Home Exercise Adherence in Physical Therapy

Evan J. Petersen

Status: Terminated

Conditions: Adherence

Treatments: Other: Home Exercise Program and Adherence Logs

Study type: Interventional

Funder types: Other

Identifiers

NCT02822755

UniversityIW

Details and patient eligibility

About

The purpose of this study is to determine the effectiveness of an individualized video recording in improving adherence in home exercise programs for orthopaedic physical therapy patients.

Specific aims:

1. Evaluate whether individualized video recordings improve adherence with home exercise programs (HEP) as compared with conventional printed instructions measured by a self-report exercise log. (1-tail analysis)

Full description

This investigation will focus on the specific issues surrounding adherence to the use of individualized video recordings via smartphone versus conventional printed instructions in patients with orthopaedic injuries. The data reported will be used to explore the feasibility and potential benefits of smartphone usage for home exercise adherence.

Enrollment: 25 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants who can read and understand the English language,
• adults between 18-65 years of age,
• have a referral to an outpatient physical therapy clinic for an orthopaedic condition, and
• who own a smartphone with video recording capabilities and available data storage space (at least 500 MB or 0.5 GB).

Exclusion criteria

• Individuals referred for non-orthopaedic conditions,
• individuals currently on an established, prescribed home exercise program,
• individuals requiring more than 4 home exercises at one time as part of their rehabilitation program, and
• individuals who do not own a smartphone device with the required storage and recording specifications.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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25 participants in 2 patient groups

Video Recording Group

Experimental group

Description:

The experimental group participants will be recorded on their personal smartphone performing their prescribed exercises with individualized instruction from the participating physical therapist. The prescribing therapist will record participants on their own smartphones doing the exercise program in the clinic so that participants can have that video recording of the exercises to help remind them how to do the exercises properly at home. Participants will not be asked to record themselves performing future exercise sessions as documentation of improvement. Intervention: Home Exercise Program and Adherence Logs

Treatment:

Other: Home Exercise Program and Adherence Logs

Conventional Printed Group

Active Comparator group

Description:

The active comparator group will receive individualized instruction from the participating physical therapist on how to perform their home exercise program as well as printed instructions of the exercises. No video recording of the control group participants will be performed. Intervention: Home Exercise Program and Adherence Logs

Treatment:

Other: Home Exercise Program and Adherence Logs