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Table 1 Schedule of activities and measures for the RCT and implementation study. All psychometric instruments are scientifically validated and reliable

From: A neuro-cardiac self-regulation therapy to improve autonomic and neural function after SCI: a randomized controlled trial protocol

PROJECT STAGE (number of participants)

RCT (N = 120)

Pilot and main study phase)

 

Implementation phase (N = 100)

TIMELINE/PHASES (D- day, W: week; M: month; Ph: phase)

-7D to 0D

0D

10 W

6 M

12 M

Fortnightly

Ph-1 to Ph-5

RECRUITMENT

ACTIVITIES

Mode of data collection

       

Screening

Eligibility checklist

In-person

✓

      

ISCoS cardiovascular function dataset

In-person

✓

      

ISCoS pulmonary function basic data set

In-person

✓

      

Consent procedure

Informed consent procedure

In-person

✓

      

PARTICIPANT DESCRIPTORS

ASSESSMENTS

Mode of data collection

       

Socio-demographics

Socio-demographics details

In-person or online

 

✓

     

Pre-injury details

Employment history and psychological status

In-person or online

 

✓

     

Medical history

Self-report past/present health history

In-person or online

 

✓

     

Injury characteristics

Level of lesion, AIS and FIM

Medical records

 

✓

     

Pulmonary function

Pulmonary function test

In-person

 

✓

     

ALLOCATION

DESCRIPTION

Mode

       

Intervention group

HRV-F + Usual care

In-person and online

 

    

Control group

Usual care

Online

 

    

PRIMARY OUTCOMES

OUTCOME MEASURE

Mode of data collection

       

Autonomic function

ECG/ HRV Time domain – Short term

In-person

 

✓

✓

    

ECG/ HRV Frequency domain – Short term

In-person

 

✓

✓

    

Cerebral basal artery blood flow

Doppler assessment – Short term

In-person

 

✓

✓

    

SECONDARY OUTCOMES

OUTCOME MEASURE

Mode of data collection

       

Autonomic function

ECG/ HRV Time domain – Long term

In-person

 

✓

 

✓

✓

  

ECG/ HRV Frequency domain – Long term

In-person

 

✓

 

✓

✓

  
 

ADFSCI questionnaire

In-person

 

✓

✓

✓

✓

  

Cerebral basal artery blood flow

Doppler assessment – Long term

In-person

 

✓

 

✓

✓

  

Neurophysiological function

Continuous BP

In-person

 

✓

✓

✓

✓

  

EEG

In-person

 

✓

✓

✓

✓

  

NIRS

In-person

 

✓

✓

✓

✓

  

EOG

In-person

 

✓

✓

✓

✓

  

Skin conductance, BVP, respiration and temp

In-person

 

✓

✓

✓

✓

  

Secondary health conditions

SCI-SCS

In-person and online

 

✓

✓

✓

✓

  

Cognitive function

NUCOG

In-person and online

 

✓

✓

    

Stroop test

In-person and online

 

✓

✓

    

Psychological/mental health function

GADS

In-person and online

 

✓

✓

✓

✓

  

PHQ-9

In-person and online

 

✓

✓

✓

✓

  

Psychosocial function

ISCoS pain questionnaire

In-person and online

 

✓

✓

✓

✓

  

FSS

In-person and online

 

✓

✓

✓

✓

  

PSQA

In-person and online

 

✓

✓

✓

✓

  

PCS

In-person and online

 

✓

✓

✓

✓

  

Personal factors

CD-RISC2 Short Form

In-person and online

 

✓

✓

✓

✓

  

Quality of life

EQ-5D-5L

In-person and online

 

✓

✓

✓

✓

  

Participation and disability

WHODAS domain – participation items

In-person and online

 

✓

✓

✓

✓

  

Consumer perception and satisfaction

Self-reported perception of change and satisfaction

In-person and online

  

✓

    

Costs for Economic evaluation

Self-reported direct and indirect costs

Diaries (up to 12 m)

     

✓

 

Adverse events

Self-monitoring of Adverse events

Diaries (up to 12 m)

     

✓

 

Self-monitoring of mood, breath rate, pain, fatigue and sleep quality

Numeric rating scale (0 to 10)

Diaries (up to 12 m)

     

✓

 

EXPLORATORY OUTCOMES

OUTCOME MEASURE

Mode of data collection

       

Personal factors

WHO ASSIST

In-person and online

 

✓

✓

✓

✓

  

COPE inventory – brief

In-person and online

 

✓

✓

✓

✓

  

ADAPSS – Short-form

In-person and online

 

✓

✓

✓

✓

  

MSES

In-person and online

 

✓

✓

✓

✓

  

Psychological/mental health function

PTSD Checklist 5

In-person and online

 

✓

✓

✓

✓

  

Psychosocial function

SSQ6

In-person and online

 

✓

✓

✓

✓

  

Berlin Questionnaire

In-person and online

 

✓

✓

✓

✓

  

Environmental factors

Care, family and compensation status questionnaire

In-person and online

 

✓

✓

✓

✓

  

Participation and disability

RTW Questionnaire

In-person and online

    

✓

  

IMPLEMENTATION OUTCOME

MEASURE

Mode of data collection

       

Qualitative/ quantitative assessment

Stakeholder interviews and surveys

In-person and online

      

✓

  1. Abbreviations: ADAPSS Appraisal of DisAbility Primary and Secondary Scale, AIS American Spinal Injury Association Impairment Scale, ADFSCI Autonomic Dysfunction Following Spinal Cord Injury, BP blood pressure, COPE Coping Orientation to Problems Experienced, CD-RISC2 Connor-Davidson Resilience Scale 2 item short form, ECG electroencephaolography, EEG Electroencephaolography, EOG Electrooculography, EQ-5D-5L Euro Quality of Life 5-Dimensional 5-level, FIM Functional Impairment Scale, FSS Fatigue Severity Scale, GAD-7 Generalized Anxiety Disorder 7-Item Scale, HRV heart rate variability, ISCoS International Spinal Cord Society, MH, MSES Moorong Self-efficacy Scale, NUCOG Neuropsychiatry Unit Cognitive Assessment Tool, NIRS Near infrared spectroscopy, PCS Pain Catastrophizing Scale, PHQ-9 Patient Health Questionnaire-9, PSQA Pittsburgh Sleep Quality Index, PCL-5 Post-traumatic Stress Disorder Checklist for the Diagnostic and Statistical Manual of Mental Disorders Fifth Version, RTW return to work, SCI spinal cord injury, SCI SCS Spinal Cord Injury Secondary Condition Scale, SSQ6 Social Support Questionnaire, Temp temperature, WHO ASSIST World Health Organisation Alcohol, Smoking, and Substance Involvement Screening Test, WHODAS World Health Organisation Disability Assessment Scale