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Trial registered on ANZCTR
Registration number
ACTRN12620000252910
Ethics application status
Approved
Date submitted
17/02/2020
Date registered
26/02/2020
Date last updated
26/02/2020
Date data sharing statement initially provided
26/02/2020
Date results provided
26/02/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does the addition of concurrent visual feedback increase adherence to a home exercise program in people with stroke: a single-case series?
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Scientific title
Does the addition of concurrent visual feedback increase adherence to an upper limb home exercise program in people with stroke: a single-case series?
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Secondary ID [1]
300579
0
Nil known
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Universal Trial Number (UTN)
U1111-1248-4535
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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
316314
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physical inactivity
316315
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Condition category
Condition code
Neurological
314581
314581
0
0
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Other neurological disorders
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Stroke
314659
314659
0
0
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Ischaemic
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Stroke
314660
314660
0
0
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Haemorrhagic
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Physical Medicine / Rehabilitation
314661
314661
0
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
During the intervention phase (weeks 2 and 3), participants were provided with a tablet computer (Apple model A1474) and were instructed by a physiotherapist in how to use the device. Participants were asked to video record each exercise session, using the MoviePro App, a videorecording app that was downloaded onto the tablet computer for a small fee paid by the research project. This required participants to tap on a single mobile application, pressing a Record button at the start and end of each session. The tablet computer was set up in front of the participant so that they were able to see themselves exercising and they were instructed to look at the screen as they exercised. Participants were instructed to perform upper limb exercises 6 days per week for 60 minutes at their individual capacity. Participants kept a record of the duration of exercise on a recording sheet. Exercises were prescribed from the Graded Repetitive Arm Supplementary Program (GRASP). The GRASP program contains exercises for the whole arm (including stretches) and the elbow and hand (for example, pouring water from a cup, folding clothes, using putty) The program continued for 4 weeks.
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Intervention code [1]
316883
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Rehabilitation
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Intervention code [2]
316944
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Treatment: Other
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
322908
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Time spent exercising as measured via accelerometry
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Assessment method [1]
322908
0
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Timepoint [1]
322908
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Recorded daily for 4 weeks duration
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Secondary outcome [1]
380215
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Usability of the tablet computer was assessed with the System Usability Scale
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Assessment method [1]
380215
0
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Timepoint [1]
380215
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At study completion (4 weeks)
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Eligibility
Key inclusion criteria
Criteria for inclusion were diagnosis of stroke (>3 months), completion of formal rehabilitation and being able to pick up a small block with the stroke-affected hand.
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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
Patients were excluded if they were less than 18 years old, had a Mini-Mental State Examination score (MMSE) of less than 24 out of 30,were non-English speaking (or absence of an English-speaking carer) or had a visual deficit preventing technology use.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
N/A
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Active wear time data were analysed using the two standard deviation (2 SD) band method which has been recommended for the analysis of single-case series designs
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
19/08/2018
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Date of last participant enrolment
Anticipated
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Actual
4/12/2018
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Date of last data collection
Anticipated
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Actual
12/01/2019
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
15913
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Flinders Medical Centre - Bedford Park
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Recruitment postcode(s) [1]
29370
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5042 - Bedford Park
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Recruitment postcode(s) [2]
29371
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5042 - Flinders University
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Funding & Sponsors
Funding source category [1]
305000
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Hospital
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Name [1]
305000
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Flinders Medical Centre
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Address [1]
305000
0
Flinders Drive
Bedford Park, South Australia
5042
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Country [1]
305000
0
Australia
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Primary sponsor type
Individual
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Name
Tamina Levy
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Address
Flinders Medical Centre - Rehabilitation and Palliative Services
Flinders Drive
Bedford Park, South Australia
5042
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Country
Australia
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Secondary sponsor category [1]
305354
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None
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Name [1]
305354
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N/A
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Address [1]
305354
0
N/A
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Country [1]
305354
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
305397
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The Southern Adelaide Clinical Human Research Ethics Committee (SAC HREC EC00188).
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Ethics committee address [1]
305397
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Ward 6c, Room CA219 Flinders Medical Centre Flinders Drive Bedford Park 5042 South Australia
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Ethics committee country [1]
305397
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Australia
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Date submitted for ethics approval [1]
305397
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07/05/2018
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Approval date [1]
305397
0
13/07/2018
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Ethics approval number [1]
305397
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217.17
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Summary
Brief summary
The primary aim of this study was to determine if the addition of concurrent visual feedback, via a tablet computer, would increase adherence to an upper limb home exercise program in people with stroke. A secondary aim was to assess the feasibility of use of upper limb accelerometry as a method of monitoring upper limb activity during a home exercise program in people with stroke.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
100238
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Dr Maggie Killington
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Address
100238
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Flinders University
Sturt Road
Bedford Park 5042
South Australia
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Country
100238
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Australia
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Phone
100238
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+61 0882751103
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Fax
100238
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Email
100238
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[email protected]
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Contact person for public queries
Name
100239
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Tamina Levy
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Address
100239
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Flinders Medical Centre - Rehabilitation Services
Flinders Drive
Bedford Park
SA 5042
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Country
100239
0
Australia
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Phone
100239
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+61 0409282210
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Fax
100239
0
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Email
100239
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[email protected]
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Contact person for scientific queries
Name
100240
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Tamina Levy
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Address
100240
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Flinders Medical Centre - Rehabilitation Services
Flinders Drive
Bedford Park
SA 5042
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Country
100240
0
Australia
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Phone
100240
0
+61 0409282210
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Fax
100240
0
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Email
100240
0
[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
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
Does the addition of concurrent visual feedback increase adherence to a home exercise program in people with stroke: a single-case series?.
2020
https://dx.doi.org/10.1186/s13104-020-05202-2
N.B. These documents automatically identified may not have been verified by the study sponsor.
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