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Trial registered on ANZCTR
Registration number
ACTRN12624001024538
Ethics application status
Approved
Date submitted
5/08/2024
Date registered
23/08/2024
Date last updated
23/08/2024
Date data sharing statement initially provided
23/08/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
What do you think of Movement to Music as a community support after stroke?
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Scientific title
A feasibility, acceptability, and sustainability study of Movement to Music: A community support after stroke
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Secondary ID [1]
312683
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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:
stroke
334670
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Condition category
Condition code
Stroke
331241
331241
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0
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Haemorrhagic
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Stroke
331242
331242
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0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Movement to Music sessions will be held weekly over the course of four weeks for approximately 1 hour each session. Through the collaboration of a registered physiotherapist and registered neurologic music therapist (NMT), tailored movement interventions are developed utilising live improvised and familiar music to target fine and gross upper limb movements, gait, balance, and lower limb strength and control to help individuals who have had a stroke to meet their health and wellbeing aspirations. Different groups of movements will be targeted each week, but individual participants movements will be tailored to their abilities based on the evaluation data gathered by the physiotherapist and the musical and therapeutic input from the neurologic music therapist.
Below are some examples of exercises for each group of movement that may be performed, including progression sequences to tailor movements to individual's abilities. Music will be played live that is familiar to the group and can be tailored to the focus of the task/session. The individuals will actively participant in instrument playing to target movements suitable for their needs and abilities.
Upper limb movements: Reaching with drum sticks/shakers with variations including moving high-low, laterally, using one hand or both hands
Fine motor movements: melodic instruments using single hand or fingers/bilateral, modifying complexity movements
Gait: Stepping in time to beat including modifications and progressions such as stepping over objects, focusing on heel strike, doing on the spot with just one leg
Balance: Stepping to targets including modifications and progressions of increasing distance, sequencing, or timing
Lower limb strength: Sit to stands in beat to a familiar song, with modifications and progressions of altering height of chair
Other activities for each group of movement may also be performed during the session under the direction of the physiotherapist and neurologic music therapist, depending on groups needs and abilities.
Before commencing Movement to Music, each potential participant will undergo a 45-60 minute pre-intervention assessment with the registered physiotherapist. The pre-intervention assessment process will check inclusion/exclusion criteria and assess any risk factors. During the pre-intervention assessment, the registered physiotherapist will also be identifying impairment levels to guide individual activities for Movement to Music intervention sessions utilising the Tinetti Balance and Gait Assessment alongside a broad clinical assessment evaluating mobility, upper limb function, specific needs, and communication.
Movement to Music will be conducted with 6-8 participants in a group, over 6-8 weeks. It will include, initial pre-intervention assessment 2-3 weeks prior to the sessions, 4 weekly Movement to Music sessions with short focus groups following, and 1 focus group 1-2 weeks following the conclusion of the Movement to Music sessions.
Focus groups will be approximately 15-20 minutes in length directly following the session. The focus will be on what individuals thought of the sessions and how they see Movement to Music potentially fitting in their living well after stroke journey.
Topics include:
- What the individual liked or wished was different about the days session
- How they would describe the days session
- If they'd observed any changes since the previous session
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Intervention code [1]
329208
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Rehabilitation
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Intervention code [2]
329209
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Lifestyle
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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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Acceptability and feasibility of Movement to Music group as a community support to live well after stroke will be assessed as a composite outcome.
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Assessment method [1]
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Focus group questions around what individuals thought of the sessions and how they see Movement to Music potentially fitting in their living well after stroke journey.
Example topics include:
- Individuals opinions (likes/dislikes about each days session)
- Overall opinion of Movement to Music as a potential support for living well after stroke
- What potentially needs improvement to make the support acceptable and feasible for individuals to use
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Timepoint [1]
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A focus group will be conducted following each of the four Movement to Music sessions as well a 1-2 weeks following the conclusion of Movement to Music sessions.
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Primary outcome [2]
339017
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Sustainability of Movement to Music as a community support after stroke
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Assessment method [2]
339017
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Focus group with community stakeholders with questions pertaining to what they think of Movement to Music as a community support after stroke, how sustainable do they think it is, what current resources could make it sustainable and what additional resources would be needed.
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Timepoint [2]
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2-3 weeks following the conclusion of the Movement to Music sample sessions
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Secondary outcome [1]
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Feasibility of therapy lead measures
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Assessment method [1]
438279
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Observations during Movement to Music sessions by lead researcher and discussions amongst physiotherapist and neurologic music therapist
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Timepoint [1]
438279
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Observations will occur during each Movement to Music session. Following each Movement to Music session, the leading physiotherapist and neurologic music therapists will have a discussion with a final discussion upon the conclusion of the 4 Movement to Music sessions.
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Eligibility
Key inclusion criteria
- Less than or equal to 2 years post stroke
-Age 18-60
-Independent with toileting or able to bring a support person to assist with toileting who can stay for the duration of each session
-Has not previously participated in Music Therapy for any condition
-Not currently participating in formal rehabilitation services (e.g., physiotherapy)
-Able to provide informed consent verbally or non-verbally (e.g. writing)
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Minimum age
18
Years
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Maximum age
60
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
-Clinically deemed unable to participate in a group situation safely, including medical concerns, being unable to safely follow instructions and signs of risky impulsivity
-Currently in hospital or residential care
-Unable to understand English
-Currently has an activated enduring power of attorney (EPA)
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Study design
Purpose of the study
Treatment
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
6-8 participants
Data will be analysed using thematic analysis based on a general inductive approach as described by Thomas (2006). This is a straightforward approach for analysing qualitative data in a context of focused study questions. It allows for identification of general themes within the raw data.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/09/2024
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Actual
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Date of last participant enrolment
Anticipated
18/10/2024
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Actual
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Date of last data collection
Anticipated
20/12/2024
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Actual
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Sample size
Target
6
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26493
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New Zealand
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State/province [1]
26493
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Canterbury
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Funding & Sponsors
Funding source category [1]
317115
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Government body
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Name [1]
317115
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Health Research Council of New Zealand (HRC)
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Address [1]
317115
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Country [1]
317115
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New Zealand
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Primary sponsor type
Charities/Societies/Foundations
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Name
Burwood Academy Trust
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Address
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Country
New Zealand
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Secondary sponsor category [1]
319374
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None
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Name [1]
319374
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Address [1]
319374
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Country [1]
319374
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315869
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
315869
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https://ethics.health.govt.nz/about/northern-b-health-and-disability-ethics-committee/
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
315869
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11/06/2024
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Approval date [1]
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30/07/2024
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Ethics approval number [1]
315869
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2024 EXP 19601
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Summary
Brief summary
Movement to Music is a group-based support that provides more tailored physical activity/exercise under the direction of a physiotherapist and neurologic music therapist. The focus is on all aspects of the person to meet their aspirations and needs while offering engagement with exercise/physical activity in a manner different to typical engagement with exercise/physical activity. The aim of this study is to determine if and how Movement to Music contributes to an individual and their whanau living well after stroke. This will be evaluated using ‘sample sessions’ and focus groups, with participants and stakeholders, to explore the acceptability, feasibility, and sustainability of Movement to Music within the context of living well after stroke.
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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 Kalie Evans
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Address
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Burwood Academy Trust Private Bag 4708 Christchurch 8140
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Country
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New Zealand
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Phone
136034
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+64 210 919 6871
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Fax
136034
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Email
136034
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[email protected]
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Contact person for public queries
Name
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Dr Kalie Evans
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Address
136035
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Burwood Academy Trust Private Bag 4708 Christchurch 8140
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Country
136035
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New Zealand
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Phone
136035
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+64 210 919 6871
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Fax
136035
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Email
136035
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[email protected]
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Contact person for scientific queries
Name
136036
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Dr Kalie Evans
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Address
136036
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Burwood Academy Trust Private Bag 4708 Christchurch 8140
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Country
136036
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New Zealand
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Phone
136036
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+64 210 919 6871
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Fax
136036
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Email
136036
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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)?
No
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No/undecided IPD sharing reason/comment
Confidentiality of participants in study on basis of informed consent
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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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