PlayPhysio: Making Physio Fun

Not Applicable

Completed

• Conditions: Cystic Fibrosis in Children
• Interventions: Device: PlayPhysio

• Registration Number: NCT05469711
• Lead Sponsor: Alder Hey Children's NHS Foundation Trust

Brief Summary

A study to examine if the gamification of routine airway clearance can improve the quality of live for young people living with chronic health conditions.

Detailed Description

CF experts agree that there is a discrepancy between objective and self-reported adherence. Thus, an intervention focusing on both long-term, sustainable monitoring as well on enhancing and sustaining an efficient rate of respiratory physio is urgently needed. The device under investigation here is devoted exactly to this twofold task. Playphysio®(Pp) is a gamification system developed by Will Jackson, who has a background in product and software design but more importantly is the father of an adolescent girl with CF. The Pp is an electronic monitor which can be attached to the outside of an OPEP device. It senses patients' use of the OPEP device to enable the individual completing their existing airway clearance therapy to play mobile games throughout their treatment. Pp enables the individual to pick from a number of games to play whilst completing their normal prescribed airway clearance treatment. The games have been designed so that the ideal treatment technique is encouraged and the individual's treatment routine is supported with the counting of treatment breaths and prompting a pause to carry out their FET and cough. The aim of Pp is to enhance treatment adherence through its innovative element: gamification. It also offers objective monitoring of CF physio adherence through its technology. The Pp app offers positive feedback following the completion of treatment sessions, keeps a record of treatments done and shares this information with the CF physiotherapy team.

A previous study of an earlier Pp device have found good adherence over a 24 week period, however only 17/30 participants completed the trial. Qualitative data found positive outcomes with 2 participants making the following observations. This was an earlier prototype and changes have been made since that time to both the device and the games.

"I rely on the Playphysio for breathing into his PEP device properly. I can't imagine having to go back to the continuous monitoring and timing that used to be required before having Playphysio®" "I rely on Playphysio®. it has reduced my stress and time to get him to do it properly".

Children with CF who are using a play physio device, compared with those not using a play physio, will have a better experience of airway clearance leading to improved quality of life.

Study Timeline

• Study First Submitted: 2021-10-08
• Study Start: 2022-02-01
• Study First Submitted QC: 2022-07-19
• Study First Posted: 2022-07-22
• Primary Completion: 2023-02-11
• Study Completion: 2023-02-11
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-29
• Last Update Posted: 2024-01-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 59

Inclusion Criteria

Subject has confirmed diagnosis of cystic fibrosis as determined by the investigator Under care of Alder Hey Cystic Fibrosis Team (local or network care) Subjects 6 years-11 years, 8 months of age, inclusive, on the date of the informed consent Using a compatible OPEP device for daily airway clearance

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Exclusion Criteria

Incompatible device for airway clearance Outside of recruiting age

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Arm 1:	PlayPhysio	Gamification

Primary Outcome Measures

Name	Time	Method
Adherence to treatment	Duration of study (4 months)	This external pilot open randomised controlled trial will generate data examining study feasibility and specifically data on accrual, adherence and outcome measure stability. It is anticipated that data collected will inform power calculations for a future randomised controlled trial. The aim of this subsequent definitive study will be to determine whether Playphysio® with gamification in children with CF is more effective than standard therapy in improving adherence and quality of life. The pilot trial will also be used to gain experience about the use and the satisfaction of the Pp device among young patients.

Secondary Outcome Measures

Name	Time	Method
Patient Satisfaction	Duration of study (4 months)	Questionnaire - an demonstration of high patient satisfaction would be a positive outcome.
Cystic Fibrosis Questionnaire-Revised (CFQ-R)	Duration of study (4 months)	This is a disease-specific health-related quality of life (HRQOL) measure and the relevant measure. An change in score indicating improved quality of life would be a positive outcome. Score range = 0-100 and a higher score indicates higher health related quality of life.
Spriometry	Duration of study (4 months)	Lung function as performed for clinical practice (FEV1 and FVC)

Trial Locations

Locations (1)

Alder Hey Children's NHS Foundation Trust; 🇬🇧 Liverpool, Merseyside, United Kingdom