Motivation, Usability and Functionality of an Intelligent Activity-based Client-centred Training System in Neurological Rehabilitation: a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 25
- 主要终点
- Intrinsic Motivation Inventory
研究概览
简要总结
The pilot study was performed to evaluate the usability, credibility and expectancy of an intelligent, activity-based client-centred training system (i-ACT), and the motivation towards its use in neurological rehabilitation over a short period of time.
详细描述
A mixed-method study was performed in four rehabilitation centres in Belgium. An homogenous convenience sample was recruited among persons with central nervous system disorders.
Participants received 3 x 45 minutes of training with the i-ACT system during six weeks, additional to conventional care. The Canadian Occupational Performance Measure (COPM) was used to collect and evaluate patients' individual goals towards rehabilitation. These goals were discussed with the therapists before implementing movements and exercises for each patient in the i-ACT system.
The following demographic data were obtained from the medical files: age, gender, and diagnosis. Outcomes measures were collected at baseline (T0), after 2 (T1), 4 (T2) and 6 (T3) weeks of training and at 9 weeks follow-up (T4).
The primary outcome measures were the Intrinsic Motivation Inventory (IMI), the System Usability Scale (SUS), Credibility/Expectancy Questionnaire (CEQ), the Canadian Occupational Performance Measure (COPM), and Wolf Motor Function Test (WMFT). The secondary measures were the Manual Ability Measure-36 (MAM-36), Modified Fatigue Impact Scale (MFIS), Trunk Impairment Scale (TIS), and Active Range of Motion (AROM).
After final training with i-ACT, a semi-structured interview was performed to gather more information about the participants' perception towards i-ACT.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age over 18 years old
- •a medical diagnosis of central nervous system disease
- •dysfunction in upper limb and/or core stability
- •Persons with multiple sclerosis (MS) had to be free of treatment with corticosteroids for one month.
- •Persons with stroke or spinal cord injury, had to be at least three months post injury.
排除标准
- •severe spasticity (when spasticity impedes movement)
- •severe cognitive impairment (person is not able to understand and follow instructions)
- •severe communicative impairment (person is not able to answer questions)
- •severe visual impairment (person is not able to see the television screen)
- •persons who use an electric wheelchair
结局指标
主要结局
Intrinsic Motivation Inventory
时间窗: 12 weeks (i.e. 6 weeks follow-up)
Motivation towards a therapy, in this i-ACT
Credibility/Expectancy Questionnaire
时间窗: 12 weeks (i.e. 6 weeks follow-up)
Credibility and expectancy of a training system, in this i-ACT. The range of scores on each subscale (i.e. credibility and expectancy) is 27.
Canadian Occupational Performance Measure
时间窗: 12 weeks (i.e. 6 weeks follow-up)
By means of a semi-structured interview, participants are asked to identify their 5 main goals in self-care, productivity and/or leisure. Scores range from 0 to 10 (best score) in each defined goal.
System Usability Scale
时间窗: 12 weeks (i.e. 6 weeks follow-up)
Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive).
Wolf Motor Function Test
时间窗: 12 weeks (i.e. 6 weeks follow-up)
Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance).
次要结局
- Active Range of Motion(12 weeks (i.e. 6 weeks follow-up))
- Modified Fatigue Impact Scale(12 weeks (i.e. 6 weeks follow-up))
- Manual Ability Measure-36(12 weeks (i.e. 6 weeks follow-up))
- Trunk Impairment Scale(12 weeks (i.e. 6 weeks follow-up))
研究者
Els Knippenberg
Researcher
PXL University College