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Trial registered on ANZCTR
Registration number
ACTRN12611000629932
Ethics application status
Approved
Date submitted
31/05/2011
Date registered
21/06/2011
Date last updated
21/06/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The use of an enriched environment post stroke
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Scientific title
Does the use of environmental enrichment following stroke increase activity levels: A feasibility study.
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Secondary ID [1]
262283
0
Nil
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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:
Stroke
267985
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Condition category
Condition code
Neurological
268117
268117
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0
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Other neurological disorders
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Stroke
268251
268251
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0
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Ischaemic
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Stroke
268252
268252
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0
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Haemorrhagic
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Environmental enrichment: Access to tasks and equipment aimed to increase physical, cognitive and social activity. Example, Nintendo Wii, music books, jigsaw puzzles. Patients have free access to these materials for the two week period of the intervention (and further if they remained an inpatient in the ward) to use at their discretion.
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Intervention code [1]
266675
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Not applicable
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Comparator / control treatment
Typical rehabilitation environment (un enriched). Patients in the typical rehablitation environment recieve only traditional allied health therapies during working hours. There is no recreational therapy groups, or recreational or diversional therpist and patients are not provided with any material to occupy their time whilst not in therapy.
.All patients who were admitted to the rehabilitation ward for stroke rehabilitation were screened for eligability. Historical data was collected over a 2-3 week period for each patient who consented to participate in the study. The historical data was collected from the time period, 22nd April 2010 until 20th August 2010 in the rehabilitation facility, Rankin Park Centre, New Lambton, 2305.
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Control group
Historical
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Outcomes
Primary outcome [1]
266867
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Activity levels: Proportion of the day spent in physical, cognitive and social activity (%). Behavioural mapping tool was used to estimate the proportion of time spent in each activity during 4, 12 hour days (1 weekday and 1 weekend day in the first week, with the same weekday and weekend day repeated 2 weeks later).
Behavioural mapping observations were made every ten minutes in which the location, people present and activity were noted for each participant.
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Assessment method [1]
266867
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Timepoint [1]
266867
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Baseline and 2 weeks later.
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Secondary outcome [1]
276528
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Function (Functional Independence Measure),
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Assessment method [1]
276528
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Timepoint [1]
276528
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Baseline and 2 weeks later
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Secondary outcome [2]
276744
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Cognitive Function (using a battery of tests including the Montreal Cognitive Assessment)
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Assessment method [2]
276744
0
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Timepoint [2]
276744
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Baseline and 2-3 weeks later (control group, 2-3 week period), enrichment group, post enrichment period, which was usually again, a 2-3 week period from baseline assessments)
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Secondary outcome [3]
276745
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Qualitative interview to gain a further understanding of the patient's experience in rehabilitation (enriched group only)
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Assessment method [3]
276745
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Timepoint [3]
276745
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Qualitative interview- end of 2 week enrichment period
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Secondary outcome [4]
276746
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Quality of Life (Assessment of Quality of Life (AQoL) survey
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Assessment method [4]
276746
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Timepoint [4]
276746
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AQoL- approx one month post discharge from hospital
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Secondary outcome [5]
276755
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boredom (purposely designed likert survey)
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Assessment method [5]
276755
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Timepoint [5]
276755
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Baseline and 2 weeks later
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Secondary outcome [6]
276756
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mood (PHQ-9)
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Assessment method [6]
276756
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Timepoint [6]
276756
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Baseline and 2 weeks later
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Eligibility
Key inclusion criteria
mRS > or equal to 2
able to follow one step commands
able to stand with the assistance of 2
no behavioural issues influencing the ability to participate in 'normal' rehabilitation
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Minimum age
18
Years
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Maximum age
No limit
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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
Becomes acutely unwell, preventing participation in the rehabilitation process
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
22/04/2010
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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
28
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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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Funding & Sponsors
Funding source category [1]
267167
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Charities/Societies/Foundations
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Name [1]
267167
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National Stroke Foundation of Australia
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Address [1]
267167
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National Stroke Foundation
Level 7, 461 Bourke Street
Melbourne VIC 3000
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Country [1]
267167
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Australia
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Primary sponsor type
University
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Name
University of Newcastle
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Address
University Drive
Callaghan
NSW
2308
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Country
Australia
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Secondary sponsor category [1]
266242
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Hospital
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Name [1]
266242
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Rankin Park Centre
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Address [1]
266242
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Lookout Rd
New Lambton Heights
NSW
2289
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Country [1]
266242
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269156
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Hunter New England Human Research Ethics Committee
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Ethics committee address [1]
269156
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Lookout Rd New Lambton NSW 2305
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Ethics committee country [1]
269156
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Australia
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Date submitted for ethics approval [1]
269156
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09/09/2009
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Approval date [1]
269156
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12/10/2009
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Ethics approval number [1]
269156
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09/09/16/5.08
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Summary
Brief summary
An observational study to explore if stroke survivors exposed to an enriched environment during their rehabilitation stay, have greater activity levels than stroke survivors receiving rehabilitation in a typical rehabilitation ward (non enriched setting). It is hypothesised that exposure to an enriched environment will increase activity levels during non therapy times.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
32680
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Address
32680
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Country
32680
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Phone
32680
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Fax
32680
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Email
32680
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Contact person for public queries
Name
15927
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Heidi Janssen
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Address
15927
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THe Lodge Building
Lookout Rd
New Lambton Heights
NSW
2305
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Country
15927
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Australia
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Phone
15927
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+61 (0)411114995
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Fax
15927
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Email
15927
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[email protected]
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Contact person for scientific queries
Name
6855
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Heidi Janssen
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Address
6855
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THe Lodge Building
Lookout Rd
New Lambton Heights
NSW
2305
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Country
6855
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Australia
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Phone
6855
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+61 (0)411114995
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Fax
6855
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Email
6855
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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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