The Feasibility and Effect of PACUTS on Health Promotion for Stroke Wheelchair User in Long-term Care Institution
1 other identifier
interventional
32
1 country
1
Brief Summary
Most of the residents in long-term care institution were wheelchair users, however, it would limit the participation in physical activities, and thus increase the degree of disability as they excessively rely on wheelchair. Recently, with the development of rehabilitation technology, the clients can receive more individualized physical activities intervention. Moreover, using technology as an assistive modality would reduce the demand of manpower, and provide higher treatment intensity with repeated training and objective performance feedback. Based upon our previous study finding from the physical activity with computerized upper limb training system (PACUTS), we propose to build a training strategy of physical activity for stroke wheelchair user in long-term care institution and to analyze its feasibility as well as the treatment effects, in the next two years. The mixed method design will be applied. In the qualitative research, we will focus on the experience of physical activity training and subject's "adoption and acceptance" of the PACUTS. In terms of the quantitative research, 50 residents who currently live in long-term care institution will be recruited. Double-blinded randomized control-group pretest-posttest design will be conducted. In the experiment group, the participant will receive the intervention of PACUTS for 12 weeks/ 5 sessions per week/ 30 minutes, at least, per session. In terms of control group, the participant will receive a regular treatment program and physical activities scheduled by occupational therapist. This study is expected to contribute to build a training strategy with computerized upper limb training system which can helpfully promote the participation in physical activities and health outcomes for w/c residents living in long-term care institution.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable stroke
Started May 2018
Typical duration for not_applicable stroke
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 18, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 6, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 8, 2020
CompletedFirst Submitted
Initial submission to the registry
January 6, 2022
CompletedFirst Posted
Study publicly available on registry
February 14, 2022
CompletedMarch 2, 2022
May 1, 2018
1.2 years
January 6, 2022
February 13, 2022
Conditions
Outcome Measures
Primary Outcomes (5)
Box and Block Test
The Box and Block Test (BBT) measures unilateral gross manual dexterity. It is a quick, simple and inexpensive test. It can be used with a wide range of populations, including clients with stroke.
pre-test, post-test(Change from pre-test Box and Block Test after 6 weeks' intervention)
Grip Strength Assessment
Grip strength is a measure of muscular strength or the maximum force/tension generated by one's forearm muscles. It can be used as a screening tool for the measurement of upper body strength and overall strength.
pre-test, post-test(Change from pre-test Grip Strength Assessment after 6 weeks' intervention)
System Usability Scale
The System Usability Scale, or SUS, is a simple survey that provides a high-level score for the usability of a product.
only post-test(after 6 weeks' intervention)
Moss Attention Rating Scale
The MARS was designed as an observational rating scale to provide a reliable, quantitative and ecologically valid measure of attention-related behavior after TBI.
pre-test, post-test(Change from pre-test Moss Attention Rating Scale after 6 weeks' intervention)
upper limb endurance
can raise your hands several times in a minute
pre-test, post-test(Change from pre-test upper limb endurance after 6 weeks' intervention)
Secondary Outcomes (3)
Barthel Index
pre-test and post-test(after 6 weeks' intervention)
The 12-Item Short Form Health Survey
pre-test and post-test(after 6 weeks' intervention)
Falls Efficacy Scale-International
pre-test and post-test(after 6 weeks' intervention)
Study Arms (2)
computer intervention group
EXPERIMENTALstroke subjects with wheelchair users completed computer screen tasks with affected arm or bilateral arm movement
conventional long-term care services group
ACTIVE COMPARATORstroke subjects with wheelchair users receive conventional long-term care services
Interventions
subject received programs for upper arm movement training with providing computer screen task activities
stroke subjects with wheelchair users receive conventional long-term care services
Eligibility Criteria
You may qualify if:
- Currently living in a long-term care institution
- Stoke, onset over 6 months
- Wheelchair user
- Maintain sitting 30 minutes
- No cognition impairment
You may not qualify if:
- Aphsia
- Dementia, Cancer and MS
- PNS impairment
- Cardiopulmonary dysfunction
- Visual impairment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Occupational Therapy
Kaohsiung City, 807, Taiwan
Related Publications (1)
Chen KM, Li CH, Huang HT, Cheng YY. Feasible modalities and long-term effects of elastic band exercises in nursing home older adults in wheelchairs: A cluster randomized controlled trial. Int J Nurs Stud. 2016 Mar;55:4-14. doi: 10.1016/j.ijnurstu.2015.11.004. Epub 2015 Nov 28.
PMID: 26655368RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jyh-Jong Chang, PhD
Kaohsiung Medical University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 6, 2022
First Posted
February 14, 2022
Study Start
May 18, 2018
Primary Completion
August 6, 2019
Study Completion
June 8, 2020
Last Updated
March 2, 2022
Record last verified: 2018-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR, ANALYTIC CODE
- Time Frame
- starting one year after publication
- Access Criteria
- For Meta-analysis study
all collected IPD