Clinical trial NCT03482414: Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games
Official title: Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games: A 3-arm Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: stroke
upper limb rehabilitation
neuro-rehabilitation
Lead sponsor: National University of Singapore
Sponsor class: OTHER
Collaborators: name: AWWA Rehab and Day Care Centre
First posted: 2018-03-29
Enrollment: 35
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 3-arm randomized controlled trial
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

1. Age≥65 years
2. Has neurological disorders (e.g. cerebrovascular accident) with the need of upper limb rehabilitation;
3. Able to stand or sit unsupported for 10 minutes;
4. Discharged from hospital and living in community;
5. Able to communicate either in English or Mandarin; and
6. Able to provide informed written consent.

Exclusion Criteria:

1. Has severe cognitive impairments (Mini-Mental State Examination (MMSE) score \<10),
2. With serious cardiorespiratory conditions,
3. With capacity but do not wish to sign the consent form.

Primary outcomes:
measure: Change from baseline motivation at 12 weeks
timeFrame: week 1, week 12
Secondary outcomes:
measure: Change from baseline function of manual dexterity at 12 weeks
timeFrame: week 1, week 12
measure: Change from baseline function of finger dexterity at 12 weeks
timeFrame: week 1, week 12
measure: Exercise duration
timeFrame: week 1 to week 12
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: Wang Pan
state: Singapore - No State
Study officials:
affiliation: National University of Singapore
name: Pan Wang
role: PRINCIPAL_INVESTIGATOR
References:
citation: McDonnell M. Action research arm test. Aust J Physiother. 2008;54(3):220. doi: 10.1016/s0004-9514(08)70034-5. No abstract available.
citation: McAuley E, Duncan T, Tammen VV. Psychometric properties of the Intrinsic Motivation Inventory in a competitive sport setting: a confirmatory factor analysis. Res Q Exerc Sport. 1989 Mar;60(1):48-58. doi: 10.1080/02701367.1989.10607413.
citation: Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther. 1985 Jun;39(6):386-91. doi: 10.5014/ajot.39.6.386.
citation: Oxford Grice K, Vogel KA, Le V, Mitchell A, Muniz S, Vollmer MA. Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. Am J Occup Ther. 2003 Sep-Oct;57(5):570-3. doi: 10.5014/ajot.57.5.570.
citation: Popovic MD, Kostic MD, Rodic SZ, Konstantinovic LM. Feedback-mediated upper extremities exercise: increasing patient motivation in poststroke rehabilitation. Biomed Res Int. 2014;2014:520374. doi: 10.1155/2014/520374. Epub 2014 Jun 2.