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Trial registered on ANZCTR
Registration number
ACTRN12611001135909
Ethics application status
Approved
Date submitted
31/10/2011
Date registered
31/10/2011
Date last updated
31/10/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Feasibility of a Home-Based Program to improve Handwriting Legibility After Stroke: A Pilot Randomised Trial
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Scientific title
Feasibility of a Home-Based Occupational Therapy Handwriting Retraining Program to improve Handwriting Legibility in Adults After Stroke: A Pilot Randomised Trial
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Secondary ID [1]
273293
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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:
Poor handwriting performance due to hemiplegia after stroke, including reduced handwriting legibility, pen control and speed
279057
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Condition category
Condition code
Stroke
279247
279247
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0
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Ischaemic
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Stroke
279249
279249
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0
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Haemorrhagic
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Physical Medicine / Rehabilitation
279265
279265
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0
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Occupational therapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A 4 week home-based handwriting retraining program, with 2 occupational therapy coaching sessions and 3 independent practice sessions per week, approximately 60 minutes per session.
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Intervention code [1]
283640
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Rehabilitation
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Comparator / control treatment
Usual rehabilitation (without handwriting retraining)
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Control group
Active
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Outcomes
Primary outcome [1]
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Handwriting legibility, measured using legibility subtest of the Handwriting Assessment Battery (HAB)
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Assessment method [1]
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Timepoint [1]
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Baseline, immediately after intervention ceases (4 weeks), and 3 months after intervention ceases
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Secondary outcome [1]
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Writing speed (subtest of HAB)
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Assessment method [1]
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Timepoint [1]
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Baseline, immediately after intervention ceases (4 weeks), and 3 months after intervention ceases
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Secondary outcome [2]
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Pen control (subtest of HAB)
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Assessment method [2]
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Timepoint [2]
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Baseline, immediately after intervention ceases (4 weeks), and 3 months after intervention ceases
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Secondary outcome [3]
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Self reported perception of, and satisfaction with handwriting performance, using Modified Disabilities of the Arm, Shoulder and Hand scale
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Assessment method [3]
294650
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Timepoint [3]
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Baseline, immediately after intervention ceases (4 weeks), and 3 months after intervention ceases
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Eligibility
Key inclusion criteria
To be eligible, participants need to:
Be living in the Sydney metropolitan area
Had a stroke at least 6 months prior to baseline assessment
Have difficulties with handwriting
Be able to follow instructions and complete a home program independently or with support of a family member
Be able to speak, write and read in English
Cease other therapy related to handwriting or similar tasks during the study and follow-up period
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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
Moderate to severe apraxia
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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 schedule will be prepared by a researcher not otherwise involved in recruitment, and held in sealed, opaque envelopes by a third party not otherwise involved in the study. Consent will be obtained prior to collecting baseline measures. Participant will then be considered recruited, and group allocation will be obtained by phoning the third party.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer-generated
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
This is a pilot, feasibility study. Data will be used to inform planning of a larger randomised controlled trial in the future.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
7/11/2011
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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]
4660
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2095
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Recruitment postcode(s) [2]
4661
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2122
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Recruitment postcode(s) [3]
4662
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2067
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Recruitment postcode(s) [4]
4663
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2750
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Recruitment postcode(s) [5]
4664
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2233
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Recruitment postcode(s) [6]
4665
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2000
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Recruitment postcode(s) [7]
4666
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2780
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Recruitment postcode(s) [8]
4667
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2170
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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National Stroke Foundation
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Address [1]
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Level 7, 461 Bourke Street
Melbourne VIC 3000
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Sydney
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Address
The University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
269082
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Country [1]
269082
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
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Level 6, Jane Foss Russell Building - G02 The University of Sydney NSW 2006 AUSTRALIA
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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02/08/2011
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Approval date [1]
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03/08/2011
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Ethics approval number [1]
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08-2011 / 13945
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Summary
Brief summary
Handwriting performance is often impaired after a stroke. Although task-specific upper limb practice can improve outcomes, the effectiveness of adult handwriting retraining has not been investigated. The aim of this study is to test the feasibility of a 4-week retraining program to improve handwriting performance using a pilot randomised trial design. Concealed allocation, blinded assessors and intention to treat analysis will be used. A community sample of 20 people with stroke will be randomly allocated to receive either 4 weeks of tailored handwriting retraining with twice weekly coaching sessions at home, or usual care. Outcomes will be obtained by a blinded assessor at baseline, and 4 weeks and 3 months post-intervention.
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Trial website
None
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Bronwyn Simpson
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Address
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Discipline of Occupational Therapy, Faculty of Health Sciences
The University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61430125223
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Annie McCluskey
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Address
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Discipline of Occupational Therapy, Faculty of Health Sciences
The University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 9351 9834
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Fax
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Email
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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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