Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games

Study Overview
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Brief Summary
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This 12-week randomized controlled trial involves two intervention groups (i.e., single-player game group, competition game group) and one control group (i.e., conventional checkerboard group). The main objective of this study is to examine the effects of game-based training on patient motivation, exercise duration, and functional outcomes in comparison with the control group.

Detailed Description
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A 12-week three-arm randomized controlled trial was conducted to compare the effects between the single-player game, competitive game and a control group (i.e. conventional training) on the motivation, exercise duration and functional improvement in a rehabilitation program. A mix of quantitative method (i.e., questionnaire) and qualitative methods (i.e., interview and observation) were used. The outcome measurements were: (1) motivation: Intrinsic Motivation Inventory (IMI), (2) participation: exercise duration, (3) functional improvement: nine-hole peg test (NHPT) and box and block test (BBT), and (4) user feedback.

Official Title
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Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games: A 3-arm Randomized Controlled Trial

Conditions
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Stroke

Intervention / Treatment
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* Other: traditional wooden checkerboard
* Other: gaming board with single-player games
* Other: gaming board with two-player games


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age≥65 years Has neurological disorders (e.g. cerebrovascular accident) with the need of upper limb rehabilitation; Able to stand or sit unsupported for 10 minutes; Discharged from hospital and living in community; Able to communicate either in English or Mandarin; and Able to provide informed written consent. Exclusion Criteria: Has severe cognitive impairments (Mini-Mental State Examination (MMSE) score <10), With serious cardiorespiratory conditions, With capacity but do not wish to sign the consent form.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: 3-arm randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: traditional wooden checkerboard<br>upper limb training with traditional wooden checkerboard | Other: traditional wooden checkerboard<br>* upper limb training with traditional wooden checkerboard<br>* Other names: checkerboard for upper limb training;|
| Experimental: gaming board with single-player games<br>upper limb training with a LED-based interactive gaming board equipped with single-player games | Other: gaming board with single-player games<br>* upper limb training with a LED-based interactive gaming board equipped with single-player games<br>* Other names: interactive gaming board with single-player games;|
| Experimental: gaming board with two-player games<br>upper limb training with two LED-based interactive gaming boards equipped with two-player competitive games | Other: gaming board with two-player games<br>* upper limb training with two LED-based interactive gaming boards equipped with two-player competitive games<br>* Other names: interactive gaming board with two-player competitive games;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline motivation at 12 weeks | Intrinsic Motivation Inventory (IMI) - psychological measurement of motivation questionnaire | week 1, week 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline function of manual dexterity at 12 weeks | Measuring gross manual dexterity Block and Box Test (BBT) | week 1, week 12 | 
| Change from baseline function of finger dexterity at 12 weeks | Measuring finger dexterity with Nine-Hole Peg Test (NHPT) | week 1, week 12 | 
| Exercise duration | Overall exercise duration over12 weeks | week 1 to week 12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stroke, upper limb rehabilitation, neuro-rehabilitation