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Trial registered on ANZCTR
Registration number
ACTRN12606000454572
Ethics application status
Not yet submitted
Date submitted
19/10/2006
Date registered
24/10/2006
Date last updated
24/10/2006
Type of registration
Prospectively registered
Titles & IDs
Public title
The use of multimedia to improve home based exercise performance and adherence in children.
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Scientific title
Comparing the use of a multimedia module to routine clinical practice in improving performance and adherence to home based exercise in children requiring stretching exercise in their physiotherapy program.
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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:
Patients requiring standing gastrocnemius stretching exercise or standing quadriceps stretching exercise as part of their physiotherapy program at home for any condition
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Condition category
Condition code
Physical Medicine / Rehabilitation
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention arm will receive
· Standard exercise instruction includes a discussion of basic anatomy and verbal explanation of the exercise
· Demonstration of the exercise by the physiotherapist
· Physiotherapist give verbal feedback and correction of technique
· Child and parent view the multimedia package (CD containing animation of the exercises) with physiotherapist.
· The child will be expected to perform the exercise twice a day at home (This amount was decided by the physiotherapists involve in this study. It is based upon the usual amount they prescribe to children requiring this exercise).
· Exercise diary will be provided to be taken home and filled out by the children for the next four weeks.
Patient will be asked to come for review in 4 weeks time. At the review appointment, the child will be asked to hand in the diary and perform the exercise whilst it is recorded by 2 video cameras.
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Intervention code [1]
1412
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Other interventions
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Comparator / control treatment
Control Arm- Current clinical practice adopted by the physiotherapist in RCH
· Standard exercise instruction includes a discussion of basic anatomy and verbal explanation of the exercise
· Demonstration of the exercise by the physiotherapist
· Physiotherapist give verbal feedback and correction of technique
· Read the instructional leaflet
· The child will be expected to perform the exercise twice a day at home (This amount was decided by the physiotherapists involve in this study. It is based upon the usual amount they prescribe to children requiring this exercise).
· Exercise diary will be provided to be taken home and filled out by the children for the next four weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Accuracy of the exercise technique.
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Assessment method [1]
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Timepoint [1]
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Measured 4 weeks from the first visit (at the start of the intervention). It will be measured using the participant's exercise video that will be taped during their second visit. The exercise video will be assessed by blinded independant expert panel.
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Secondary outcome [1]
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Adherence to exercise program.
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Assessment method [1]
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Timepoint [1]
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This will be measured 4 weeks from the first visit (at the start of the intervention).It will be measured using data from participant's exercise diary.
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Eligibility
Key inclusion criteria
Require stretching exercise (standing gastrocnemius stretch or standing quadriceps stretch) at home•Have access to multimedia player at home
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Minimum age
6
Years
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Maximum age
18
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 with cognitive impairment•Patient with visual impairment. •Patient with hearing impairment. •Patients who require more than 3 type of exercise as part of their home exercise regimen. •Non-English speaking.
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Study design
Purpose of the study
Educational / counselling / training
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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 involved contacting the holder of the allocation schedule who are off-site
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation
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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
The assessor of the study will be blinded.
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Phase
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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
1/12/2006
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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
60
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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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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Advance Medical Science Student Fund (University of Melbourne – Part of Medical Degree Program)
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
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Hospital
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Name [2]
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Limb Reconstruction Funding (Royal Children's Hospital)
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Address [2]
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Mr. Leo Donnan
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Address
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Country
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Secondary sponsor category [1]
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None
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Name [1]
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N/A
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Summary
Brief summary
This study seeks to evaluate whether a multimedia approach improves performance and adherence of children to a home based exercise program prescribed by physiotherapist. This study will compare the usual current practice of providing verbal instructions and information leaflet to the new approach of providing a multimedia package in addition to verbal instructions.The hypotheses of this study is that a multimedia approach will improve the child’s motivation to perform exercises and therefore increase their adherence to the prescribed program. We also hypothesised that providing an audio-visual reference for children will aid learning and increase their technical proficiency in performing the exercises. This trial will involve patients ranging between 6-18 years recruited from orthopaedic outpatient’s clinic (RCH), who require stretching exercises for either their calf or thigh muscles as part of their treatment. Patients will be divided randomly into two groups. Each group will receive either an instructional leaflet or a multimedia CD containing the exercise program to be taken home. They will also receive a diary to record their adherence to exercise. Patients will be asked to return to the clinic 4 weeks after the initial consultation, and their exercise technique will be recorded on video and later evaluated by blinded expert panel.This information will then be analysed to see whether there is any improvement in the frequency (adherence) and the quality (performance) of the exercises.
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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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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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Mr. Leo Donnan
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Address
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Orthopaedic Surgery
Royal Children’s Hospital
Level 3 Main Building
Flemington Road
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 93455450
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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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Ms. Farah Albi Abdul Patah
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Address
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Orthopaedic Surgery
Royal Children’s Hospital
Level 3 Main Building
Flemington Road
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 93455450
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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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