Feedback and Rewards to Increase Motivation for Therapy in Stroke Rehabilitation

High motivation is a predictor for good therapy results in physical therapy [Grahn 2000]. The investigator want to show that it is possible to increase patients motivation for stroke rehabilitation by providing them objective performance feedback about the patients therapy progress.

Study Overview

• Status: Completed
• Conditions: Stroke
• Intervention / Treatment: Other: Performance Feedback

Detailed Description

High motivation is a predictor for good therapy results in physical therapy [Grahn 2000]. Additional focus on motivation and rewards has fallen on the topic of stroke rehabilitation since it was shown in an animal model that the brain centers involved with motivation and rewards are crucial to motor learning [Hosp 2011].

The investigators goal is to target the overall motivation for therapy. During the guided therapy sessions the therapists will be the main motivators and the investigators do not want to interfere with that. But the amount of guided therapy sessions is often limited due to economical reason rather than therapeutic ones. Therefore patients are encouraged to do training on their own if possible and to be active during the patients stay in the rehabilitation clinic. The investigators target the patients motivation to train by themselves and be active but also the patients attitude towards the guided therapies. It is known that performance feedback can improve motivation [Harackiewicz 1979]. Therefore the investigators want to use the data about therapy progress to produce feedback for patients visualizing the patients progress and efforts during the patients stay in the clinic.

The investigators will compare patients who receive normal therapy to patients who receive normal therapy plus performance feedback regarding a variety of motivation measures.

• Study Type: Interventional
• Enrollment (Anticipated): 62
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Switzerland
  • Lucerne
    • Vitznau, Lucerne, Switzerland, 6354
      • Cereneo, Center For Rehabilitation and Neurology

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• First time Inpatient at the Cereneo rehabilitation clinic

Exclusion Criteria:

• Rey-Figur Kopie <= 25 AND Rechnerisches Denken WIE <=5
• Becks Depression Inventar (BDI) > 17
• Major aphasia preventing understanding of study materials (according to the treating physician).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: No intervention group; Patients in stroke rehabilitation receiving standard therapy
Active Comparator: Intervention group; Patients in stroke rehabilitation receiving standard therapy plus performance feedback	Other: Performance Feedback; Performance Feedback regarding the patients efforts and accomplishments during the patients stay in the rehabilitation clinic, an expected average of 6 weeks. The data available about the patients progress will be analysed and processed to create a visual illustration shown to the patient on a daily bases.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Motivation	Weekly: Intrinsic Motivation Inventory Questionnaire	Weekly for the duration of the participants stay at the hospital an expected average of 6 weeks
Motivation	Motivation rating of patients regarding the foregoing therapy session by therapists	After each therapy session for the duration of the participants stay at the hospital an expected average of 6 weeks
Motivation	Time patient spends on self administered training	Continuous for the duration of the participants stay at the hospital an expected average of 6 weeks
Motivation	Amount of activities (walking, stair climbing) during free time	Continuousfor the duration of the participants stay at the hospital an expected average of 6 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Clinical scores (e.g. Fugl-Meyer Score)	Standard quality assessments of the study site (rehabilitation clinic)	When decided by therapists for the duration of the participants stay at the hospital an expected average of 6 weeks

Collaborators and Investigators

• Sponsor: Cereneo AG

Publications and helpful links

General Publications

• Grahn B, Ekdahl C, Borgquist L. Motivation as a predictor of changes in quality of life and working ability in multidisciplinary rehabilitation. A two-year follow-up of a prospective controlled study in patients with prolonged musculoskeletal disorders. Disabil Rehabil. 2000 Oct 15;22(15):639-54. doi: 10.1080/096382800445443.
• Hosp JA, Pekanovic A, Rioult-Pedotti MS, Luft AR. Dopaminergic projections from midbrain to primary motor cortex mediate motor skill learning. J Neurosci. 2011 Feb 16;31(7):2481-7. doi: 10.1523/JNEUROSCI.5411-10.2011.
• Harackiewicz, Judith M. The effects of reward contingency and performance feedback on intrinsic motivation. Journal of Personality and Social Psychology, Vol 37(8), Aug 1979, 1352-1363.

Study record dates

Study Major Dates

• Study Start: April 1, 2016
• Primary Completion (Actual): December 1, 2020
• Study Completion (Actual): December 1, 2020

Study Registration Dates

• First Submitted: December 8, 2014
• First Submitted That Met QC Criteria: December 10, 2014
• First Posted (Estimate): December 12, 2014

Study Record Updates

• Last Update Posted (Actual): February 1, 2021
• Last Update Submitted That Met QC Criteria: January 27, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke
• Other Study ID Numbers: KFSP Feedback Study