Testing Bootle Boot Camp - A New Movement Tracking App to Engage Kids in Home Exercise Programs
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Holland Bloorview Kids Rehabilitation Hospital
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Adherence (as a measure of behavioural engagement)
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This study aims to learn about the engagement and lower limb motor outcomes of children with cerebral palsy, ages 6-12 years, GMFCS Levels I-II, engaging in home-based movement practice using a novel therapy exercise Application, Bootle Boot Camp, offered with and without movement-tracking feedback.
Detailed Description
Adherence to home exercise programs is low. Interactive computer play (ICP) - any kind of computer game or virtual reality technology that allows users to interact with simulated objects in a virtual environment - offers a fun and motivational way to increase movement practice. Bootle Boot Camp is a novel ICP technology developed by the Possibility Engineering and Research Lab at Holland Bloorview Kids Rehabilitation Hospital that uses a 3D motion tracking camera to provide real time feedback on skeletal movements during game play. It allows physiotherapists to prescribe personalized lower limb home exercise programs to clients. The investigator's specific objectives are: 1. To compare participants' level of affective, behavioural, and cognitive engagement with Bootle Boot Camp with and without movement tracking feedback 2. To determine the quality of exercise performance when participants use Bootle Boot Camp with and without movement tracking feedback 3. To estimate the treatment response associated with use of Bootle Boot Camp 4. To explore physiotherapists, children, and their caregivers' experiences with the App. Children with cerebral palsy (ages 6-12 years, GMFCS Level I or II) will be prescribed a home exercise program by their treating physiotherapist that they will complete independently using the App on their television at home. Bootle Boot Camp exercise sessions offered with movement-tracking feedback will be alternated with sessions offered without feedback for 4 weeks (4 sessions per week). Following this comparison period, the version of the App providing the most therapeutic data pattern based on system data and children's input will be used for an additional 2 weeks. Post 6 weeks of Bootle Boot Camp game play, children and caregivers will be asked to take part in semi-structured interviews to learn more about families' experiences with the home program
Investigators
Eligibility Criteria
Inclusion Criteria
- •Registered and in good standing with the College of Physiotherapists of Ontario
- •Minimum 1-year pediatric clinical experience
- •Caseload consists of clients with cerebral palsy (ages 6-12 years; GMFCS Level I-II)
- •Works in public sector (Holland Bloorview) or private sector (clinics) within Ontario
- •Has technology (e.g., laptop) and internet services needed to use Bootle Boot Camp, complete online surveys and video calls
- •Has managerial and institutional approval
- •Physiotherapist
Exclusion Criteria
- •\* Visual/auditory deficits that would limit the physiotherapist's ability to interact with the App
- •Child Inclusion Criteria:
- •Diagnosis of cerebral palsy (GMFCS Levels I-II)
- •Ages 6-12 years
- •Minimum 1 lower limb goal
- •Able to complete 4 weekly exercise sessions using Bootle Boot Camp for 6 weeks
- •Not currently receiving physiotherapy services more than once every two months (on an off block from physiotherapy)
- •Normal or corrected to normal vision and hearing
- •Child and parent can speak and understand English
- •Has technology (e.g., laptop) and internet services needed to use Bootle Boot Camp, complete online surveys, and video calls
Outcomes
Primary Outcomes
Adherence (as a measure of behavioural engagement)
Time Frame: Week 1 - 6
The number of exercise repetitions that are attempted each session will be tracked and recorded by the 3D camera computer system and will be expressed as a proportion of the total number of prescribed repetitions
Secondary Outcomes
- Exercise fidelity(Week 1 - 6; Session 1 - 24)
- Modified Timed Up and Go(Week 1 at session 2 & Week 6 at session 22)
- Pick-A-Mood(Week 1 - 6; Session 1 - 24)
- Bootle Boot Camp Acceptability Survey(4th week mark at session 16)
- Pediatric Reach Test(Week 1 at session 3 & Week 6 at session 23)
- 30 Second Sit to Stand Test(Week 1 at session 4 & Week 6 at session 24)
- Mobile App Rating Scale(Week 4 at session 16)
- Semi structured interviews(Week 7 and Week 8)
- Five Time Sit to Stand Test(Week 1 at session 1 & Week 6 at session 21)
- One Leg Stance Test(Week 1 at session 3 & Week 6 at session 23)
- Canadian Occupational Performance Measure(Week 0 and Week 7)
- Wong-Bakers Faces Pain Scale(Week 1 - 6; Session 1 - 24)
- Smileyometer Scale(Week 1 - 6; Session 1 - 24)
- System Usability Scale and Bootle Boot Camp Usability Survey(Week 0)
- Study-specific Energy Level Question(Week 1 - 6; Session 1 - 24)