Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol
Introduction Studies show that stroke survivors encounter physical and psychological limitations that restrict their participation in social and community activities. Systematic reviews have yielded inconclusive evidence regarding the effectiveness of different interventions intended to support stro...
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| Format: | Article |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e061069.full |
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| author | Janita Pak Chun Chau Suzanne Hoi Shan Lo Vivian Wing Yan Lee Kai Chow Choi Alexander Yuk Lun Lau David R Thompson Eddie Chi Fai Kwok |
| author_facet | Janita Pak Chun Chau Suzanne Hoi Shan Lo Vivian Wing Yan Lee Kai Chow Choi Alexander Yuk Lun Lau David R Thompson Eddie Chi Fai Kwok |
| author_sort | Janita Pak Chun Chau |
| collection | DOAJ |
| description | Introduction Studies show that stroke survivors encounter physical and psychological limitations that restrict their participation in social and community activities. Systematic reviews have yielded inconclusive evidence regarding the effectiveness of different interventions intended to support stroke survivors’ social participation. Recent advances in virtual reality technology may offer promising solutions, although the optimal approach to enhance social participation among stroke survivors is yet to be determined. This trial aims to develop and evaluate the effectiveness of a social participation-focused virtual reality (SP-VR) intervention on the physical, psychological and social outcomes of community-dwelling stroke survivors with physical disabilities.Methods and analysis A two-arm randomised, controlled, assessor-blind clinical trial will be conducted with 250 stroke survivor–caregiver dyads recruited from three acute and one rehabilitation hospitals, and three stroke nurse-led clinics. Participants will be survivors of a first or recurrent stroke within 6 months of stroke onset and able to remain in a sitting position without support, and their primary caregivers. Eligible participants will be randomly allocated to receive the SP-VR intervention or usual care which includes conventional physical therapy services. The intervention group will receive a newly developed 6-week novel custom-made SP-VR application comprising two sessions weekly. Three SP-VR modules will cover key aspects of survivors’ social health needs, namely functional rehabilitation, social participation, and social interaction and recreation. The primary outcome for stroke survivors is social participation, and secondary outcomes include depressive symptoms, participation self-efficacy, physical function, functional mobility and social support. User satisfaction will be evaluated among both survivors and caregivers. Data will be collected in person at baseline, immediately after, and 3 months postintervention.Ethics and dissemination Ethical approval has been obtained from the Joint Chinese University of Hong Kong-New Territories East Cluster Research Ethics Committee (Ref. No.: 2019.676). Study results will be disseminated through peer-reviewed journals and conference presentations.Trial registration number ChiCTR2100050850. |
| format | Article |
| id | doaj-art-a9019e4a6ee645f3acf01f9871bd409e |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a9019e4a6ee645f3acf01f9871bd409e2025-01-30T21:40:11ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-061069Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocolJanita Pak Chun Chau0Suzanne Hoi Shan Lo1Vivian Wing Yan Lee2Kai Chow Choi3Alexander Yuk Lun Lau4David R Thompson5Eddie Chi Fai Kwok6The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T, Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T, Hong KongCentre for Learning Enhancement And Research, The Chinese University of Hong Kong, Shatin, N.T, Hong KongThe Nethersole School of Nursing, The Chinese University of Hong Kong, Faculty of Medicine, Hong Kong, Hong KongDepartment of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T, Hong Kong5 Queen`s University Belfast School of Nursing and Midwifery, Belfast, Northern Ireland, UKCentre for eLearning Innovation and Technology, The Chinese University of Hong Kong, Shatin, N.T, Hong KongIntroduction Studies show that stroke survivors encounter physical and psychological limitations that restrict their participation in social and community activities. Systematic reviews have yielded inconclusive evidence regarding the effectiveness of different interventions intended to support stroke survivors’ social participation. Recent advances in virtual reality technology may offer promising solutions, although the optimal approach to enhance social participation among stroke survivors is yet to be determined. This trial aims to develop and evaluate the effectiveness of a social participation-focused virtual reality (SP-VR) intervention on the physical, psychological and social outcomes of community-dwelling stroke survivors with physical disabilities.Methods and analysis A two-arm randomised, controlled, assessor-blind clinical trial will be conducted with 250 stroke survivor–caregiver dyads recruited from three acute and one rehabilitation hospitals, and three stroke nurse-led clinics. Participants will be survivors of a first or recurrent stroke within 6 months of stroke onset and able to remain in a sitting position without support, and their primary caregivers. Eligible participants will be randomly allocated to receive the SP-VR intervention or usual care which includes conventional physical therapy services. The intervention group will receive a newly developed 6-week novel custom-made SP-VR application comprising two sessions weekly. Three SP-VR modules will cover key aspects of survivors’ social health needs, namely functional rehabilitation, social participation, and social interaction and recreation. The primary outcome for stroke survivors is social participation, and secondary outcomes include depressive symptoms, participation self-efficacy, physical function, functional mobility and social support. User satisfaction will be evaluated among both survivors and caregivers. Data will be collected in person at baseline, immediately after, and 3 months postintervention.Ethics and dissemination Ethical approval has been obtained from the Joint Chinese University of Hong Kong-New Territories East Cluster Research Ethics Committee (Ref. No.: 2019.676). Study results will be disseminated through peer-reviewed journals and conference presentations.Trial registration number ChiCTR2100050850.https://bmjopen.bmj.com/content/12/7/e061069.full |
| spellingShingle | Janita Pak Chun Chau Suzanne Hoi Shan Lo Vivian Wing Yan Lee Kai Chow Choi Alexander Yuk Lun Lau David R Thompson Eddie Chi Fai Kwok Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol BMJ Open |
| title | Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol |
| title_full | Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol |
| title_fullStr | Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol |
| title_full_unstemmed | Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol |
| title_short | Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol |
| title_sort | effects of a social participation focused virtual reality intervention for community dwelling stroke survivors with physical disabilities a randomised controlled trial protocol |
| url | https://bmjopen.bmj.com/content/12/7/e061069.full |
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