Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games

National University of Singapore35 enrolled

Overview

This 12-week randomized controlled trial involves two intervention groups (i.e., single-player game group, competition game group) and one control group (i.e., conventional checkerboard group). The main objective of this study is to examine the effects of game-based training on patient motivation, exercise duration, and functional outcomes in comparison with the control group.

A 12-week three-arm randomized controlled trial was conducted to compare the effects between the single-player game, competitive game and a control group (i.e. conventional training) on the motivation, exercise duration and functional improvement in a rehabilitation program. A mix of quantitative method (i.e., questionnaire) and qualitative methods (i.e., interview and observation) were used. The outcome measurements were: (1) motivation: Intrinsic Motivation Inventory (IMI), (2) participation: exercise duration, (3) functional improvement: nine-hole peg test (NHPT) and box and block test (BBT), and (4) user feedback.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Stroke

Interventions

traditional wooden checkerboardOTHER

upper limb training with traditional wooden checkerboard

gaming board with single-player gamesOTHER

upper limb training with a LED-based interactive gaming board equipped with single-player games

gaming board with two-player gamesOTHER

upper limb training with two LED-based interactive gaming boards equipped with two-player competitive games

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age≥65 years 2. Has neurological disorders (e.g. cerebrovascular accident) with the need of upper limb rehabilitation; 3. Able to stand or sit unsupported for 10 minutes; 4. Discharged from hospital and living in community; 5. Able to communicate either in English or Mandarin; and 6. Able to provide informed written consent. Exclusion Criteria: 1. Has severe cognitive impairments (Mini-Mental State Examination (MMSE) score \<10), 2. With serious cardiorespiratory conditions, 3. With capacity but do not wish to sign the consent form.

Locations (1)

Wang Pan

Singapore, Singapore - No State, Singapore

Outcomes

Primary Outcomes

Change from baseline motivation at 12 weeks

Intrinsic Motivation Inventory (IMI) - psychological measurement of motivation questionnaire

Time frame: week 1, week 12

Secondary Outcomes

Change from baseline function of manual dexterity at 12 weeks

Measuring gross manual dexterity Block and Box Test (BBT)

Time frame: week 1, week 12

Change from baseline function of finger dexterity at 12 weeks

Measuring finger dexterity with Nine-Hole Peg Test (NHPT)

Time frame: week 1, week 12

Exercise duration

Overall exercise duration over12 weeks

Time frame: week 1 to week 12

Data from ClinicalTrials.gov

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