- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03564015
Smartphone App to Improve Functional Outcomes in Ankle Sprains (SPRAIN)
Smartphone App to Improve Functional Outcomes in Children With Acute Ankle Inversion Injuries: a Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Ontario
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London, Ontario, Canada, N6A5W9
- London Health Sciences Centre
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
(i) Age 12-21 years (ii) Presenting to the Emergency Department of the Children's Hospital, London Health Sciences Centre, London, Ontario, with a unilateral acute (<48 hours) ankle inversion injury.
(iii) Use a WiFi enabled smartphone with either an iOS or Android operating system with enough memory capability to host the App.
The diagnosis of an ankle inversion injury will be made on a clinical basis by the treating emergency physician after a fracture has been ruled out radiographically. We will include all grades of ankle injuries, including suspected Salter-Harris I of the distal tibia or fibula.
Exclusion Criteria:
- Children unable to read or understand English above at least a grade 8 literacy level
- Children who are not independently ambulatory (without the use of an assistive device)
- Children with a developmental disability precluding the full comprehension of study-related procedures,
- Children with multi-system or multi-limb injuries
- Children with a concomitant lower extremity fracture or dislocation (with the exception of a suspected Salter-Harris type I injury).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Smartphone app
The smartphone group will not be given paper-based discharge instructions in the ED.
They will download onto their smartphone device an Intervention App that will allow recording of the above mentioned study outcomes and contains an interactive educational component encompassing the identical information outlined in the paper handout.
The app will provide educational guidance towards recovery using a feedback algorithm that will recommend on a daily basis, the use of ice, elevation, range of motion exercises, and/or analgesics based on the participant's report of their pain using the FPS-R.
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Apple or Android app to provide education to guide functional recovery and allow recording of pain, management, and functional outcome using the Activities Scale for Kids performance version (ASKp) at home
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Active Comparator: Paper handout
The paper handout group will be asked to read the paper-based discharge instructions in the ED, outlining pharmacological and non-pharmacological pain management and return to activity.
They will download onto their smartphone device a Recording App that will only allow them to record the following study outcome measures: daily use of ice, analgesia, range of motion exercises, elevation, pain using the Faces Pain Scale - Revised (FPS-R), and ASKp scores on days 3, 5, 7, 10, 12, and 14.
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Paper handout to guide functional recovery.
Also includes a version of the smartphone app described above that only allows recording of pain, functional outcome, and management at home.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Activities Scale for Kids performance version (ASKp)
Time Frame: Day 14 +/- 1 day post-discharge
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30 item self-report questionnaire on functional performance with total score ranging from 0-100 with higher values representing greater function
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Day 14 +/- 1 day post-discharge
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Activities Scale for Kids performance version (ASKp)
Time Frame: Day 3, 5, 7, 10, and 12 +/- 1 day post-discharge
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30 item self-report questionnaire on functional performance with total score ranging from 0-100 with higher values representing greater function
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Day 3, 5, 7, 10, and 12 +/- 1 day post-discharge
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Time to return to baseline ASKp score
Time Frame: Days 1-14 post discharge
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30 item self-report questionnaire on functional performance with total score ranging from 0-100 with higher values representing greater function
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Days 1-14 post discharge
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Pain using the Faces Pain Scale - Revised (FPS-R)
Time Frame: Days 1-14 post discharge
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Self-report 6-item ordinal scale ranging from 0-5 with higher score indicating more pain
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Days 1-14 post discharge
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Use of non-pharmacological measures (ice, compression, other)
Time Frame: Days 1-14 post discharge
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Frequency
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Days 1-14 post discharge
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Use of pharmacological analgesia (NSAIDs, acetaminophen)
Time Frame: Days 1-14 post discharge
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Frequency
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Days 1-14 post discharge
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Janet Knechtel, BA, Lawson Health Research Institute
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 111817
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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