Improving Patient Motivation and Participation in Rehabilitation Program Through Social Games

National University of Singapore

Status: Completed

Conditions: Stroke

Treatments: Other: traditional wooden checkerboard; Other: gaming board with single-player games; Other: gaming board with two-player games

Study type: Interventional

Funder types: Other

Identifiers

NCT03482414

NUSingapore_WP

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 35 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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35 participants in 3 patient groups

traditional wooden checkerboard

Active Comparator group

Description:

upper limb training with traditional wooden checkerboard

Treatment:

Other: traditional wooden checkerboard

gaming board with single-player games

Experimental group

Description:

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

Treatment:

Other: gaming board with single-player games

gaming board with two-player games

Experimental group

Description:

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

Treatment:

Other: gaming board with two-player games