
Participants will be included if they are 1) community dwelling stroke survivors, 2) with mild-to-moderate upper arm impairments (Fugl-Meyer upper extremity score 25-45), 3) no cognitive impairments (Mini-mental state examination score >24) and 4) able to read English.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Stroke survivors with 1) other neurological conditions (e.g. Parkinson’s disease or dementias) and 2) no observable movements in shoulders or elbows will be excluded from this trial.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Group Allocation will be concealed by the use of opaque sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Following study enrolment and completion of the baseline testing, participants will be randomized into a virtual therapy intervention (VT) or control (usual care; UC) group using a computerised random sequence generator, using a block randomisation design (according to location) and stratified by gender.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Mixed factorial analysis of variance (ANOVA) will be used to determine difference in clinical and neurophysiological measures across GROUP (VT vs. Control) and TIME (PRE- vs. POST-INTERVENTION). Bonferroni post-hoc t-tests for multiple comparisons will be used to determine where significance has occurred. Significance will be set P<0.05.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2017
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Actual
1/08/2017
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Date of last participant enrolment
Anticipated
1/01/2018
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Actual
29/06/2018
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Date of last data collection
Anticipated
30/03/2018
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Actual
29/08/2018
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
296411
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Charities/Societies/Foundations
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Name [1]
296411
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Heart Foundation Australila
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Address [1]
296411
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Level 12/500 Collins Street
Melbourne VIC 3000
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Country [1]
296411
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Australia
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Primary sponsor type
University
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Name
Deakin University
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Address
Burwood Campus
221 Burwood Highway
Burwood, Victoria, 3125
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Country
Australia
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Secondary sponsor category [1]
295353
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None
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Name [1]
295353
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Address [1]
295353
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Country [1]
295353
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297635
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Deakin University Research Ethics Commiteee
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Ethics committee address [1]
297635
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221 Burwood Highway Burwood, Victoria, 3125
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Ethics committee country [1]
297635
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Australia
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Date submitted for ethics approval [1]
297635
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Approval date [1]
297635
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09/05/2017
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Ethics approval number [1]
297635
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2017-087
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Summary
Brief summary
Introduction: The STRoke Interactive Virtual thErapy (STRIVE) intervention provides community-dwelling stroke survivors access to individualised, remotely-supervised progressive exercises via an online platform. This trial aims to determine the clinical efficacy, effects on brain activity and user preferences of the STRIVE intervention in community-dwelling stroke survivors. Methods and analysis: In a multi-site, assessor blinded randomised controlled trial with a parallel mixed-methods implementation evaluation, 60 participants from 3 stroke support groups across Victoria and Tasmania will be equally randomised by location to receive 8 weeks of virtual therapy (VT) at a local community centre, or usual care. Participants allocated to VT will perform 3-5 upper-limb exercises (depending on initial impairment severity), whilst participants allocated to usual care will be asked to maintain their daily activities. The primary outcome measure will be upper extremity function and spasticity, as measured by the Fugl-Meyer upper extremity assessment and modified Ashworth scale respectively. Secondary outcome measures include task-related changes in bilateral sensorimotor cortex hemodynamics during hand reaching and wrist extension movements as measured by functional near-infrared spectroscopy. All measures will be assessed at baseline and immediately post-intervention.
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Trial website
nil
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Trial related presentations / publications
Innovative STRoke Interactive Virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors: a randomised controlled trial protocol L Johnson, ML Bird, M Muthalib, WP Teo - BMJ open, 2018
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Public notes
nil
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Contacts
Principal investigator
Name
74666
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Dr Wei-Peng Teo
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Address
74666
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Faculty of Health
Deakin University
221 Burwood Highway
Burwood, Victoria, 3125
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Country
74666
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Australia
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Phone
74666
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+61 3 9244 5229
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Fax
74666
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Email
74666
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[email protected]
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Contact person for public queries
Name
74667
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Wei-Peng Teo
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Address
74667
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Faculty of Health
Deakin University
221 Burwood Highway
Burwood, Victoria, 3125
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Country
74667
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Australia
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Phone
74667
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+61 3 9244 5229
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Fax
74667
0
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Email
74667
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[email protected]
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Contact person for scientific queries
Name
74668
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Wei-Peng Teo
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Address
74668
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Faculty of Health
Deakin University
221 Burwood Highway
Burwood, Victoria, 3125
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Country
74668
0
Australia
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Phone
74668
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+61 3 9244 5229
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Fax
74668
0
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Email
74668
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
2507
Study protocol
Innovative STRoke Interactive Virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors: a randomised controlled trial protocol L Johnson, ML Bird, M Muthalib, WP Teo - BMJ open, 2018
https://bmjopen.bmj.com/content/8/1/e018388.abstract
372902-(Uploaded-25-06-2019-14-24-18)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Innovative Stroke Interactive Virtual Therapy (STRIVE) online platform for community-dwelling stroke survivors: A randomised controlled trial protocol.
2018
https://dx.doi.org/10.1136/bmjopen-2017-018388
N.B. These documents automatically identified may not have been verified by the study sponsor.
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