Home Exercise Adherence in Physical Therapy

Not Applicable

Terminated

• Conditions: Adherence
• Interventions: Other: Home Exercise Program and Adherence Logs

• Registration Number: NCT02822755
• Lead Sponsor: Evan J. Petersen

Brief Summary

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)

Detailed 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.

Study Timeline

• Study Start: 2016-06
• Study First Submitted: 2016-06-30
• Study First Submitted QC: 2016-07-01
• Study First Posted: 2016-07-04
• Primary Completion: 2018-09
• Study Completion: 2018-09
• Status Verified: 2019-04
• Last Update Submitted: 2019-04-15
• Last Update Posted: 2019-04-17

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 25

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Video Recording Group	Home Exercise Program and Adherence Logs	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
Conventional Printed Group	Home Exercise Program and Adherence Logs	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

Primary Outcome Measures

Name	Time	Method
Home Exercise Adherence	Weekly for 6 weeks	Data will be recorded via a self-reported exercise log that includes number of days exercises were completed per week. Participants will record the number of days participants did "All" of the program (defined as doing 100% of their exercises), "Most" of the program (defined as doing 75% of their exercises), "Some" of the program (defined as doing 50% of their program, and "None" of the program (defined as doing 0% of their exercise program).

Trial Locations

Locations (1)

Texas Physical Therapy Specialists; 🇺🇸 San Antonio, Texas, United States