ANZCTR - Registration

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Trial registered on ANZCTR

Registration number

ACTRN12616000684426

Ethics application status

Approved

Date submitted

23/05/2016

Date registered

25/05/2016

Date last updated

21/06/2017

Type of registration

Prospectively registered

Titles & IDs

Public title

The Perceive Recall Plan Perform Assessment with Stroke Survivors

Scientific title

A preliminary study of the Perceive Recall Plan Perform Assessment with stroke survivors in an early supported discharge setting

Secondary ID [1]

Nil known

Universal Trial Number (UTN)

U1111-1183-1358

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Stroke

Condition category

Condition code

Stroke

Ischaemic

Stroke

Haemorrhagic

Intervention/exposure

Study type

Observational

Patient registry

False

Target follow-up duration

Target follow-up type

Description of intervention(s) / exposure

Ten stroke survivors will be assessed on 3 outcomes measures in their initial Occupational Therapy home visit sessions as part of an early supported discharge service.

They will be assessed with the Perceive Recall Plan Perform System of Task Analysis (PRPP). This is an observational assessment of occupational performance and cognitive strategy application. It is non-invasive and is standardised, reliable and valid. They will also be assesed on the Functional Independence Measure to measure burden of care and the Lawtons Scale to measure independence in instrumental activities of daily living. These assessments will all occur in their home and will take an average of an hour to complete. This is part of standard care and is in face to face delivery. PRPP will be conducted on two different tasks, and the other scales are once-off. These assessments will be completed within the first 5 OT home visits, ie: early in the episode of care with the service.

PRPP is an observational assessment. Participants will negotiate tasks to be assessed with their an OT at an appropriate level of challenge. They will be advised that notes will be taken and that they will receive their results once the assessment has been scored. Tasks may include using a computer, preparing a meal or shaving.

Intervention code [1]

Diagnosis / Prognosis

Comparator / control treatment

No control group

Control group

Uncontrolled

Outcomes

Primary outcome [1]

PRPP stage one and stage two: raw scores. This is a composite assessment.

Timepoint [1]

Within first five OT home visits

Secondary outcome [1]

Functional Independence Measure to assess burden of care

Timepoint [1]

Completed within first five OT home visits

Secondary outcome [2]

Lawtons Scale to assess independence in instrumental activities of daily living

Timepoint [2]

Completed within first five OT home visits

Secondary outcome [3]

Feasibility: determined by the number of complete data sets on PRPP and time requirements to use PRPP

Timepoint [3]

During the first five sessions

Eligibility

Key inclusion criteria

Diagnosis of stroke, less than six months post stroke, 18 years and older, able to communicate in basic English, identified post-stroke cognitive impairment and able to give consent. People with aphasia are also potential participants. Recruitment must have been completed within the first four OT home visits, with the assessments being completed by the fifth visit. Participants will continue with standard care with the ESD service during and after data collection.

Minimum age

18 Years

Maximum age

No limit

Sex

Both males and females

Can healthy volunteers participate?

Key exclusion criteria

Diagnosis of a premorbid intellectual impairment, readmission to hospital prior to the assessments being completed and not receiving OT with the ESD service.

Study design

Purpose

Natural history

Duration

Cross-sectional

Selection

Defined population

Timing

Prospective

Statistical methods / analysis

Data will be analysed with Excel and SPSS. Descriptive statistics will be provided for demographic details and PRPP scores. Correlation tests will be performed between the three outcome measures to test for relationships

Sample is based on a similar exploratory study: Aubin, G., Chapparo, C., Gelinas, I., Stip, E., & Rainville, C. (2009). Use of the Perceive Recall Plan and Perform System of Task Analysis for persons with schizophrenia: A preliminary study. Australian Journal of Occupational Therapy, 56, 189-199.5

Recruitment

Recruitment status

Completed

Date of first participant enrolment

Anticipated

4/07/2016

Actual

24/08/2016

Date of last participant enrolment

Anticipated

4/07/2017

Actual

24/02/2017

Date of last data collection

Anticipated

Actual

24/02/2017

Sample size

Target

Accrual to date

Final

Recruitment in Australia

Recruitment state(s)

Recruitment hospital [1]

Royal Perth Hospital - Perth

Recruitment postcode(s) [1]

6000 - Perth

Funding & Sponsors

Funding source category [1]

Hospital

Name [1]

South Metropolitan Health Service

Address [1]

Rehabilitation in the Home
Royal Perth Hospital
Goderich St Outpatients
Level 4
Goderich St
Perth WA 6000

Country [1]

Australia

Primary sponsor type

Hospital

Name

Royal Perth Hospital

Address

Rehabilitation in the Home
Royal Perth Hospital
Goderich St Outpatients
Level 4
Goderich St
Perth WA 6000

Country

Australia

Secondary sponsor category [1]

None

Name [1]

Address [1]

Country [1]

Ethics approval

Ethics application status

Approved

Ethics committee name [1]

Royal Perth Hospital Human Research Ethics Committee

Ethics committee address [1]

Level 5 Colonial House
Royal Perth Hospital
Wellington St
Perth 6000

Ethics committee country [1]

Australia

Date submitted for ethics approval [1]

18/05/2016

Approval date [1]

26/07/2016

Ethics approval number [1]

Summary

Brief summary

dentifying and addressing cognitive impairments post-stroke is a significant component of stroke rehabilitation. However, few cognitive assessments measure real-world performance. One assessment that addresses cognition in the ‘here and now’ is Perceive Recall Plan Perform (PRPP). PRPP is an assessment and intervention system used by Occupational Therapists (OTs) to identify errors of cognitive strategy application and structure individualised intervention. PRPP is a unique tool: it measures cognitive strategy application in any task, in any setting, and can be used with any client, regardless of diagnosis or age. PRPP is standardised, reliable, valid and criterion-referenced assessment (Chapparo & Ranka, 2012), meaning that it can be used to measure how much of a task that an individual needs to do in their own situation, rather than using generic criteria to measure success. It consists of a two stage assessment framework: stage one uses task analysis to record motor steps and errors. Stage two is used to attribute errors in applying cognitive strategies which occurred during the task. PRPP is widely used for assessment and intervention in brain injury (Nott, Chapparo, & Heard, 2009), however there is little documented evidence of PRPP in stroke rehabilitation. 

This study will be conducted with stroke survivors in an Early Supported Discharge (ESD) setting, titled Rehabilitation in the Home (RITH). Three different assessments will be conducted by OTs: PRPP on two different tasks, the Functional Independence Measure (FIM) to measure burden of care and Lawton’s Instrumental Activities of Daily Living (LIADL) to measure domestic task independence. PRPP stage one and stage two scores will be related with these measures and examined for any trends. All data will be collected within the first five OT home visits as a component of standard care and full data sets from ten patients are required for analysis.

This exploratory study aims to examine the use of PRPP in stroke as a tool to identify errors in using cognitive strategy application, measure task mastery and detail trends in the assessment results. The objectives are to: Determine if it is feasible to use PRPP with stroke patients receiving ESD, examine the usefulness of each aspect of PRPP in stroke rehabilitation; and explore the association between PRPP and FIM and LIADL.

It is anticipated that this study will examine the feasibility of using PRPP in stroke ESD, provide evidence for the use of PRPP in stroke to assess cognitive strategy application and explore PRPP as a real-world measure of information processing in stroke rehabilitation.

Trial website

Trial related presentations / publications

Public notes

Contacts

Principal investigator

Name

Mrs Jocelyn White

Address

C/O Rehabilitation in the Home
Royal Perth Hospital
Goderich Street Outpatients
Level 4
Perth
WA
6000

Country

Australia

Phone

+61 8 6477 5152

Fax

jocelyn.white@health.wa.gov.au

Contact person for public queries

Name

Jocelyn White

Address

C/O Rehabilitation in the Home
Royal Perth Hospital
Goderich Street Outpatients
Level 4
Perth
WA
6000

Country

Australia

Phone

+61 8 6477 5152

Fax

jocelyn.white@health.wa.gov.au

Contact person for scientific queries

Name

Jocelyn White

Address

C/O Rehabilitation in the Home
Royal Perth Hospital
Goderich Street Outpatients
Level
WA 4
Perth
6000

Country

Australia

Phone

+61 8 6477 5152

Fax

jocelyn.white@health.wa.gov.au

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

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Documents added automatically

No additional documents have been identified.

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