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Trial registered on ANZCTR
Registration number
ACTRN12610000980033
Ethics application status
Approved
Date submitted
10/11/2010
Date registered
12/11/2010
Date last updated
13/01/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Effect of Intensive Home Based Speech Pathology Intervention on Speech, Swallowing and Quality of Life for Stroke Survivors.
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Scientific title
Stroke survivors with intensive therapy delivered by an assistant, compared to treatment as usual by a speech pathologist show gains in quality of life and oral motor performance.
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Secondary ID [1]
253082
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dysarthria
256779
0
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dysphagia
256780
0
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oral/verbal dyspraxia
256781
0
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Condition category
Condition code
Stroke
256925
256925
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0
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Ischaemic
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Stroke
256926
256926
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0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Individual treatment package delivered by a therapy assistant focusing on oral motor rehabilitation, behavioural techniques and education with functional (home and community) practice. Treatment is offered daily - up to one hour of therapy as tolerated by the patient. They are offered a maximum of 15 sessions of therapy over 3 weeks.
Patient records all their home practice.
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Intervention code [1]
255985
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Rehabilitation
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Comparator / control treatment
treatment as usual - Individual treatment delivered by a speech pathologist with a self directed home exercise package. Patient records all their home practice. Therapy sessions are as required and at the therapists discretion and based on the patients needs/goals. They are offered three weeks of therapy.
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Control group
Active
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Outcomes
Primary outcome [1]
257801
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Oral motor and inttelligibility outcomes - Frenchary Dysarthria Assessment
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Assessment method [1]
257801
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Timepoint [1]
257801
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immediately post therapy (3 weeks), 3 months post therapy and if possible 6 months post therapy.
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Primary outcome [2]
259650
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A range of oral motor and speech intelligibility and swallowing assessments.
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Assessment method [2]
259650
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Timepoint [2]
259650
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Pre therapy, post therapy three months post initial assessment, six months post initial assessment.
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Secondary outcome [1]
263215
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Quality of life - Dysarthria Impact Profile, SWAL - QOL.
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Assessment method [1]
263215
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Timepoint [1]
263215
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immediately post therapy (3 weeks), 3 months post therapy and if possible 6 months post therapy.
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Secondary outcome [2]
266391
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Carer Satisfaction Questionnaire - A set questionnaire to be either written by carer or with a verbal interview by the reseracher to be conducted for each main carer for each patient recruited.
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Assessment method [2]
266391
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Timepoint [2]
266391
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Questionnaire to be given after therapy finishes and before the three month re-assessment.
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Secondary outcome [3]
266392
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therapy assistant questionnaire
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Assessment method [3]
266392
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Timepoint [3]
266392
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pre and post therapy.
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Secondary outcome [4]
266393
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speech pathology questionnaire
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Assessment method [4]
266393
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Timepoint [4]
266393
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Post therapy
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Secondary outcome [5]
266394
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Patient Home Practice Record Journal
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Assessment method [5]
266394
0
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Timepoint [5]
266394
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every day during therapy the journal is updated
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Eligibility
Key inclusion criteria
New diagnosis of stroke with a diagnosis of dysarthria, oral dysphagia and/or oral/verbal dyspraxia.
General Royal Perth Hospital Rehabilitation in the Home acceptance criteria
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Minimum age
18
Years
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Maximum age
110
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pre-stroke dementia
Severe oral/verbal dyspraxia and unable to vocalise
Severe dysphasia
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
allocation involved contacting the holder of the allocation schedule who was "off-site" or at central administration
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software (i.e., computerised sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Participants are randomly allocated to receive either one intervention by a therapy assistant or treatment as usual by a speech pathologist.
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/09/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
2571
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6000
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Funding & Sponsors
Funding source category [1]
256488
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Charities/Societies/Foundations
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Name [1]
256488
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National Stroke Foundation
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Address [1]
256488
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National Stroke Foundation
Level 7/461 Bourke Street, Melbourne, Vic 3000
T +61 3 9670 1000 | F +61 3 9670 9300 |
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Country [1]
256488
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
National Stroke Foundation
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Address
National Stroke Foundation
Level 7/461 Bourke Street, Melbourne, Vic 3000
T +61 3 9670 1000 | F +61 3 9670 9300 |
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Country
Australia
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Secondary sponsor category [1]
257236
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None
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Name [1]
257236
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Address [1]
257236
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Country [1]
257236
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Other collaborator category [1]
1118
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Hospital
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Name [1]
1118
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Royal Perth Hospital
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Address [1]
1118
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Wellington Street
Perth WA 6000
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Country [1]
1118
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
258538
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Royal Perth Hospital
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Ethics committee address [1]
258538
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Wellington Street Campus PERTH WA 6000
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Ethics committee country [1]
258538
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Australia
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Date submitted for ethics approval [1]
258538
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02/02/2010
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Approval date [1]
258538
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09/04/2010
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Ethics approval number [1]
258538
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EC 2010-023.
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Summary
Brief summary
Communication and swallowing difficulties are a common sequelae for people who have suffered a stroke. These difficulties can affect interpersonal relationships, self image and community reintegration. This project is designed to evaluate the effect of a treatment program on the speech, swallowing and quality of life of stroke survivors when delivered by a therapy assistant in a home based setting. The intensive treatment program will include education, behavioural intervention and oral motor rehabilitation, with functional speech or swallowing practice. It is anticipated that patients who have intensive treatment will achieve improved outcomes in swallowing status and speech intelligibility as well as self-confidence and independence. Stroke survivor details will be collected and analysed with frequency of treatment and home practice to determine any barriers to treatment delivery and ability to practice on their own.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
30783
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Address
30783
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Country
30783
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Phone
30783
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Fax
30783
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Email
30783
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Contact person for public queries
Name
14030
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Katy Hackling
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Address
14030
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Box X2213 GPO Perth WA 6847
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Country
14030
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Australia
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Phone
14030
0
+61 8 6477 5152
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Fax
14030
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Email
14030
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[email protected]
or
[email protected]
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Contact person for scientific queries
Name
4958
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Katy Hackling
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Address
4958
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Box X2213 GPO Perth WA 6847
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Country
4958
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Australia
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Phone
4958
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+61 8 6477 5152
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Fax
4958
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Email
4958
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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