Rock Steady- A mobile, gamified vestibular rehabilitation tool for olderadults with complaints of dizziness

Rock Steady - 一款移动游戏化前庭康复工具，适用于患有头晕症状的老年人

• 批准号: 9883778
• 负责人: Sheryl Flynn
• 金额: $ 61.04万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-03 至 2023-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9883778
• 关键词: Address; Adherence; Adopted; Adoption; Adult; Age; American; Anxiety; Boredom; Chronic; Clinic; Clinical Practice Guideline; Computer software; Cost Control; Data; Development; Diagnosis; Disease; Dizziness; Elderly; Ensure; Equilibrium; Exercise; Eye; Eye Movements; Feedback; Functional disorder; Future; Goals; Head; Head Movements; Health Care Costs; Home environment; Impairment; Individual; Intervention; Interview; Lead; Measures; Medical; Mental Depression; Methods; Mission; Modeling; Monitor; National Institute on Deafness and Other Communication Disorders; Outcome; Paper; Participant; Patients; Performance; Phase; Physical Performance; Pilot Projects; Population; Posture; Pre-Post Tests; Procedures; Public Health; Quality of life; Randomized; Randomized Clinical Trials; Recommendation; Rehabilitation Outcome; Rehabilitation therapy; Reporting; Research; Research Design; Risk Reduction; Service delivery model; Small Business Innovation Research Grant; Speed; Structure; Supervision; Surveys; Symptoms; Tablets; Technology; Technology Development Study; Testing; Time; age group; aged; attenuation; base; clinical practice; design; digital; equilibration disorder; exercise program; expectation; experience; fall risk; fear of falling; functional outcomes; gaze; health care delivery; improved; improved outcome; innovation; iterative design; mobile application; novel strategies; power analysis; programs; prototype; reduce symptoms; research and development; response; sensor; standard of care; symptom treatment; therapy adherence; tool; usability

Project Summary The long-term objective of this SBIR application is to develop and test Rock Steady, a software application for older adults with dizziness. This product is relevant to the mission of the NIDCD because it addresses the request for, “the development of technologies for the study, diagnosis, and treatment of balance disorders, particularly for the elderly”. The envisioned product is an elegantly simple mobile application that is designed to evaluate impairment, track symptoms, and measure adherence to gaze stability home exercise programs which are based on recommendations from the 2016 Clinical Practice Guidelines for Vestibular Rehabilitation. Rock Steady was conceived in response to four main limitations in the current VRT healthcare delivery model: 1) access, 2) the need for developing engaging exercise programs that will improve adherence to VRT, 3) poor performance, and 4) absence of remote monitoring capabilities. This application is very timely given the ever-enlarging older adult population and the ease of dissemination via smart tablets/PCs which are being adopted by older adults at faster rates than ever before. Deploying the app on common digital technology will ensure its widespread adoption. Finally, it will be designed with feedback from all stakeholder groups including people with vestibular dysfunction. The objective of Phase II is to complete the research and development of gamified gaze stability exercises and to conduct an exploratory pilot study to gather data about Rock Steady's ability to address current limitations in the standard VRT delivery model; and to gather data that will inform the design of a future randomized clinical trial (RCT). Phase I Progress: We developed the Rock Steady prototype and evaluated its reliability, validity and usability, integrated eye/head tracking, obtained feedback from stakeholders (clinicians and patients) and identified and evaluated content expansions for Rock Steady. Phase 2 Aims. Specific Aim 1: Complete development of Rock Steady based on results from Phase 1, and Specific Aim 2: Conduct an exploratory pilot study to gather data about Rock Steady's ability to address current limitations in the standard VRT delivery model; and to gather data that will inform the design of a future randomized clinical trial (RCT). Research Design: The pilot will be a randomized pre- test/post-test parallel group trial; participants will receive either A) standard vestibular rehabilitation (S-VRT) or B) digital vestibular rehabilitation using the Rock Steady app (D-VRT) to use at home for 4 weeks. Outcomes will be collected: pre- and post-test sessions. Outcomes: We will use semi-structured interviews, usability surveys, functional outcomes and game/sensor outcomes to evaluate Rock Steady. Expected Outcomes: We believe that Rock Steady will provide appropriate feedback to patients and clinicians, improve adherence, be usable, enable remote monitoring and be feasibly used as part of a home exercise program that positively impacts function in adults with dizziness.

项目概要 该 SBIR 应用程序的长期目标是开发和测试 Rock Steady，这是一款针对较旧版本的软件应用程序 该产品与 NIDCD 的使命相关，因为它满足了“ 开发研究、诊断和治疗平衡障碍的技术，特别是针对老年人的平衡障碍”。 设想的产品是一款优雅简单的移动应用程序，旨在评估损伤、跟踪 症状，并衡量对注视稳定性家庭锻炼计划的遵守情况，这些计划基于以下机构的建议 2016 年 Rock Steady 前庭康复临床实践指南是针对四个主要问题而制定的。 当前 VRT 医疗保健提供模式的局限性：1) 获取机会，2) 开展参与性锻炼的需要 提高 VRT 遵守率的计划，3) 性能不佳，4) 缺乏远程监控功能。 鉴于老年人口不断扩大以及通过智能传播的便利性，该应用程序非常及时 老年人以比以往更快的速度采用平板电脑/个人电脑 在通用数字设备上部署应用程序。 最后，它将根据所有利益相关者群体的反馈进行设计。 第二阶段的目标是完成前庭功能障碍的研究和开发。 游戏化凝视稳定性练习，并进行探索性试点研究，收集有关 Rock Steady 能力的数据 解决标准 VRT 交付模型当前的局限性；并收集可为未来设计提供信息的数据； 随机临床试验 (RCT) 一期进展：我们开发了 Rock Steady 原型并评估了其可靠性， 有效性和可用性、综合眼睛/头部跟踪、从利益相关者（临床医生和患者）获得反馈以及 确定并评估了 Rock Steady 第 2 阶段的内容扩展目标 1：完成开发。 Rock Steady 基于第一阶段的结果和具体目标 2：进行探索性试点研究，收集有关以下方面的数据： Rock Steady 能够解决标准 VRT 交付模型的当前限制并收集数据； 为未来的随机临床试验 (RCT) 的设计提供信息：试点将是随机预试验。 测试/测试后平行小组试验；参与者将接受 A) 标准前庭康复 (S-VRT) 或 B) 数字化治疗 使用 Rock Steady 应用程序 (D-VRT) 在家使用 4 周的前庭康复结果将被收集：预-。 和测试后会议：我们将使用半结构化访谈、可用性调查、功能结果和 评估 Rock Steady 的游戏/传感器结果 预期结果：我们相信 Rock Steady 将提供。 向患者和忠诚者提供适当的反馈，提高依从性，可用，实现远程监控并可行 用作家庭锻炼计划的一部分，对患有头晕的成年人的功能产生积极影响。