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van CCT (UK)

Voorspellende factoren voor een ervaren functionele meerwaarde van de Gowing armondersteuning in het dagelijks leven

- candidate number22404
- NTR NumberNTR5288
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR1-jul-2015
- Secondary IDs15N99 METC-Atrium-Orbis-Zuyd
- Public TitleVoorspellende factoren voor een ervaren functionele meerwaarde van de Gowing armondersteuning in het dagelijks leven
- Scientific TitlePredictive factors of the perceived functional benefit of the Gowing dynamic arm support in daily life
- hypothesisNA
- Healt Condition(s) or Problem(s) studiedUpper limb dysfunctions
- Inclusion criteria- people who tried a Gowing dynamic arm support (assistive device) (first time slot: in the period march-june 2015)
- people either received a Gowing dynamic arm support or other type of arm support to be used in daily life.
- people are 12 years or older
- Exclusion criteria- Not speaking Dutch
- Having memory problems
- mec approval receivedyes
- multicenter trialno
- randomisedno
- group[default]
- Type[default]
- Studytypeobservational
- planned startdate 1-jul-2015
- planned closingdate1-nov-2015
- Target number of participants30
- InterventionsNA
- Primary outcomeThe primary study parameters are the perceived functional benefit of the Gowing and of the device received instead
- Secondary outcome•Performance and quality of ADL performance with Gowing/solution received instead & without device
•Problematic ADL/reason for wanting the a dynamic arm support (effort in the past, effort with Gowing, current effort)
•Experiences with the device (appearance, ease of use, experienced support)
•Experiences with the selection process (devices tried, people involved)
•Current ADL performance (tasks Gowing/substitute is used, reasons why device is used for specific tasks, personal assistance, effort, use of adaptations)
- TimepointsCross-sectional study
- Trial web siteNA
- statusplanned
- Sponsor/Initiator Zuyd University of Applied Sciences, Research Centre for Autonomy and Participation of people with a chronic illness
- Funding
(Source(s) of Monetary or Material Support)
- PublicationsNA
- Brief summaryDynamic arm supports are a class of assistive technology designed to support people with functional limitations in the upper extremity during the performance of activities of daily living. Several types of dynamic arm supports are commercially available in the Netherlands and a choice for a specific device is made in close cooperation between end-user, occupational therapist and supplier. Recent studies have shown that it is in some cases difficult to find the most optimal solution for a specific end-user. The Gowing is a relatively new dynamic arm support. Consultants from have a lot of experience in selecting a specific dynamic arm support for an end-user and do (implicitly) know which people potentially benefit from the Gowing. This implicit knowledge and experience, together with factors proven to be predictors of the perceived functional benefit of the Gowing in daily life, provide insight into which aspects are essential to consider during the selection process. The aim of this study is therefore to identify which persons do benefit from the Gowing dynamic arm support in daily life and to determine the predictive factors of the perceived functional benefit of the Gowing in daily life.

The study is an observational, cross-sectional study. Fifteen people provided with a Gowing and fifteen people who tried a Gowing but who did not receive a Gowing are invited to participate. Home visits are conducted with all participants. Home visits consist of an interview and observation of task performance. A semi-structured interview will be conducted to gain insight into the reasons for needing/wanting a dynamic arm support, fitting of the Gowing, and current ADL performance in daily life. The interview will be recorded on tape and notes of the interviews will be made. During the observation the participant is asked to perform eight daily activities with, and if possible, also without dynamic arm support. This performance is observed and scored by an occupational therapist. Administrative forms filled in prior to the fitting by Focal Meditech contain information about the reason for demanding a dynamic arm support. This information will be collected for the participants. Additionally, interviews will be conducted with the advisors of Focal Meditech to gain insight in factors they consider during the selection of a dynamic arm support. All results retrieved in the study will be analyzed by comparing people with different levels of perceived functional benefit of the Gowing in terms of functional ability support, reason for demanding a dynamic arm support, reasons for the limited ability to perform this ADL, and other possibilities to perform tasks. The results will be discussed in an expert panel.
- Main changes (audit trail)
- RECORD1-jul-2015 - 19-aug-2015

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