Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: a protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial
Loading...
Date
2016-05
Authors
Crotty, Maria
van den Berg, Maayken
Killington, Maggie
Hassett, Leanne
Lindley, Richard I
van der Ploeg, Hidde P
Smith, Stuart T
Schurr, Karl
Bongers, Bert
Howard, Kirsten
Journal Title
Journal ISSN
Volume Title
Publisher
BMJ Publishing Group
Rights
Copyright © 2016 the authors
Rights Holder
The authors
Abstract
ABSTRACT
Introduction: People with mobility limitations can
benefit from rehabilitation programmes that provide a
high dose of exercise. However, since providing a high
dose of exercise is logistically challenging and resourceintensive,
people in rehabilitation spend most of the day
inactive. This trial aims to evaluate the effect of the
addition of affordable technology to usual care on
physical activity and mobility in people with mobility
limitations admitted to inpatient aged and neurological
rehabilitation units compared to usual care alone.
Methods and analysis: A pragmatic, assessor
blinded, parallel-group randomised trial recruiting 300
consenting rehabilitation patients with reduced mobility
will be conducted. Participants will be individually
randomised to intervention or control groups. The
intervention group will receive technology-based
exercise to target mobility and physical activity problems
for 6 months. The technology will include the use of
video and computer games/exercises and tablet
applications as well as activity monitors. The control
group will not receive any additional intervention and
both groups will receive usual inpatient and outpatient
rehabilitation care over the 6-month study period. The
coprimary outcomes will be objectively assessed
physical activity (proportion of the day spent upright)
and mobility (Short Physical Performance Battery) at
6 months after randomisation. Secondary outcomes will
include: self-reported and objectively assessed physical
activity, mobility, cognition, activity performance and
participation, utility-based quality of life, balance
confidence, technology self-efficacy, falls and service
utilisation. Linear models will assess the effect of group
allocation for each continuously scored outcome
measure with baseline scores entered as a covariate. Fall
rates between groups will be compared using negative
binomial regression. Primary analyses will be
preplanned, conducted while masked to group allocation
and use an intention-to-treat approach.
Ethics and dissemination: The protocol has been
approved by the relevant Human Research Ethics
Committees and the results will be disseminated widely
through peer-reviewed publication and conference
presentations.
Trial registration number: ACTRN12614000936628.
Pre-results.
Description
This is an Open Access article distributed in accordance with
the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license,
which permits others to distribute, remix, adapt, build upon this work noncommercially,
and license their derivative works on different terms, provided
the original work is properly cited and the use is non-commercial. See: http://
creativecommons.org/licenses/by-nc/4.0/
Keywords
Technology, Mobility, Rehabilitation, Activity and MObility UsiNg Technology (AMOUNT)
Citation
Hassett L, van den Berg M, Lindley RI, et al. Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: a protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial. BMJ Open. 2016;6(6):e012074. doi:10.1136/bmjopen-2016-012074.