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Trial registered on ANZCTR
Registration number
ACTRN12614000038695
Ethics application status
Approved
Date submitted
2/01/2014
Date registered
16/01/2014
Date last updated
16/01/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of robot-assisted therapy on behavioural and psychological symptoms in community-living older adults with dementia
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Scientific title
Effects of robot-assisted therapy using therapeutic robot Paro on behavioural and psychological symptoms in community-living older adults with moderate to severe dementia
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Secondary ID [1]
283835
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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:
Dementia
290812
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Condition category
Condition code
Neurological
291180
291180
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0
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Dementias
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects assigned to the intervention group will be invited to participate in the robot-assisted intervention once a week over an 8 week period (max: 30 minutes per session) provided by a trained research assistant/occupational therapist who is familiar with the Paro user manual. The Paro intervention will generally involve six stages/themes (Introduction of Paro, Baby-sitting Paro, Grooming Paro, Feeding Paro, Making over Paro, and Wardrobe Paro), but subjects are also free to interact with Paro whenever they wish.
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Intervention code [1]
288519
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Behaviour
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Comparator / control treatment
This is a single group pre-post intervention study. No control group will be provided.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change of the Chinese version of Neuropsychiatric Inventory (CNPI) – apathy score after the intervention when compared with the baseline level (will be assessed with the Neuropsychiatric Inventory (NPI))
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Assessment method [1]
291169
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Timepoint [1]
291169
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Baseline and post-intervention (8 weeks)
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Secondary outcome [1]
306170
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Change of other neuropsychiatric symptoms (will be assessed with the Neuropsychiatric Inventory (NPI))
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Assessment method [1]
306170
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Timepoint [1]
306170
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Baseline and post-intervention (8 weeks)
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Secondary outcome [2]
306171
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Change of cognitive function (will be assessed using the Mini-Mental State Examination (MMSE))
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Assessment method [2]
306171
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Timepoint [2]
306171
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Baseline and post-intervention (8 weeks)
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Secondary outcome [3]
306172
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Change of agitation behavior (will be assessed with the Cohen-Mansfield Agitation Inventory (CMAI))
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Assessment method [3]
306172
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Timepoint [3]
306172
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Baseline and post-intervention (8 weeks)
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Secondary outcome [4]
306173
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Change of depression (will be assessed with the Corrnell Scale for Depression in Dementia (CSDD))
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Assessment method [4]
306173
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Timepoint [4]
306173
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Baseline and post-intervention (8 weeks)
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Secondary outcome [5]
306174
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Change of moods (will be assessed with the simplified face scale)
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Assessment method [5]
306174
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Timepoint [5]
306174
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Baseline and post-intervention (8 weeks)
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Secondary outcome [6]
306175
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Social interaction and communication (subjects’ emotion expression towards Paro (Responses) during intervention sessions will be charted on every-one-minute basis with an observation table by reviewing videotaped clips after each intervention session)
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Assessment method [6]
306175
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Timepoint [6]
306175
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During intervention sessions
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Secondary outcome [7]
306176
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Change of caregiver burden (will be assessed with the Zarit burden interview (ZBI))
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Assessment method [7]
306176
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Timepoint [7]
306176
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Baseline and post-intervention (8 weeks)
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Eligibility
Key inclusion criteria
Community-living older adults aged 60 years and above will be screened using the Mini-Mental State Examination (CMMSE). Those who score between 5 and 15 with a diagnosis of dementia according to the criteria based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) will be screened for eligibility to the study. Severity of dementia will be determined using Clinical Dementia Rating (CDR). Subjects with CDR greater than or equal to 2 will be further assessed for the presence and severity of behavioural and psychological symptoms of dementia (BPSD) using Neuropsychiatric Inventory (NPI). To be clinically significant, those who exhibit any BPSD (have at least one documented behaviours occur at least once per week at a moderate severity level as defined on the NPI) will be invited to participate.
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Minimum age
60
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
Subjects will be excluded if they have medical conditions severe enough to affect the patient’s ability to complete the treatment course and/or follow-up.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
4/02/2014
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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
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Hong Kong
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State/province [1]
5712
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Funding & Sponsors
Funding source category [1]
288492
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Government body
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Name [1]
288492
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Health and Medical Research Fund
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Address [1]
288492
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Research Office
Food and Health Bureau
9/F., Rumsey Street Multi-storey Carpark Building
2 Rumsey Street, Sheung Wan, Hong Kong
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Country [1]
288492
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Hong Kong
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Primary sponsor type
Individual
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Name
Ruby Yu
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Address
Department of Medicine and Therapeutics, 10/F., Clinical Sciences Building, Prince of Wales Hospital, Shatin, New Territories, Hong Kong
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Country
Hong Kong
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Secondary sponsor category [1]
287195
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None
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Name [1]
287195
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Address [1]
287195
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Country [1]
287195
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
With the substantial increase of dementia in older adults, robot-assisted intervention using Paro would be a potential alternative intervention for older people with dementia in reducing BPSD, improving moods as well as encouraging social interaction and communication, therefore improving patients’ quality of life and reducing caregivers, nursing / healthcare worker loads. The information obtained will promote the awareness to health professionals that robot-assisted therapy using Paro is a useful behavior intervention in older people with dementia and could be incorporated as part of BPSD management programs amongst the elderly in both community care and hospital settings in Hong Kong.
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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
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Dr Ruby Yu
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Address
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Department of Medicine and Therapeutics, 10/F., Clinical Sciences Building, Prince of Wales Hospital, Shatin, New Territories, Hong Kong
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Country
45266
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Hong Kong
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Phone
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+852 26322190
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Fax
45266
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Email
45266
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[email protected]
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Contact person for public queries
Name
45267
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Ruby Yu
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Address
45267
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Department of Medicine and Therapeutics, 10/F., Clinical Sciences Building, Prince of Wales Hospital, Shatin, New Territories, Hong Kong
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Country
45267
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Hong Kong
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Phone
45267
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+852 26322190
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Fax
45267
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Email
45267
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[email protected]
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Contact person for scientific queries
Name
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Ruby Yu
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Address
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Department of Medicine and Therapeutics, 10/F., Clinical Sciences Building, Prince of Wales Hospital, Shatin, New Territories, Hong Kong
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Country
45268
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Hong Kong
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Phone
45268
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+852 26322190
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Fax
45268
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Email
45268
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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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