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Trial registered on ANZCTR
Registration number
ACTRN12618001732279
Ethics application status
Approved
Date submitted
16/10/2018
Date registered
22/10/2018
Date last updated
20/04/2021
Date data sharing statement initially provided
20/04/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Cognitive strategies to improve outcomes for children with spinal cord injuries or disease
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Scientific title
Cognitive strategies to improve outcomes for children with spinal cord injuries or disease
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Secondary ID [1]
296349
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Nil known
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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:
Daily function in children with spinal cord injuries or disease
310068
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School function in children with spinal cord injuries or disease
310069
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Condition category
Condition code
Physical Medicine / Rehabilitation
308823
308823
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0
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Occupational therapy
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Musculoskeletal
308860
308860
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0
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Other muscular and skeletal disorders
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Injuries and Accidents
308861
308861
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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
A program incorporating evidence-based strategies of self-regulation and imagery building into enhancing people’s daily and school task performance will be developed.
The Self-Regulation and Mental Imagery (SReMI) group will form the experimental group. Children with spinal cord injuries or disease will receive the newly validated SReMI program. The SReMI intervention will consist of a 12-week program of one 60-minute therapist-led session and two home sessions per week. The child will undergo individual session and be guided to use self-regulation to identify the problems in performing daily or school tasks and find an appropriate solution to solve the problems. He/she will then guide to use imagery to mentally practice the tasks. This is done together with the actual practice of the tasks. The intervention consists of 15 daily and school tasks. The child is guided by the rehabilitation worker throughout the process. During the home session, the child will record on their practice on a log book.
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Intervention code [1]
312678
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Rehabilitation
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Comparator / control treatment
The control group will receive an activity-based intervention. The frequency and duration of the control group will be consistent with the SReMI program. The activity-based intervention focused on three main activities: i) construction, ii) drawing and iii) crafts. The program consisted of a 20-minute construction activity, a 15-minute drawing activity, five minutes rest and a 20-minute craft activity.
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Control group
Active
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Outcomes
Primary outcome [1]
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School Function Assessment
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Assessment method [1]
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Timepoint [1]
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Before the program, at 12 weeks (primary timepoint) and 20 weeks.
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Primary outcome [2]
307798
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Pediatric Evaluation of Disability Inventory
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Assessment method [2]
307798
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Timepoint [2]
307798
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Before the program, at 12 (primary timepoint) and 20 weeks.
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Secondary outcome [1]
352940
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Barthel Index
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Assessment method [1]
352940
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Timepoint [1]
352940
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Before the program, at 12 and 20 weeks.
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Secondary outcome [2]
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Assessment of Motor and Process Skills
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Assessment method [2]
352941
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Timepoint [2]
352941
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Before the program, at 12 and 20 weeks
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Secondary outcome [3]
352942
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Canadian Occupational Performance Measure
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Assessment method [3]
352942
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Timepoint [3]
352942
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Before the program, at 12 and 20 weeks
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Secondary outcome [4]
352943
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Spinal Cord Independence measure-III self report for youth
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Assessment method [4]
352943
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Timepoint [4]
352943
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Before the program, at 12 and 20 weeks
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Secondary outcome [5]
352944
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Wheelchair Skills Test
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Assessment method [5]
352944
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Timepoint [5]
352944
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Before the program, at 12 and 20 weeks.
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Eligibility
Key inclusion criteria
• Aged 6 to 18
• Have any form of spinal cord injuries or disease
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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
Nil
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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)
Eligible participants are randomised using a computer-generated randomisation table. The allocation is completed by the holder of the allocation schedule who is not involved in conducting assessments or providing interventions.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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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
Efficacy
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Statistical methods / analysis
Repeated measure multivariate analysis of variance test will be used to test the benefit and the carryover effect of the program on the school and daily functions of the children. Between-group comparisons will also be conducted to compare the benefits of the SReMI program and the control program.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2021
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Actual
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Date of last participant enrolment
Anticipated
31/08/2022
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Actual
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Date of last data collection
Anticipated
31/01/2023
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
300951
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University
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Name [1]
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Western Sydney University
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Address [1]
300951
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Locked Bag 1797, Penrith NSW 2751
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Country [1]
300951
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Australia
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Funding source category [2]
300952
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Commercial sector/Industry
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Name [2]
300952
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SpinalCare Foundation, Northcott
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Address [2]
300952
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1 Fennell St, North Parramatta, NSW 2151
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Country [2]
300952
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
SpinalCare Foundation, Northcott
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Address
1 Fennell St, North Parramatta, NSW 2151
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Country
Australia
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Secondary sponsor category [1]
300524
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University
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Name [1]
300524
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Western Sydney University
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Address [1]
300524
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Locked Bag 1797, Penrith NSW 2751
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Country [1]
300524
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301719
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Western Sydney University Human Research Ethics Commitee
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Ethics committee address [1]
301719
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Locked Bag 1791, Penrith NSW 2751
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Ethics committee country [1]
301719
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Australia
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Date submitted for ethics approval [1]
301719
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25/10/2018
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Approval date [1]
301719
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17/12/2018
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Ethics approval number [1]
301719
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Summary
Brief summary
This study will pilot-test the newly adapted program using self-regulation and mental imagery in enhancing performance outcomes for children with spinal cord injuries or disease. Self-regulation assists an individual in identifying their own problems and finding an appropriate solution through active, independent and reflective learning. Mental imagery is a process in which a task is rehearsed mentally as if the person is performing it. The effectiveness of cognitive strategies including self-regulation and mental imagery in achieving better functional outcomes for adults who have had a stroke and children with autism has been established. it is hypothesised that the program can enhance daily and school task performance in children with spinal cord injuries or disease.
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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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Prof Karen Liu
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Address
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Western Sydney University, Locked Bag 1797, Penrith NSW 2751
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Country
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Australia
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Phone
87874
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+61 2 46203432
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Fax
87874
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Email
87874
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[email protected]
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Contact person for public queries
Name
87875
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Karen Liu
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Address
87875
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Western Sydney University, Locked Bag 1797, Penrith NSW 2751
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Country
87875
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Australia
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Phone
87875
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+61 2 46203432
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Fax
87875
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Email
87875
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[email protected]
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Contact person for scientific queries
Name
87876
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Karen Liu
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Address
87876
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Western Sydney University, Locked Bag 1797, Penrith NSW 2751
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Country
87876
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Australia
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Phone
87876
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+61 2 46203432
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Fax
87876
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Email
87876
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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
As the participant number is not high, it has a potential risk that the de-identified data may be identifiable. To avoid the possible risk, only the mean and standard deviation of the outcome measures collected will be available on reasonable request.
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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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