None listed
Conditions
Brief summary
In people with COPD; (i) what are the issues related to downloading and using the Step app and, (ii) what is the effect of a single education session on competency to download and use the Step app. Methodology: Participants with a diagnosis of COPD own a smartphone and are literate in English. Participant will be involved in completing three assessments and one education session (over two appointments). During the first 90-minute appointment, all participants will do a 0 – 10 visual analogue scale (VAS) to rate their perceived confidence in completing the tasks, this will be done four times over the two appointments.(before and after the assessment package or tasks.). The assessment package is described below. Thereafter, participants will be randomly allocated to one of two groups; experimental or control. Those in the experimental group will receive a 30 minute one-on-one education session on the use of the smartphone and Step app and those in the control groups will receive a 30-minute one-on-one education session on the nature of COPD and way in which rehabilitation produces benefits. Immediately following completion of the education session, all participants will repeat the assessment package. The PhD student will conduct all the education sessions for the participants. During the second appointment, conducted one month later, participants will complete a third (and final) administration of the assessment package. This appointment will be approximately one hour in duration. Assessment package: the PhD student will ask the participant to complete a set of predefined tasks, such as downloading the app, opening the app, using the app, refreshing the screen and closing the app. Each task will be broken down into sub-components. The participant will be permitted to move to the next task only once they meet ‘completion criteria’. On completion of each task the PhD student will; (i) record whether or not each sub-component was completed accurately, (ii) record the number of attempts made to complete the sub-component, (iii) record the time it took for the participant to reach completion criteria, (iv) ask the participant to rate their confidence with completing task on a 0 – 10 visual analogue scale (VAS). This will be video-recorded with only the hands of the participant in the frame with no identifying features.
Interventions
Participants allocated to the experimental group will receive practical ‘hands-on’ guidance on how to download a 'Steps app' onto their own smartphone and be able to use the app. The education session will be divided into sub-components of each of the following tasks: 'downloading Steps app', 'opening the Steps app', 'using the Steps app', 'refreshing the screen' and 'closing the app'. During the appointment, the investigator (PhD student) will ask the participant to complete an assessment package, which will comprise a set of predefined tasks, such as downloading the app. Before commencing the assessment package the participant is asked to rate their perceived confidence of completing the task on a 0-10 visual analogue scale. Opening the app, using the app. Refreshing the screen and closing the app. Each task will be broken down into ‘checking for WiFi connection’, ‘connecting to WiFi’, ‘finding the app store’, ‘browsing the app store and locating the Steps app’, and ‘downloading the app’. Once the Steps app is downloaded the participant is required to navigate the app, by registering themselves in the app, locate where the 'step count' is recorded and how to access 'history'of previous days step counts. Participants will be asked to ‘think out aloud’ as they move through the steps required to complete each sub-component. The participant will be permitted to move to the next task only once they meet ‘completion criteria’, defined as; (i) they complete all sub-components of the task correctly or, (ii) they state that they are unable to complete one or more sub-components of the task, despite attempting to do so. The learning model used for the participants in the experimental group is for acquiring practical skills of ‘show one, do one and teach one’ will be used. This will be approximately 30 minutes of one-on-one education session and there is no time limit on these education sessions. All education sessions will be administered by a the PhD candiate who is an investigator and a physiotherapist. All sessions will take place at the private room at medical consulting rooms of a Respiratory Consultant who is a co-investigator. The education session will be developed from data from a previous observation study where different participants will be asked to comment on facilitators and barriers to downloading and using the Steps app. The participants from control and experimental will take home a Summary of downloading Steps app as a pamphlet and also will be encouraged to record their step amount from the app onto a daily diary given to each participant. The goal of the recording is not about the actual amount of steps done though a record of how often they are engaging with the Steps app.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion criteria: People will be eligible to participate in the study if they; (i) have a clinical diagnosis of COPD, (ii) own a smartphone, (iii) report being able to read and write in English. Any participant with a documented history of a cognitive disorder will be excluded.
Exclusion criteria
Any participant with a documented history of a cognitive disorder will be excluded or report being unable to read or write in English.