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ISRCTN
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ISRCTN14430342
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ClinicalTrials.gov identifier
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Public title
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Dressing Rehabilitation Evaluation Stroke Study
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Scientific title
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A neuropsychological approach to dressing versus the conventional approach (commonly used by occupational therapists in the UK in patients after stroke
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Acronym
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DRESS
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Serial number at source
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3918
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Study hypothesis
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The ability to dress oneself is often taken for granted by the able bodied, yet this intimate task remains a problem for 36% of stroke patients who still can’t dress independently at one year after the onset of stroke.
Although a simple problem solving approach to dressing problems has been demonstrated to be effective, it is known that therapists are still unaware of the best methods to teach patients to overcome their dressing problems if they have accompanying cognitive difficulties.
In the DRESS study our aim is to conduct a two part study. The first part will develop a definitive treatment manual for the cognitive impairments most commonly affecting dressing performance. The second part will be a feasibility randomised controlled trial. This trial will compare a neuropsychological approach (n = 35) to dressing, with the conventional approach (n = 35) commonly used by occupational therapists in the UK.
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Lay summary
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Ethics approval
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Nottingham Research Ethics Committee 1 approved on the 13th November 2007 (ref: 07/H0403/130)
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Study design
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Randomised interventional process of care and treatment trial
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Topic: Stroke Research Network; Subtopic: Rehabilitation; Disease: Community study
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Participants - inclusion criteria
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Patients (aged over 18 years, either sex) will be included if they are impaired on one or more items in a brief cognitive screening test:
1. Line cancellation
2. 10-hole peg test with non-paretic hand
3. Object decision
4. Gesture imitation
5. Unable to dress after two weeks of conventional rehabilitation
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Participants - exclusion criteria
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1. Inability to tolerate sitting in a chair for 15 minutes
2. Pre-morbid disability (Rankin greater than 3)
3. Known diagnosis of depression or dementia
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Anticipated start date
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01/03/2008
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Anticipated end date
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30/11/2009
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Status of trial
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Completed |
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Patient information material
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Not available in web format, please use the contact details below to request a patient information sheet
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Target number of participants
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Planned Sample Size: 70; UK Sample Size: 70
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Interventions
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Patients are randomised to one of two treatment groups:
Group 1: Routine care which involves the provision of standard dressing practice as given by occupational therapists in the UK
Group 2: neuropsychological intervention dressing practice as prescribed by a newly compiled manual.
Both interventions are described in 2 study treatment manuals. Treatment for both groups is assigned 3 x per week for 6 weeks duration.
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Primary outcome measure(s)
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Dressing ability as assessed on the Nottingham Stroke Dressing Assessment (NDSA), collected at baseline and outcome (8 weeks after randomisation)
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Secondary outcome measure(s)
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Measured 8 weeks after randomisation:
1. NSDA
2. Line cancellation
3. Gesture imitation
4. 10 hole peg test
5. Object decision
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Sources of funding
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The Stroke Association (UK)
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Trial website
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Publications
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Contact name
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Dr
Marion
Walker
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Address
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Division of Rehabilitation and Ageing
B Floor Medical School, Queens Medical Centre , Derby Road
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City/town
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Nottingham
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Zip/Postcode
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NG7 2UH
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Country
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United Kingdom
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Sponsor
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University of Nottingham (UK)
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Address
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Research Innovation Services
Kings Meadow Campus
Lenton Lane
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City/town
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Nottingham
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Zip/Postcode
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NG7 2NR
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Country
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United Kingdom
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Sponsor website:
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http://www.nottingham.ac.uk/ris/
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Date applied
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29/04/2010
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Last edited
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06/05/2010
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Date ISRCTN assigned
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29/04/2010
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