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Trial registered on ANZCTR
Registration number
ACTRN12609000433202
Ethics application status
Approved
Date submitted
26/05/2009
Date registered
10/06/2009
Date last updated
9/02/2021
Date data sharing statement initially provided
9/02/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Goals and self regulation skills in brain injury rehabilitation: a Randomised Clinical Trial
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Scientific title
Randomised clinical trial to determine the inpact on health and functionning of a novel intervention to improve goal related activity and self regulation compared with use of the Goal Attainment Scaling measurement tool and usual practice in people with moderate to severe traumatic brain injury.
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Universal Trial Number (UTN)
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Trial acronym
Goals -TBI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Traumatic brain injury
4855
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Condition category
Condition code
Injuries and Accidents
237204
237204
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
a) a novel intervention aiming to improve goal related activity and self regulation skills (goals-SR). The intervention uses components of both Identity Oriented Goal Training and Goal Management Training. Deliverred weekly for 8 weeks during intervention sessions lasting aproximately one hour.
b) Goal Attainment Scaling (GAS) measurement tool, administerred weekly over an 8 week period during intervention sessions lasting aproximately one hour.
c) usual practice (ie participants will recieve no additional intervention from the researchers. They will continue with their planned rehabilitation process, details of which will be collected at the end of the study period. There is currently no standard practice)
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
This study uses a factorial design looking at separate and interactive effects of the interventions a and b above, and comparing to 'usual practice'
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Control group
Active
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Outcomes
Primary outcome [1]
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Goal related skills (as measured by Self-Regulatory Skills Interview)
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Assessment method [1]
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Timepoint [1]
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Immediately post intervention, 3 months post intervention, 12 months post intervention.
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Primary outcome [2]
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mood and behaviour (measured by self and carer report on Neurobehavioural Functionning Inventory
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Assessment method [2]
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Timepoint [2]
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Immediately post intervention, 3 months post intervention, 12 months post
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Secondary outcome [1]
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progress towards achieving meaningful goals in participant's life (measured by schedule for evaluation of individual quality of life - direct weighting (SEIQol-DW))
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Assessment method [1]
242158
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Timepoint [1]
242158
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Immediately post intervention, 3 months post intervention, 12 months post
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Secondary outcome [2]
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Social integration, carer burden and well being (assessed by questionnaire)
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Assessment method [2]
242159
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Timepoint [2]
242159
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Immediately post intervention, 3 months post intervention, 12 months post
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Eligibility
Key inclusion criteria
All patients/clients on the Accident Compensation Corporation (ACC) national database who have had moderate or severe traumatic brain injury (TBI) in the Auckland and Wellington regions will be eligible for recruitment if they meet the following inclusion criteria: a) a history of Post Traumatic Amnesia = 1 hour b) moderate disability on the Extended Glasgow Outcome Scale c) received compensation for 12 weeks (indicating resultant disability) d) are 6 to 18 months post injury.
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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
a) Persistent coma (Glasogow Coma Score (GCS) on screening of = 8 and/or persistent post traumatic amnesia) b) not able to demonstrate a basic level of intellectual awareness on screening c) are unable to communicate with the researcher and/or intervention team involved in the study (all efforts will be made to offer interpreter services) d) unstable medical health precluding participation in rehabilitation.
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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)
Once eligibility criteria including consent have been obtained by teh assessing researchers a randomisation request is faxed to teh central data manager who allocates the next randomisation number and associated treatment group from the pre determined randomisation lists, and faxes this information to the INTERVENTION researcher who is tehn responsible for administerring the intervention. The ASSESSING Researchers are not informed of the allocation, and teh randomisation lists are accessible only to teh central data manager and study statistician.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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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
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/02/2009
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Actual
24/02/2009
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Date of last participant enrolment
Anticipated
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Actual
15/12/2011
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Date of last data collection
Anticipated
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Actual
15/12/2012
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Sample size
Target
180
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Accrual to date
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Final
110
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Recruitment outside Australia
Country [1]
1808
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New Zealand
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State/province [1]
1808
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Health Research Council (New Zealand)
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Address [1]
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Level 3, 110 Stanley Street, Auckland, 1010
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
AUT University
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Address
Person Centred Reahabilitation Research Team (PCRrt), School of Rehabilitation and Occupation Studies, Akoranga Drive Campus, Private Bag 92006, Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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Otago University
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Address [1]
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Wellington School of Medicine, 23 Mein Street, Newtown, Wellington 6021
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Country [1]
4539
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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New Zealand Heath & Disability Ethics Committee - Multi Region
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Ethics committee address [1]
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c/- Ministry of Health 133 Molesworth St Wellington
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Ethics committee country [1]
7118
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Date submitted for ethics approval [1]
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28/08/2008
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Approval date [1]
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24/02/2009
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Ethics approval number [1]
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MEC/08/09/115
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Summary
Brief summary
Our objective is to determine effective strategies to improve goal related activity for people with traumatic brain injury (TBI). Goal setting is a key rehabilitation strategy for promoting recovery and adaptation. However, clinical practice is variable, outcomes uncertain, and both patients and professionals find the process frustrating. We recently completed an HRC-funded feasibility study examining two novel approaches to goal setting. Practical and methodological factors were identified and are addressed in the definitive trial proposed here. This Randomised Clinical Trial will determine the impact on health and functioning of: a) a novel intervention aiming to improve goal related activity and self regulation skills (Goals-SR) compared with b) use of Goal Attainment Scaling (GAS), a measurement tool and c) usual practice This study will identify strategies that are most successful at improving goal related activity. This outcome will benefit the person with TBI (improved functioning, motivation, mood) and reduce carer burden.
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Trial website
N/A
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Professor Kathryn McPherson
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Address
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Person Centred Rehabilitation Research Team (PCRrt), School of Rehabilitation and Occupation Studies, Akoranga Drvie Campus, Private Bag 92006, Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 921 9999 ext 7110
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Fax
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+64 9 921 9620
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Kathryn McPherson
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Address
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Person Centred Rehabilitation Research Team (PCRrt), School of Rehabilitation and Occupation Studies, Akoranga Drvie Campus, Private Bag 92006, Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 921 9999 ext 7110
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Fax
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+64 9 921 9620
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Email
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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
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
Measuring neurobehavioral functioning in people with traumatic brain injury: Rasch analysis of neurobehavioral functioning inventory.
2016
https://dx.doi.org/10.1097/HTR.0000000000000170
N.B. These documents automatically identified may not have been verified by the study sponsor.
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