Clinical trial NCT04044911: Trial Using CogWatch for Tea Making Training in Stroke Apraxia and Action Disorganisation Syndrome
Official title: Randomised Controlled Trial of a Task Model Approach (CogWatch) to Tea Making Training in Stroke Apraxia and Action Disorganisation Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Apraxias
Keywords: Activity of daily living
Stroke
Apraxia
Action of daily living
Cup of tea
Lead sponsor: University of Birmingham
Sponsor class: OTHER
First posted: 2019-08-05
Enrollment: 29
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Crossover randomized control
Primary purpose: TREATMENT

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.

Detailed description: Apraxia and action disorganization syndrome (AADS) after stroke can disrupt activities of daily living (ADLs). 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 trial evaluates the efficacy of a task model approach to ADL rehabilitation, comparing training in making a cup of tea with a stepping training control condition.

Stroke survivors with AADS participate in a cross-over randomized controlled study. Participants attend five 1-hour tea making training sessions in which progress is monitored and feedback given using a computer-based system which implements a Markov Decision Process (MDP) task model (CogWatch). In a control condition participants receive five 1-hour stepping sessions.

Analysis compares tea making training with stepping training effects on error reduction and time taken in making 4 different tea types. A complex tea preparation task (making two different cups of tea simultaneously) is used to test for generalisation of training effects.

Eligibility criteria: Inclusion Criteria:

* 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.

Exclusion Criteria:

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

Primary outcomes:
measure: Change in tea making accuracy
timeFrame: 3 assessments over 12 weeks
measure: Change in tea making speed
timeFrame: 3 assessments over 12 weeks
Secondary outcomes:
measure: Tea making accuracy at follow-up
timeFrame: 2 assessments over 15 weeks
measure: Change in complex tea making accuracy
timeFrame: 3 assessments over 12 weeks
Other outcomes:
Locations:
Study officials:
affiliation: Professor
name: Alan M WIng, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.