Rock Steady- A mobile, gamified vestibular rehabilitation therapy app for older adults with complaints of dizziness

Rock Steady - 一款移动游戏化前庭康复治疗应用程序，适用于患有头晕症状的老年人

基本信息

批准号：
9344950
负责人：
Sheryl Flynn
金额：
$ 22.5万
依托单位：
BLUE MARBLE REHAB, INC.
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-04-03 至 2017-10-07
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9344950
关键词：
Address Adherence Administrator Adopted Adoption Adult Age Aging Arts Benchmarking Boredom Clinic Clinical Practice Guideline Computer software Data Development Diagnosis Disease Dizziness Educational Materials Effectiveness Elderly Ensure Equilibrium Evaluation Exercise Eye Fall prevention Feedback Functional disorder Funding Gait Goals Growth Head Head Movements Health Health Care Costs Health Professional Home environment Impairment Interview Learning Lower Extremity Measures Mechanics Methodology Methods Mission Motion National Institute on Deafness and Other Communication Disorders Needs Assessment Outcome Paper Participant Patient Care Patient-Focused Outcomes Patients Peripheral Phase Population Study Posture Production Public Health Quality of Care Quality of life Questionnaires Randomized Randomized Controlled Trials Recommendation Recording of previous events Rehabilitation therapy Reporting Research Research Design Research Personnel Risk Risk Assessment Risk Reduction Scientist Small Business Innovation Research Grant Standardization System Tablets Technology Technology Development Study Testing Time TimeLine Training Translating Validity and Reliability Vertigo Vision base care delivery cost design digital document outlines equilibration disorder evidence base exercise program expectation fall risk falls gaze handheld mobile device improved iterative design mobile application new technology novel strategies programs prototype randomized trial reduce symptoms response screening sensor software development statistics success tool trial design usability user centered design vestibulo-ocular reflex virtual reality

项目摘要

Project Summary The long term objective of this SBIR application is to develop and test a minimum viable product (MVP) of Rock Steady, a software application for adults with vestibular dysfunction. 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 measure adherence to a home exercise program of gaze stability exercises based on recommendations from the 2016 Clinical Practice Guidelines for Vestibular Rehabilitation. This product was conceived in response to four main drivers: 1) the growing number of adults aging with balance impairments due to vestibular dysfunction, 2) the finding that vestibular rehabilitation therapy (VRT) improves quality of life, 3) the need for developing engaging exercise programs that will improve adherence to VRT, and 4) a lack of commercially available low cost tools to support VRT. This application is very timely given the growth in the number of older adults and the ease of dissemination via smart tablets/PCs which are being adopted by older adults at faster rates than ever before. By deploying the app on common digital technology we will ensure its widespread adoption. Finally, it will be designed with end user feedback from all stakeholder groups including people with vestibular dysfunction. Broad Objective: We intend to translate existing evidence-based educational material, assessments and gaze stability exercises to a mobile device for widespread dissemination and adoption to increase adherence with home and clinic based VRT, promote health and wellbeing and improve patient care and outcomes through coordinated higher quality of care. Approach: In Phase 1 we will 1) employ user-centered design methodologies to develop and evaluate reliability, validity and usability of Rock Steady 1.0 for adults with vestibular dysfunction, over age 60, 2) integrate eye/head tracking and 3) identify and evaluate feature and content expansions/adaptations for Rock Steady 2.0. In Phase 2 we will employ user-centered, iterative design approaches to develop Rock Steady 2.0 and further feasibility, usability, and a pilot effectiveness study. Research Design: We will use a randomized trial design to evaluate reliability, validity and usability. All participants will complete two versions of standard evaluations of vestibular dysfunction using traditional paper/pencil method and via the app. Participants will be randomized to begin with either the app or traditional approaches. Reliability will be compared using interclass correlation coefficient, validity will be evaluated using Pearson/Spearman statistics and usability will be evaluated using the System Usability Scale questionnaire. Expected Outcomes: We believe that Rock Steady will be a valid and reliable adjunct to VRT. The app will provide healthcare professionals with important data regarding adherence, and function while also reducing the cost of care delivery.

项目概要该 SBIR 应用程序的长期目标是开发和测试 Rock Steady 的最小可行产品 (MVP)，针对患有前庭功能障碍的成年人的软件应用程序该产品与 NIDCD 的使命相关。因为它满足了“平衡研究、诊断和治疗技术的开发”的要求设想的产品是一款优雅简单的移动应用程序。根据 2016 年的建议，衡量对凝视稳定性练习家庭锻炼计划的遵守情况前庭康复临床实践指南本产品的设计是为了响应四个主要驱动因素：1) 越来越多的成年人因前庭功能障碍而出现平衡障碍，2) 研究发现，前庭功能障碍康复治疗 (VRT) 可以改善生活质量，3) 需要制定有吸引力的锻炼计划，提高对 VRT 的遵守，以及 4) 缺乏支持 VRT 的商用低成本工具。鉴于老年人数量的增长以及通过智能平板电脑/个人电脑进行传播的便利性，非常及时通过在通用数字技术上部署该应用程序，我们将比以往任何时候都更快地被老年人采用。最后，它将根据包括所有利益相关者群体在内的最终用户反馈进行设计。广泛目标：我们打算转化现有的循证教育。将材料、评估和凝视稳定性练习传输到移动设备上，以便广泛传播和采用提高家庭和诊所 VRT 的依从性，促进健康和福祉，改善患者护理和通过协调一致的更高质量的护理来取得成果：在第一阶段，我们将 1) 采用以用户为中心的设计。开发和评估 Rock Steady 1.0 对于患有前庭功能障碍的成人的可靠性、有效性和可用性的方法功能障碍，60 岁以上，2) 整合眼睛/头部跟踪，3) 识别和评估特征和内容 Rock Steady 2.0 的扩展/改编在第二阶段，我们将采用以用户为中心的迭代设计方法。开发 Rock Steady 2.0 以及进一步的可行性、可用性和试点有效性研究设计：我们将使用一个。评估可靠性、有效性和可用性的随机试验设计将完成两个版本。参与者将使用传统纸/笔方法并通过应用程序对前庭功能障碍进行标准评估。随机从应用程序或传统方法开始，将使用类间相关性进行比较。系数、有效性将使用 Pearson/Spearman 统计进行评估，可用性将使用系统进行评估可用性量表问卷预期结果：我们相信 Rock Steady 将成为一个有效且可靠的辅助工具。该应用程序将为医疗保健专业人员提供有关依从性和功能的重要数据，同时还减少护理服务的成本。