Trial Using CogWatch for Tea Making Training in Stroke Apraxia and Action Disorganisation Syndrome

NCT04044911 | Completed

• 1 other identifier: ERN_12-0683B
• Study Type: interventional
• Target: 29
• Locations: 0 countries
• Sites: N/A

Brief Summary

Apraxia and action disorganization syndrome after stroke can disrupt activities of daily living (ADL). Occupational therapy has been effective in improving ADL performance, however, inclusion of multiple tasks means it is unclear which therapy elements contribute to improvement. This study evaluates the efficacy of a task model approach to ADL rehabilitation, comparing training in making a cup of tea with a gait training control condition.

Conditions

Stroke; Apraxias

Keywords

Activity of daily living; Stroke; Apraxia; Action of daily living; Cup of tea

Outcome Measures

Primary Outcomes (2)

• Change in tea making accuracy

  In three assessment sessions (initial, post-phase 1 training, post-phase 2 training), participants are seated at a table with objects and ingredients required for making a cup of tea placed in standard positions. Participants are instructed to make 8 cups of tea, one at a time, comprising two of each of the following; black tea, black tea with sugar, tea with milk and tea with milk and sugar. Each trial is recorded with a video camera. Videos of the participants making simple tea are analysed by a researcher blinded to the session definition. The summed errors across the 8 tea making trials at each assessment are used to provide a measure of accuracy for each participant. Change in tea making accuracy pre- and post-training of tea making is contrasted with change in tea making accuracy pre- and post-training of stepping.

  3 assessments over 12 weeks

• Change in tea making speed

  In three assessment sessions (initial, post-phase 1 training, post-phase 2 training), participants are seated at a table with objects and ingredients required for making a cup of tea placed in standard positions. Participants are instructed to make 8 cups of tea, one at a time, comprising two of each of the following; black tea, black tea with sugar, tea with milk and tea with milk and sugar. Each trial is recorded with a video camera. Videos of the participants making simple tea are analysed by a researcher blinded to the session definition. The average completion time is used as a measure of speed for each participant. Change in tea making speed pre- and post-training of tea making is contrasted with change in tea making speed pre- and post-training of stepping.

  3 assessments over 12 weeks

Secondary Outcomes (2)

• Tea making accuracy at follow-up

  2 assessments over 15 weeks

• Change in complex tea making accuracy

  3 assessments over 12 weeks

Study Arms (2)

Tea making followed by stepping

ACTIVE COMPARATOR

Five 1-hour weekly tea making training sessions in which progress is monitored and feedback given using a computer-based system that implements a Markov Decision Process (MDP) task model (CogWatch) is followed after a 3-week break by a control condition in which participants receive five 1-hour weekly stepping training sessions.

Behavioral: Task model (CogWatch)

Stepping followed by tea making

ACTIVE COMPARATOR

A control condition comprising five 1-hour weekly stepping training sessions is followed after a 3-week break by five 1-hour weekly tea making training sessions in which progress is monitored and feedback given using a computer-based system that implements a Markov Decision Process (MDP) task model (COgWatch)

Behavioral: Task model (CogWatch)

Interventions

Task model (CogWatch) BEHAVIORAL

Stepping followed by tea making; Tea making followed by stepping

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• greater than 2 months post stroke; medically stable; failing at least one of four praxis items in the Birmingham Cognitive Screen (BCoS) or a document filing task.

You may not qualify if:

• recent stroke (less than 2 months post stroke); not medically stable

Sponsors & Collaborators

• University of Birmingham: lead

Related Publications (1)

• Howe J, Chua W, Sumner E, Drozdowska B, Laverick R, Bevins RL, Jean-Baptiste E, Russell M, Rotshtein P, Wing AM. The efficacy of a task model approach to ADL rehabilitation in stroke apraxia and action disorganisation syndrome: A randomised controlled trial. PLoS One. 2022 Mar 3;17(3):e0264678. doi: 10.1371/journal.pone.0264678. eCollection 2022.

  PMID: 35239707 DERIVED

MeSH Terms

Conditions

Stroke; Apraxias

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Psychomotor Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Alan M WIng, PhD

  Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Crossover randomized control

Study Record Dates

• First Submitted: July 5, 2019
• First Posted: August 5, 2019
• Study Start: June 1, 2014
• Primary Completion: December 4, 2014
• Study Completion: December 4, 2014
• Last Updated: August 7, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share