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Trial registered on ANZCTR
Registration number
ACTRN12621000437864
Ethics application status
Approved
Date submitted
5/03/2021
Date registered
16/04/2021
Date last updated
16/04/2021
Date data sharing statement initially provided
16/04/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Does perception of walking abilities relate to executive function and falls in older adults undergoing rehabilitation?
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Scientific title
Does perception of walking abilities relate to executive function and falls in older adults undergoing rehabilitation?
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Secondary ID [1]
302664
0
Nil
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Universal Trial Number (UTN)
U1111-1260-5649
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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
319576
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Falling
319577
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Fracture
319578
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Condition category
Condition code
Musculoskeletal
317519
317519
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0
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Osteoporosis
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Physical Medicine / Rehabilitation
317520
317520
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0
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Physiotherapy
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Neurological
319190
319190
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0
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Dementias
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
The relationship between executive function and perception of walking abilities will be assessed in patient's aged 60 years or over undergoing in-patient rehabilitation. The relationship between these measures and falls or hospital re-admission will be assessed after 12 months.
Executive function will be assessed by the Trail making test (conducted at baseline and after 12 months) and perception of walking abilities will be determined by the relationship between the physical timed up and go and imagined timed up and go (conducted at baseline and after 12 months).
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Intervention code [1]
319907
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Diagnosis / Prognosis
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Intervention code [2]
319908
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Early Detection / Screening
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Imagined timed-up and go - this assesses motor planning and higher level gait disorders
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Assessment method [1]
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Timepoint [1]
326744
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Baseline and at 12 month post-discharge
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Primary outcome [2]
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Trail making test A & B - used to assess executive function
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Assessment method [2]
326745
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Timepoint [2]
326745
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Baseline and at 12 month post-discharge
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Secondary outcome [1]
392544
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Activities-specific balance confidence scale 6
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Assessment method [1]
392544
0
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Timepoint [1]
392544
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Baseline and at 12 month post-discharge
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Secondary outcome [2]
392545
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Grip strength - assessed with a grip strength dynamometer
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Assessment method [2]
392545
0
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Timepoint [2]
392545
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Baseline and at 12 month post-discharge
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Secondary outcome [3]
392554
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Cognition assessed via the Rowland Universal Dementia Assessment Scale (RUDAS)
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Assessment method [3]
392554
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Timepoint [3]
392554
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Baseline and at 12 month post-discharge
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Eligibility
Key inclusion criteria
In-patients of Brighton health campus aged at least 60 years; able to get out of an armchair independently; able to walk at least 10 metres independently (with the use of a walking aid if required).
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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
Uncontrolled cardiovascular disease, recent stroke, unable to get out of an armchair independently or unable to walk at least 10 metres independently (with the use of a walking aid if required).
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
All statistical analyses will be performed using IBM SPSS (Version 22). Statistical significance is set at p < 0.05. Normality of distribution of the test measures will be confirmed using the Shapiro-Wilk test. Outcome measures will be presented as mean (standard deviation).
Pearson correlation coefficients will be used to identify relationship between TUG delta and executive function (Trail making test). A multiple linear regression model will be used to determine the independent association of TUG delta and executive function on falls over a 12-month period. Independent variables of TUG physical, cognition, grip strength and relevant demographics will be stepwise entered into the model if they increase the probability of F by at least 0.05
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
19/04/2021
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Actual
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Date of last participant enrolment
Anticipated
29/07/2022
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Actual
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Date of last data collection
Anticipated
28/07/2023
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
18864
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Brighton Health Campus - Brighton
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Recruitment postcode(s) [1]
33370
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4017 - Brighton
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Funding & Sponsors
Funding source category [1]
307104
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Hospital
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Name [1]
307104
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Brighton Health Campus
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Address [1]
307104
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449 Hornibrook Hwy, Brighton QLD 4017
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Country [1]
307104
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Australia
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Primary sponsor type
Hospital
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Name
Brighton Health Campus
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Address
449 Hornibrook Hwy, Brighton QLD 4017
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Country
Australia
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Secondary sponsor category [1]
307673
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None
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Name [1]
307673
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Address [1]
307673
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Country [1]
307673
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307218
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Royal Brisbane & Women’s Hospital Human Research Ethics Committee
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Ethics committee address [1]
307218
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Royal Brisbane & Women’s Hospital Executive Suites, Lower Ground Floor Dr James Mayne Building Butterfield Street, Herston Qld 4029
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Ethics committee country [1]
307218
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Australia
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Date submitted for ethics approval [1]
307218
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31/08/2020
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Approval date [1]
307218
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12/10/2020
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Ethics approval number [1]
307218
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HREC/2020/QRBW/66035
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Summary
Brief summary
The proposed research seeks to answer the following research question: In older adults undergoing rehabilitation for a non-neurological condition, does the perception of one’s own walking ability relate to their executive function and future falls risk? A prospective cohort study conducted at a sub-acute rehabilitation facility will identify the relationship between perception and executive function. Perception will be assessed by determining the difference in the time to complete a mobility task (the timed-up-and Go) physically and in their imagination. Executive function will be assessed by The Trail Making test. This project will identify the relationship between real and imagined walking and executive function in 100 older adults undertaking in-patient rehabilitation. This project will also establish the relationship between imagined walking, executive function and falls. Participants will have their physical and cognitive abilities tested twice over a 12-month period. It is expected that older adults with poor accuracy of imagined walking will have poorer executive function and be more likely to fall than those with high accuracy of imagined walking. The results of this project will provide a platform for earlier cognitive and executive function testing in older adults leading to timely detection of mild cognitive impairment and dementia.
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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 Vaughan Nicholson
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Address
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Australian Catholic University, 1100 Nudgee Road Banyo QLD 4014
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Country
106446
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Australia
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Phone
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+61 7 36237687
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Fax
106446
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Email
106446
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[email protected]
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Contact person for public queries
Name
106447
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Vaughan Nicholson
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Address
106447
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Australian Catholic University, 1100 Nudgee Road Banyo QLD 4014
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Country
106447
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Australia
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Phone
106447
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+61 7 36237687
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Fax
106447
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Email
106447
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[email protected]
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Contact person for scientific queries
Name
106448
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Vaughan Nicholson
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Address
106448
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Australian Catholic University, 1100 Nudgee Road Banyo QLD 4014
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Country
106448
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Australia
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Phone
106448
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+61 7 36237687
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Fax
106448
0
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Email
106448
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
individual participant data underlying published results only (after de-identification)
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When will data be available (start and end dates)?
Immediately following publication, and ending 5 years following main results publication
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Available to whom?
Researchers who provide a methodologically sound proposal
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Available for what types of analyses?
any purpose, such as for IPD meta-analyses
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How or where can data be obtained?
Access subject to approvals by Principal Investigator (
[email protected]
)
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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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