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Trial · NCT07182578

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryWorld Health Organization Quality of Life - Brief (WHOQOL-BREF)From enrollment to the end of 12 weeks of aquatic occupational therapy intervention
The WHOQOL-BREF is a 26-item questionnaire that will be completed digitally. It is scored by first assigning numerical values (1-5) to each response, with higher scores generally indicating a better quality of life. Then, raw domain scores are calculated by averaging the responses within each domain (Physical, Psychological, Social, and Environmental). Finally, these raw domain scores are transformed into scaled scores ranging from 0 to 100 by multiplying by 4. Higher scores on the 0-100 scale indicate a higher quality of life. The measure will be reported as a quality of life score.
PrimaryThe DePaul Symptom Questionnaire (Short Form) (DSQ-SF)From enrollment to the end of 12 weeks of aquatic occupational therapy intervention.
14-item-questionnaire which measures post-exertional malaise symptoms over the last 6 months. Each question requires two ratings, one for frequency (0 = none of the time and 4 = all of the time) and one for severity (0 = symptom not present and 4 = very severe). A frequency of at least 2 and a severity of at least 2 on any one of the 5 questions on the DSQ-SF subscale indicate that post exertional malaise is present. For each symptom, the frequency and severity scores are averaged, and then multiplied by 25 to create a composite score out of 100. The measure will be reported as a post exertional malaise score.
PrimaryComposite Autonomic Symptom Score-31From enrollment to the end of 12 weeks of aquatic occupational therapy intervention.
Measures neurodegenerative system symptoms through 31 patient-reported questions. Assessment is through six weighted domains: orthostatic intolerance \[10 points\]; vasomotor \[6 points\]; secretomotor \[7 points\]; gastrointestinal \[28 points\]; bladder \[9 points\] and pupillomotor \[15 points\]. A higher score indicates worse autonomic dysfunction. Simple yes or no questions are scored as 0 points for no and 1 point for yes. Questions about a specific site of symptoms or symptoms under specific circumstances are scored as 0 if not present and as 1 if present for each site or circumstance. All questions regarding the frequency of symptoms were scored as 0 points for rarely or never, 1 point for occasionally or sometimes, 2 points for frequently or "a lot of the time," and 3 points for almost always or constantly. All questions regarding the severity of symptoms were scored as 1 point for mild, 2 points for moderate, and 3 points for severe. The measure will be reported as a COMPASS score
PrimaryMalmo POTS Scale (MAPS)From enrollment to the end of 12 weeks of aquatic occupational therapy intervention
This 12-item questionnaire assesses the specific POTS symptom burden over the past 3 months. Each question uses a visual analog scale from 0-10, with a maximum score of 120. A score of 42 or higher is considered indicative of POTS. The measure will be reported as a MAPS score.
PrimaryADLS, IADLS, and Vestibular QuestionnaireFrom enrollment to the end of 12 weeks of aquatic occupational therapy intervention
This is a 26-item questionnaire that will be filled out digitally. 21 questions cover about to participate in occupations listed in the Occupational Therapy Practice Framework using a scale from 1-10, where 1 is unable to complete the task, 5 is able to complete task with moderate difficulty (noticeable symptoms and extra effort is required) 10 is no problems/symptoms completing the task. It also contains 5 vestibular related questions using a scale from 1-7, with 1 being not at all dizzy, 4 being moderately dizzy, and 7 being extremely dizzy. The measure will be reported as an AIVQ score.
PrimaryActive Stand TestFrom enrollment until the end of treatment at 12 weeks
The patient will begin laying down in a relaxed and comfortable position. Blood pressure (BP) and heart rate (HR) are taken after 5 minutes. Next, the patient will be asked to stand promptly, and will have their BP and HR measured immediately. The therapist will note any comments like "feeling dizzy". The BP and HR will be taken again and documented after three minutes, and again after ten minutes of standing. If there is any event, such as severe dizziness, paleness, etc, the BP and HR will be taken and documented just before the patient sits down. The measure will be reported as the position, time, and the correlated heart rate and blood pressure.
PrimarySingle leg stance testFrom enrollment to the end of 12 weeks of aquatic occupational therapy intervention
This test measures a person's ability to balance standing on one leg without assistance. The participant will stand on one leg with their hands on their hips while being timed. The test is repeated 3 times for each leg and averaged. The measure will be reported as time standing per leg.
PrimaryHeart RateFrom enrollment to the end of treatment at 12 weeks
Heart rate (HR) will be measured on land while the participant is laying down, sitting up, and standing. HR in the water will be taken while seated and standing. An aquatic HR maximum and HR zones will be calculated for each participant. This measure will be reported as a land-based and aquatic HR maximum.
PrimaryBorg's rate of perceived exertion scaleFrom enrollment to the end of treatment at 12 weeksThis scale is used to tell how tiring an activity feels. The scale ranges from 6 (no exertion at all), to 20 (maximal heaviness). This will be reported as the RPE score.
SecondaryThe Stroop TestFrom enrollment to the end of 12 weeks of aquatic occupational therapy intervention
The Stroop Test is a measure of working memory and attention. A participant is asked to read words of various colors, say the color of the letters when they are the same, and when the colors don't match the words. They are timed and errors are tracked. This will be reported as the SCWT score.
SecondaryTrail Making Test Parts A & BFrom enrollment to the end of the intervention at 12 weeks
The participant is given a paper with numbers and letters, and is instructed to connect the letters and numbers in order (1-A-2-B-3-C, etc.), as quickly as possible, without lifting the pend or pencil from the paper. Errors will be pointed out immediately and the participant is allowed to correct it, but the time it takes to correct is still included in the completion time for the task. This will be reported as the TMT-A and TMT-B scores.
SecondaryEnrollmentFrom enrollment to the end of treatment at 12 weeksTotal number of participants who complete the informed consent, evaluation session, and agree to participate in program according to schedule discussed with participant
SecondaryAttrition RateFrom enrollment to the end of treatment at 12 weeksThe number of enrolled participants who do not complete the program
SecondarySession attendance rateFrom enrollment to the end of treatment at 12 weeksThis will be calculated by the number of sessions attended out of the total number of sessions for the program.
SecondaryCost analysisFrom enrollment to the end of treatment at 12 weeksThis measure will include resource tracking and total costs divided by the number of completers.
SecondaryHealth utilization changesFrom enrollment to the end of treatment at 12 weeksThis will include a calculation of health utilization changes from before the program compared to after the program
SecondarySatisfaction AnalysisFrom enrollment to the end of treatment at 12 weeksThematic analysis of open-ended feedback from participants and stakeholders will determine the most common themes and areas for improvement within the program.
SecondaryExercise self-efficacyFrom enrollment to the end of treatment at 12 weeksMeasure will be completed before the program and compared to the result after, leading to an ESE score.
SecondaryGoal Attainment ScalingFrom enrollment to the end of treatment at 12 weeks
Goal attainment scaling is a method to turn individualized goals into a 5-point evaluation method, using a score of -2 to + 2 to quantify progress towards the specific goals. It measures the outcomes against expected results, where 0 is the expected outcome, -2 is much less than the expected outcome, and +2 is much more than the expected outcome.
SecondaryBeighton ScoreFrom enrollment to the end of treatment at 12 weeks
The Beighton score is a screener for hypermobility and can be done quickly and simply with no testing materials needed. It consists of a 5-point scale, requires 5 maneuvers. It involves the evaluation of only a small number of joints, so any hypermobile joints not in this group may be overlooked.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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