Activities of Daily Living, Assistive Technology, Neuromuscular Disability, Neuromuscular Disease, Occupational Therapy, Upper Limb
Conditions
Keywords
dynamic arm support, dynamic arm support device, ICF, daily life, outcome measures
Brief summary
The goal of this mixed method study is to learn about how a dynamic arm support device (DAS) helps people with everyday activities. The study focuses on people with neuro(-muscular) conditions, age 16 and older. The research questions that are formulated, are: * How does a person experience their daily activities, with and without a DAS? * What are the contextual (external and personal) factors that influence the use of a DAS? Participants will take part in three testing sessions. In each session, they must complete a few questionnaires and participate in an interview. The first time, without DAS. In the second and third session, they will be using their DAS (resp. 3 to 4 weeks and 3 months). The data collection will be executed by phone, digital questionnaires and/or paper.
Detailed description
Methodology: The target group consist of people: * with neurological of (neuro)muscular diseases * at the age of 16 years or older * who are using a dynamic arm support for at least one activity of daily life. This dynamic arm support is developed by Focal Meditech BV (balancer, Flowing, Dowing, Gowing 2 or Top Help) Study design: A convergent parallel mixed method study, consisting of a quantitative and a qualitative component will be executed. Quantitative data will be collected trough various questionnaires and measurements, during three testing sessions. The goal is to include 50 participants (sample size). To make a comparison between daily life with and without a dynamic arm support, paired t-tests or the Wilcoxon signed-rank test will be performed. All tests are two-tailed, with the significance level set at p \< 0.05 and a Bonferonni correction. SPSS, version 27.0, will be used for this data analysis. Qualitative data will be collected trough in-depth interviews. Participant will be recruited through purposive sampling. The number of included participants will be determined by data saturation. Next, data-analysis will be carried out according to a phenomenological hermeneutical method. Analysis will be conducted in NVivo V.12.
Interventions
DEVICEDynamic arm support
The participant will receive a new dynamic arm support.
Sponsors
Focal Meditech BV
Hasselt University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Inclusion criteria
* Age: 16 and oler * Being able to understand and comprehend test instructions * Using a DAS from Focal Meditech (Balancer, Flowing, Dowing, Gowing 2 or Top Help)
Exclusion criteria
/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Canadian Occupational Performance Measure (COPM) | Test moment 0: Assessment before delivery of dynamic arm support (DAS), Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | The COPM is a semi-structured interview, where the participants give at least 5 activities of daily life. They give a score of satisfaction and performance (between 1 and 10) on these 5 activities. |
| Psychosocial impact of assistive devices scale (PIADS) | Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | The psychosocial impact of assistive devices scale is a 26-item, self-report questionnaire designed to assess the effects of an assistive device (the DAS) on functional independence, well-being, and quality of life. Scores on competence (between -3 and +3), adaptability (between -3 and +3) and self-esteem (between -3 and +3). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diary | Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | During a period of 24 hours, participants fill out a diary in which they indicate how often and for what purposes they use their dynamic arm support (DAS). |
| Caregiver Assistive Technology Outcome Measure (CATOM) | Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | The caregiver Assistive Technology Outcome Measure measures the caregiver's perception of the impacts of dynamic arm support in his or her life. Scores between 18 and 90. |
| Visual Analogue Scale (VAS) - pain | Test moment 0: Assessment before delivery of dynamic arm support (DAS), Test moment1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | The experienced pain, indicated on a VAS scale, between 0 and 10. |
| Visual Analogue Scale (VAS) - fatigue | Test moment 0: Assessment before delivery of dynamic arm support (DAS), Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | The experienced fatigue, indicated on a VAS scale. Scores between 0 and 10. |
| Positive Health | Test moment 0: Assessment before delivery of dynamic arm support (DAS), Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | A questionnaire that assesses 6 dimensions: body functions, mental well-being, sense of meaning, quality of life, participation and daily functioning. Scores between 0 and 10, on each dimension. |
| In-depth interview | Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | An in-depth interview about: * The personal motivation to use the dynamic arm support * The external facilitators and barriers |
| The Flow State Scale for Occupational Tasks (FSSOT) | Test moment 0: Assessment before delivery of dynamic arm support (DAS), Test moment 1: assessment 3 weeks after delivery, Test moment 2: assessment 3 months after delivery | The Flow State Scale for Occupational Tasks measures flow experiences during an activity with or without a dynamic arm support (DAS). Scores between 0 and 98. |
Countries
Netherlands
Contacts
Primary ContactAnnemie Spooren, Professor Doctor
Outcome results
None listed