Rehabilitation
Conditions
Keywords
Motivating Reminiscence Technology, Feasibility, Exercise Adherence
Brief summary
This study evaluates the feasibility of a randomized controlled trial to evaluate the impact of motivating reminiscence-based therapy on exercise adherence, mood and physical health within a subacute rehabilitation population. The jDome BikeAround technology displays user-specified Google Earth images onto a domed screen as the user pedals on a stationary bike, which fosters the experience of bicycling through that given environment. Participants will use the technology for 12 weeks during their regularly scheduled therapy sessions.
Detailed description
Adherence to physical activity in older adults and those in a low-intensity rehabilitation program is important with respect to achieving the demonstrated benefits in mobility, physical function and overall health maintenance. Physical activities that incorporate motivational strategies can improve long-term adherence to therapy programs. The jDome BikeAround technology is one example, as it involves reminiscence therapy coupled with stationary bicycling. Participant's are able to visit any familiar locations or places they have wished to visit, thus providing a positive and interactive experience as they engage in physical activity. Participants will be enrolled for a total of 12 weeks. They will have three 10 minute weekly sessions with the jDome BikeAround during their regularly scheduled therapy sessions. Feasibility will be evaluated by participant recruitment, program completion, rate of adverse events and staff acceptance.
Interventions
OTHERMotivating reminiscence physical therapy
The jDome BikeAround system involves participants using a stationary bike while their selected location is displayed in front of them on a domed projector screen using Google Street View. Using pedals on the bike they can propel themselves down the street, steer and change direction as they wish.
Sponsors
Bruyere Academic Medical Organization
Bruyère Health Research Institute.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
All recruited participants will use the reminiscence based physical therapy technology, three times weekly for a total of 12 weeks (average admission duration). The expected study enrolment period is 6 months to allow for multiple sets of participants to be recruited from the same medical unit.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Admitted to the LIR (Low-intensity rehabilitation) or CMP (complex medical program) unit/floor where the research study is being conducted. Of note, both units receive low intensity rehabilitation services at baseline. * Participants capable of providing informed consent or have a SDM capable of providing consent on their behalf * Sufficient visual abilities to observe images on the domed screen * Able to comprehend and communicate in English or French * Minimum height requirement of 5'2 or 157cm in order to successfully fit the BikeAround system's stationary bike.
Exclusion criteria
* Physical limitations (as determined by the SVH healthcare/physiotherapy team) that prevent use of the jDome BikeAround. This includes: * 1\) Inability to coordinate/move lower limbs effectively to complete pedaling task * 2\) The pedaling exercise causes discomfort/pain greater than expected with physical activity * 3\) Medical treatment prevents usage of the system (i.e. continuous ventilatory needs for patients admitted within the CMP unit) * Cognitive impairment (as determined by the SVH healthcare/physiotherapy team) that prevent use of the jDome BikeAround, such as: * 1\) Inability to sustain attention to focus on pedaling task * 2\) Inability to follow one-step commands. * Known behavioral abnormalities (e.g. overly aggressive behavior) that in the opinion of the clinical care team might impede any meaningful participation in the project * Those who are in the opinion of, the attending physician or clinical team, too unwell to participate in the project
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant Recruitment | Baseline | Determine the feasibility of a future randomized controlled trial to evaluate the impact of the jDome BikeAround system on exercise adherence, mood and physical health within a subacute rehabilitation population. Feasibility will be determined by the ability to recruit 60 participants (based on the average number of patients admitted to the rehab units). |
| Number of participants retained | Week 12 | Determine the feasibility of a future randomized controlled trial to evaluate the impact of the jDome BikeAround system on exercise adherence, mood and physical health within a subacute rehabilitation population. Feasibility will be determined by the number of sessions participants attended, out of the total number of sessions offered. |
| Rate of adverse events | Week 12 | The number of adverse events experienced by participants related to the use of the jDome BikeAround will be monitored to evaluate the feasibility of a future randomized controlled trial using this technology. |
| Staff Acceptance | Week 12 | Staff Acceptance will be determined by measuring the number of sessions staff assign participants to use the jDome BikeAround, out of their total number of therapy sessions (I.e. total sessions assigned to use jDome BikeAround out of total therapy sessions which is 3 weekly sessions x 12 weeks). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction using jDome BikeAround - Staff | Baseline, week 6, week 12 | This measure will be assessed using online surveys for rehabilitation staff. 5-point scale from strongly disagree, disagree, neutral, agree, strongly agree |
| Emotional Impact | Baseline, week 6, week 12 | This measure will be assessed using semi-structured interviews with participants. This will assessed depending on participant verbal responses, not using any particular scale. |
| Impact on overall therapy experience - Participants | Baseline, week 6, week 12 | This measure will be assessed using semi-structured interviews with participants |
| Endurance | Total distance (meters) will be measured after each participant session (10 minutes) using the jDome BikeAround. This will occur 3 times per week throughout study duration for 12 weeks | Total distance (meters) travelled during each jDome BikeAround therapy bike session. |
| Ease of instruction - Participants | Baseline, week 6, week 12 | This measure will be assessed using semi-structured interviews with participants |
| Ease of instruction - Staff | Baseline, week 6, week 12 | This measure will be assessed using online surveys for rehabilitation staff. 3 questions graded on a 5-point scale from strongly disagree, disagree, neutral, agree, strongly agree |
| Impact on overall therapy experience - Staff | Baseline, week 6, week 12 | This measure will be assessed using online surveys for rehabilitation staff. 5-point scale from strongly disagree, disagree, neutral, agree, strongly agree |
| Mood changes | Weekly after a jDome BikeAround session (for 12 weeks) | Participant mood changes will be measured following their jDome BikeAround session using The Face Scale developed by Lorish and Maisiak (1986) |
| Functional Independence Measure (FIM score) | Baseline, week 6, week 12 | Standardized measure of disability used in rehabilitation populations. Measure evaluating 18 functional tasks on a scale of 1 (total care) to 7 (independent). Maximum 126 (best) and minimum is 18 (worst). |
| Satisfaction using jDome BikeAround - Participants | Baseline, week 6, week 12 | This measure will be assessed using semi-structured interviews |
Countries
Canada
Contacts
Primary ContactMark Campbell, MD, MSc
Outcome results
None listed