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

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dc.contributor.author Crotty, Maria
dc.contributor.author van den Berg, Maayken
dc.contributor.author Killington, Maggie
dc.contributor.author Hassett, Leanne
dc.contributor.author Lindley, Richard I
dc.contributor.author van der Ploeg, Hidde P
dc.contributor.author Smith, Stuart T
dc.contributor.author Schurr, Karl
dc.contributor.author Bongers, Bert
dc.contributor.author Howard, Kirsten
dc.contributor.author Heritier, Stephane
dc.contributor.author Togher, Leanne
dc.contributor.author Hackett, Maree
dc.contributor.author Treacy, Daniel
dc.contributor.author Dorsch, Simone
dc.contributor.author Wong, Siobhan
dc.contributor.author Scrivener, Katharine
dc.contributor.author Chagpar, Sakina
dc.contributor.author Weber, Heather
dc.contributor.author Pearson, Ross
dc.contributor.author Sherrington, Catherine
dc.date.accessioned 2016-09-26T03:45:34Z
dc.date.available 2016-09-26T03:45:34Z
dc.date.issued 2016-05
dc.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/ en
dc.description.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. en
dc.identifier.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. en
dc.identifier.doi https://doi.org/10.1136/bmjopen-2016-012074 en
dc.identifier.issn 2044-6055
dc.identifier.uri http://hdl.handle.net/2328/36408
dc.language.iso en
dc.oaire.license.condition.license CC-BY-NC
dc.publisher BMJ Publishing Group en
dc.relation http://purl.org/au-research/grants/nhmrc/1063751 en
dc.relation.grantnumber NHMRC/1063751
dc.rights Copyright © 2016 the authors en
dc.rights.holder The authors en
dc.subject Technology
dc.subject Mobility
dc.subject Rehabilitation
dc.subject Activity and MObility UsiNg Technology (AMOUNT)
dc.title 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 en
dc.type Article en
local.contributor.authorOrcidLookup Killington, Maggie: https://orcid.org/0000-0002-4482-8470 en_US
local.contributor.authorOrcidLookup Crotty, Maria: https://orcid.org/0000-0002-2996-5135 en_US
local.contributor.authorOrcidLookup van den Berg, Maayken: https://orcid.org/0000-0002-5878-7649 en_US
local.contributor.authorOrcidLookup Weber, Heather: https://orcid.org/0000-0003-4945-8445 en_US
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