Using Wireless-technology for Feedback of Daily Walking Activity Post-stroke
|ClinicalTrials.gov Identifier: NCT01521234|
Recruitment Status : Completed
First Posted : January 30, 2012
Last Update Posted : May 13, 2015
|Condition or disease||Intervention/treatment||Phase|
|Stroke||Behavioral: Feedback of daily walking activity||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||63 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Using Wireless Technology in Clinical Practice: Does Feedback of Daily Walking Activity Improve Walking Outcomes of Individuals Receiving Rehabilitation Post-stroke?|
|Study Start Date :||October 2012|
|Actual Primary Completion Date :||January 2014|
|Actual Study Completion Date :||June 2014|
Experimental: Feedback group
For participants assigned to the feedback group, physiotherapists will receive a summary of patients' walking activity for the previous week as a tool to guide goal planning. Physiotherapists will use the information as a 'homework checker' to determine if patients are complying with an assigned walking program. In the case of non-compliance, the physiotherapist will discuss a coping strategy for better integrating walking activity into the patients' day. In the event that the patient is meeting their specific sub-goals for walking activity, the physiotherapist will re-evaluate these sub-goals and suggest more challenging goals.
Behavioral: Feedback of daily walking activity
Participants will wear accelerometers every weekday during in-patient rehabilitation to monitor walking activity. Feedback of daily walking activity will be provided to the patients' treating physiotherapists to assist with goal-planning around walking.
No Intervention: No-feedback group
For participants assigned to the control group, physiotherapists will not receive accelerometer-based feedback of daily walking activity. However, physiotherapists will still discuss the achievement of walking goals with their patients. This is usual care around goal planning.
- Change in walking activity from admission to discharge from rehabilitation [ Time Frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) ]Total daily walking acitivty, measured by number of steps per day, total duration of walking activity, total distance walked, and frequency of 'long' walking bouts (>5 minutes in duration).
- Change in control of walking [ Time Frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) ]Self-selected walking speed and symmetry of spatio-temporal characteristics of walking
- Change in self-efficacy [ Time Frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) ]Stroke self-efficacy questionnaire
- Goal attainment [ Time Frame: Discharge from in-patient rehabilitation (4-6 weeks), discharge from out-patient rehabilitation (10-16 weeks) ]Rehabilitation goals are classified as 'achieved', 'partially achieved', 'not completed' or 'discontinued'.
- Community integration [ Time Frame: Discharge from out-patient rehabilitation (10-16 weeks) and 3-month follow-up ]Community integration questionnaire
- Satisfaction with progress towards rehabilitation goals [ Time Frame: Discharge from in-patient rehabilitation (4-6 weeks) and discharge from out-patient rehabilitation (10-16 weeks) ]Participants will be asked to rate satisfaction with progress towards goals on a 10-point scale
- Barriers to walking [ Time Frame: Monitored throughout participants' enrolment (0-28 weeks) ]Open-ended question regarding participants' perceived barriers to walking.
- Falls [ Time Frame: Monitored throughout participants' enrolment (0-28 weeks) ]Increased walking activity might increase the risk for falls. Falls experienced throughout the study will be recorded to determine if there are more falls in the experimental group.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01521234
|Toronto Rehabilitation Institute|
|Toronto, Ontario, Canada, M5G 2A2|
|Principal Investigator:||Avril Mansfield, PhD||Toronto Rehabilitation Institute|