UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000056247
Receipt number R000064126
Scientific Title Integrating behavioral medicine with physiotherapy to improve treatment adherence and performance: a mixed-method randomized controlled trial for physical rehabilitation of stroke patients
Date of disclosure of the study information 2026/06/30
Last modified on 2024/11/23 00:58:51

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Basic information

Public title

Integrating behavioral medicine with physiotherapy to improve treatment adherence and performance: a mixed-method randomized controlled trial for physical rehabilitation of stroke patients

Acronym

Integrating behavioral medicine with physiotherapy to improve treatment adherence and performance: a mixed-method randomized controlled trial for physical rehabilitation of stroke patients

Scientific Title

Integrating behavioral medicine with physiotherapy to improve treatment adherence and performance: a mixed-method randomized controlled trial for physical rehabilitation of stroke patients

Scientific Title:Acronym

Integrating behavioral medicine with physiotherapy to improve treatment adherence and performance: a mixed-method randomized controlled trial for physical rehabilitation of stroke patients

Region

Asia(except Japan)


Condition

Condition

Stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the feasibility and acceptability of an integrated home-based functional electrical stimulation (FES) and a behavioral implementation intention intervention (III) for improving physical function among stroke patients with physical function limitations in Hong Kong; To evaluate the efficacy of the combined intervention and compare it with the efficacy of a home-based FES intervention alone and the efficacy of usual care (the control treatment) in terms of improving physical function of stroke patients (e.g., walking speed and mobility index)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Primary outcomes will be the feasibility and acceptability of intervention, such as eligibility rates, recruitment, and retention. Acceptability will be measured by drop-out rates and qualitative feedback obtained via interviews with intervention participants and interventionists at the conclusion of the trial.

Key secondary outcomes

Walking speed, balance, Stroke Impact Scale, Self-efficacy for Managing Chronic Disease Scale, and quality of life. Outcomes will be assessed at baseline, post-intervention Month 0, 2, and 4.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom

Interventions/Control_1

Intervention group 1: Home-based functional electrical stimulation (FES) intervention will require participants to walk daily for at least 1 hour using a commercial FES device for 2 consecutive months. The study device is a battery-operated single-channel electrical stimulator approved by the US Food and Drug Administration for treating foot drop. The participants will first receive training in the set-up, fitting, and safe use of the device. Once the participants can walk safely and consistently with supervision, they will be given an FES device for use in ongoing gait practice at home and in the community.

Interventions/Control_2

Intervention group 2: Combined intervention (Home-based FES intervention + III) will receive behavioral implementation intention intervention (III) in addition to the FES intervention. A volitional help sheet will be used to help participants make specific action and coping plans, with two telephone follow-up calls.

Interventions/Control_3

Control group
The participants in the control group will receive the usual treatment and care that follow the government guidelines, including the instruction on upper limb training.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit

18 years-old >=

Gender

Male and Female

Key inclusion criteria

The eligibility criteria for participation include: (1) aged 18 years or older, (2) having a post-stroke period of 6 to 60 months, (3) exhibiting impaired ankle voluntary movement with muscle strength of dorsiflexion less than grade 4, (4) being able to walk for 6 minutes with or without walking aids, (5) being able to communicate effectively and provide informed consent.

Key exclusion criteria

The exclusion criteria will be (1) currently participating in other rehabilitative projects; (2) a serious medical condition preventing study procedures (consent and assessment); (3) severe pain in the lower limbs and back; (4) contraindications to doing physical exercise; (5) contraindications to FES use (e.g., skin problems or recently open wound in the affected leg, or any electric or metallic implants).

Target sample size

51


Research contact person

Name of lead principal investigator

1st name Rui
Middle name
Last name She

Organization

The Hong Kong Polytechnic University

Division name

Department of Rehabilitation Sciences

Zip code

999077

Address

Yuk Choi Road 11, Hung Hom, Kowloon ,Hong Kong China

TEL

85227665693

Email

sherry-rui.she@polyu.edu.hk


Public contact

Name of contact person

1st name Rui
Middle name
Last name She

Organization

The Hong Kong Polytechnic University

Division name

Department of Rehabilitation Sciences

Zip code

999077

Address

Yuk Choi Road 11, Hung Hom, Kowloon ,Hong Kong China

TEL

85227665693

Homepage URL


Email

sherry-rui.she@polyu.edu.hk


Sponsor or person

Institute

The Hong Kong Polytechnic University

Institute

Department

Personal name



Funding Source

Organization

Health and Medical Research Fund, Health Bureau, Hong Kong

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Hong Kong Polytechnic University

Address

Yuk Choi Road 11, Hung Hom, Kowloon ,Hong Kong China

Tel

85227665693

Email

85227665693


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 01 Month 01 Day

Date of IRB

2023 Year 10 Month 01 Day

Anticipated trial start date

2024 Year 11 Month 25 Day

Last follow-up date

2025 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 11 Month 23 Day

Last modified on

2024 Year 11 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000064126