None listed
Conditions
Brief summary
This project will compare two "next generation" methods of measurement of physical function to the accepted gold standard assessment of physical function: in-person testing using validated physical function outcome measures. We will measure physical activity using (1) wearable devices and smartphone applications and (2) a telephone assessment of global function; we will compare these convenient at home assessments to the gold standard in-person assessments in order to quantify the validity and feasibility of these new approaches to inform future clinical trial design. The results will be used both within Australia and New Zealand, and internationally, to design future RCTs aiming to measure post discharge and long term physical function outcomes. Moreover, our results will also inform the design of new in-home monitoring strategies for post-ICU clinics and interventions.
Interventions
In the outpatient department of the hospital, participants will be provided with a smartphone application (Health App - with the smartphone worn in a pocket) and two wearable devices (Fitbit One worn clipped to the waistband and Fitbit Flex worn on the wrist). They will complete the gold standard battery of physical function tests for approximately 30 minutes as well as conduct a 10 minute treadmill walk while wearing the devices, including the smartphone. The participants will be asked to wear the devices and to carry the smartphone for a 7-day period for as much of the 24 hours as possible in their usual living accommodations. After Day 7, they will undergo a twenty minute telephone assessment of physical function, relay the data from the smartphone applications and be prompted to return the wearable devices via the pre-paid envelope.
Sponsors
Study design
Eligibility
Inclusion criteria
Participants who were previously admitted to the Intensive Care Unit (ICU) and mechanically ventilated for at least 48 hours and who: 1. report being able to walk continuously for at least 10 minutes prior to ICU admission 2. own a smartphone 3. live within 40km of the recruiting hospital 4. admitted to ICU in the previous 6 months
Exclusion criteria
1. The ICU-requiring injury prevents post-discharge ambulation (e.g. traumatic lower limb amputation) 2. Inadequate English spoken to enable completion of assessments 3. Pregnancy 4. Severe cognitive or neurological deficits likely to impact the ability to complete assessments