Cho 2016.
Study characteristics | ||
Methods |
Design: parallel RCT Duration of trial: 6 weeks (dates not specified) Unit of randomisation: people with hemiparetic stroke onset within 3 months to 1 year Recruitment and allocation: eligible people from among 48 stroke inpatients who were undergoing physical and occupational therapy were randomised to 1 of 3 groups, NFB (not included in this review), CACR (n = 14), and CG (n = 16). |
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Participants |
Setting: 1 general hospital Country: Republic of Korea Sample size: 30 adults, 53% men; CARR: 14 (64% men); CG: 16 (48% men) Inclusion criteria: hemiparetic stroke of onset within 3 months to 1 year, able to follow verbal instructions and to communicate, experienced mild cognitive deficit (18–23 on the MMSE), able to perform all tests Exclusion criteria: if had never attended a school or had received CACR within the past year Age: mean: CARC: 63.0 (SD 5.4) years; CG: 64.0 (SD 8.8) years Time since onset of stroke: mean: CARC: 5.1 (SD 2.2) months; CG: 6.5 (SD 1.5) months Types of stroke: not described, except hemiplegic Site of lesion: not reported |
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Interventions |
Intervention group Brief name: CARR using RehaCom software Recipients: adults with stroke within 3–12 months poststroke with cognitive dysfunction Why: to improve problem‐solving ability through use of games or other computer‐based programs in a manner that allowed different levels of task difficulty for the participant. What (materials): RehaCom software (Korean version): attention, concentration, and memory programs; see hasomed.de/en/products/rehacom/. The software is available in 27 languages at no extra cost; computer; monitor, keyboard. What (procedures): CACR in addition to occupational therapy and physical therapy. Who provided: 2 "expert therapists" provided the CACR and traditional rehabilitation therapy. The RehaCom website states that the software is used "extensively by … occupational therapists" and other clinicians in rehabilitation centres, hospitals, and clinics. How: face‐to‐face and individually (presumably) Where: not specified but within hospital When and how much: 30 minutes per day, 5 days per week, for 6 weeks (total of 15 hours) (in addition to usual occupational therapy and physical therapy) Tailoring: training at different levels of task difficulty according to the functional level of the participant Modifications: none reported How well (planned): not reported How well (actual): not reported Comparator group Brief name: traditional rehabilitation therapy Recipients: adults with stroke with cognitive dysfunction Why: to provide rehabilitation services to people poststroke. What: occupational therapy and physical therapy Who provided: occupational therapists and physiotherapists How: face‐to‐face Where: 1 general hospital When and how much: 30 minutes 5 times per week for 6 weeks (total of 15 hours) Tailoring: none reported Modifications: not reported How well (planned): not reported How well (actual): not reported |
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Outcomes |
Primary
Methods of data collection: data collection not described except that FIM Motor and Cognitive subtotal and FIM Total scores were calculated. Data collection time points: baseline and 6 weeks (post‐treatment) |
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Notes |
Funding: not reported Conflict of interest: not reported Published trial protocol: not reported Trial registration: not reported Ethics approval: yes "approved by the Institutional Review Board of Gachon University" |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported. |
Allocation concealment (selection bias) | Unclear risk | Not reported. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Participants could discern which group they were in and therapist could also. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not reported. |
Selective reporting (reporting bias) | Low risk | All outcomes in the methods were reported in the results; no protocol reported. |
Other bias | Low risk | No other identifiable bias. |