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Trial registered on ANZCTR
Registration number
ACTRN12615000735550
Ethics application status
Approved
Date submitted
13/06/2015
Date registered
16/07/2015
Date last updated
16/10/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficacy of environmental cues for reducing post-traumatic amnesia following traumatic brain injury
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Scientific title
The efficacy of environmental cues following traumatic brain injury compared to usual care for reducing time in post-traumatic amnesia.
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Secondary ID [1]
286904
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Nil
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Universal Trial Number (UTN)
Nil
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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:
Traumatic Brain Injury
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Post-Traumatic Amnesia
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Condition category
Condition code
Neurological
295587
295587
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0
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Other neurological disorders
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Physical Medicine / Rehabilitation
295588
295588
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0
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Occupational therapy
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Injuries and Accidents
295842
295842
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Environmental reorientation program which includes erecting a memory orientation board with a clock, automatic calendar (day of the week plus date), memory prompting posters, family education brochure (requesting families to re-orient patient) and a poster requesting consistent prompting from all healthcare staff and family members.
The duration of the intervention is 2 weeks. Occupational therapy staff will complete a daily check of the environment to monitor adherence to the environmental reorientation program.
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Intervention code [1]
292089
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Rehabilitation
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Intervention code [2]
292259
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Treatment: Other
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Comparator / control treatment
Usual care: that is, daily assessment of post-traumatic amnesia (PTA) by an occupational therapist and reorientation of the patient by staff and family members as currently provided within the participating hospital.
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Control group
Active
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Outcomes
Primary outcome [1]
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Length post-traumatic amnesia (PTA) as determined by the Westmead PTA Scale.
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Assessment method [1]
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Timepoint [1]
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From time of brain trauma to time of emergence from PTA
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Secondary outcome [1]
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Memory as measured using the Rivermead Behavioural Memory Test
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Assessment method [1]
315279
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Timepoint [1]
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The outcome will be completed upon emergence from PTA and 3 months following emergence from PTA
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Eligibility
Key inclusion criteria
*Participants must be admitted patients to the hospital site in which the research is undertaken.
*Participants must be aged between 18-65 years.
*Participants must be able to read in English for the purposes of being able to read the memory prompt posters.
*Participants must have sustained a traumatic brain injury (TBI), as defined by one or more of the following:
- Confusion or disorientation after the event
- Loss of Consciousness
- Glasgow Coma Scale Score <13
*Post Traumatic Amnesia (PTA) as measured by the Westmead PTA Scale score <12
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Minimum age
18
Years
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Maximum age
65
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
Patients who are documented to be in PTA for more than 48 hours prior to admission to Trauma Services because it is not possible to implement the environmental modifications in the Intensive Care Unit.
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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)
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Methods used to generate the sequence in which subjects will be randomised (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
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Phase
Not Applicable
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Type of endpoint/s
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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
8/04/2015
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Actual
8/04/2015
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Date of last participant enrolment
Anticipated
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Actual
25/09/2015
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Date of last data collection
Anticipated
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Actual
25/03/2016
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Sample size
Target
40
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Accrual to date
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Final
40
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
9835
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3181 - Prahran
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Funding & Sponsors
Funding source category [1]
291460
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Charities/Societies/Foundations
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Name [1]
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Royal Automobile Club (Victoria) Sir Edmund Herring Scholarship
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Address [1]
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501 Bourke Street, Melbourne Victoria, 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
La Trobe University
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Address
Plenty Road, Bundoora, Victoria, 3086
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Alfred Health
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Address [1]
290140
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55 Commercial Road, Melbourne, VIC 3004
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Country [1]
290140
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293010
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Alfred Hospital Human Research Ethics Committee
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Ethics committee address [1]
293010
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55 Commercial Road, Melbourne, Vic 3004
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Ethics committee country [1]
293010
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Australia
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Date submitted for ethics approval [1]
293010
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Approval date [1]
293010
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17/11/2014
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Ethics approval number [1]
293010
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534/14
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Summary
Brief summary
Orientation interventions have been recommended as being important within cognitive rehabilitation (e.g. Corrigan et al, 1985) and researchers have also suggested that environmental stimuli which may aid in reorientation, such as familiar pictures or personal possessions (Watanabe et al, 1998). However critical evaluation of how effective these interventions are has been limited to date, with only controlled studies investigating the use of daily screening (Tate et al, 2000) and the use of calendars (Watanabe et al, 1998), and none of the studies have investigated this issue in acute care. This trial will test the efficacy of a standardised reorientation program that can be administered in acute care is developed to reduce the length of time a person remains in PTA after TBI
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Trial website
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Trial related presentations / publications
Manuscript under preparation.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Natasha Lannin
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Address
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Occupational Therapy Department
The Alfred
55 Commercial Road
Melbourne, VIC 3004
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Country
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Australia
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Phone
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+61 4 17135153
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Natasha Lannin
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Address
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Occupational Therapy Department
The Alfred
55 Commercial Road
Melbourne, VIC 3004
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Country
58075
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Australia
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Phone
58075
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+61 4 17135153
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Fax
58075
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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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Natasha Lannin
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Address
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Occupational Therapy Department
The Alfred
55 Commercial Road
Melbourne, VIC 3004
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Country
58076
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Australia
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Phone
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+61 4 17135153
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Fax
58076
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Feasibility of modifying the hospital environment to reduce the length of amnesia after traumatic brain injury: a pilot randomized controlled trial
2021
https://doi.org/10.1093/intqhc/mzab044
N.B. These documents automatically identified may not have been verified by the study sponsor.
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