Home Exercise Adherence in Physical Therapy

Adherence Clinical Trial

Official title:

Effectiveness of Individualized Video Recordings Versus Conventional Printed Instructions on Home Exercise Program Adherence in Physical Therapy

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT02822755
• Other study ID #: UniversityIW
• Status: Terminated
• Phase: N/A
• Start date: June 2016
• Est. completion date: September 2018

Study information

• Verified date: April 2019
• Source: University of the Incarnate Word
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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)

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.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 25
• Est. completion date: September 2018
• Est. primary completion date: September 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

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.

Related Conditions & MeSH terms

• Adherence

Intervention

Other:
• Home Exercise Program and Adherence Logs
Both groups will receive physical therapy prescribed home exercises and be asked to record adherence to their program on an exercise log.

Locations

Country	Name	City	State
United States	Texas Physical Therapy Specialists	San Antonio	Texas

Sponsors (1)

Lead Sponsor	Collaborator
Evan J. Petersen

Country where clinical trial is conducted

United States, 

References & Publications (13)

Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, Pieske B, Schmid JP, Dickstein K, Ponikowski PP, Jaarsma T. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2012 May;14(5):451-8. doi: 10.1093/eurjhf/hfs048. Epub 2012 Apr 11. Erratum in: Eur J Heart Fail. 2012 Jul;14(7):802. — View Citation

Friedrich M, Cermak T, Maderbacher P. The effect of brochure use versus therapist teaching on patients performing therapeutic exercise and on changes in impairment status. Phys Ther. 1996 Oct;76(10):1082-8. — View Citation

Gonzalez JS, McCarl LA, Wexler D DD, Cagliero E, Delahanty L, Soper TD, Goldman V, Knauz R, Safren SA. Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes. J Cogn Psychother. 2010 Nov 1;24(4):329-343. — View Citation

Hammer C, Degerfeldt L, Denison E. Mechanical diagnosis and therapy in back pain: Compliance and social cognitive theory. Adv Physiother. 2007;9(4):190-197.

Härkäpää K, Järvikoski A, Mellin G, Hurri H. A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part I. Pain, disability, compliance, and reported treatment benefits three months after treatment. Scand J Rehabil Med. 1989;21(2):81-9. — View Citation

Holden MA, Haywood KL, Potia TA, Gee M, McLean S. Recommendations for exercise adherence measures in musculoskeletal settings: a systematic review and consensus meeting (protocol). Syst Rev. 2014 Feb 10;3:10. doi: 10.1186/2046-4053-3-10. — View Citation

Jordan JL, Holden MA, Mason EE, Foster NE. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010 Jan 20;(1):CD005956. doi: 10.1002/14651858.CD005956.pub2. Review. — View Citation

Khalil H, Quinn L, van Deursen R, Martin R, Rosser A, Busse M. Adherence to use of a home-based exercise DVD in people with Huntington disease: participants' perspectives. Phys Ther. 2012 Jan;92(1):69-82. doi: 10.2522/ptj.20100438. Epub 2011 Sep 29. — View Citation

Kramer A, Dettmers C, Gruber M. Exergaming with additional postural demands improves balance and gait in patients with multiple sclerosis as much as conventional balance training and leads to high adherence to home-based balance training. Arch Phys Med Rehabil. 2014 Oct;95(10):1803-9. doi: 10.1016/j.apmr.2014.04.020. Epub 2014 May 10. — View Citation

Marks R, Allegrante JP. Chronic osteoarthritis and adherence to exercise: a review of the literature. J Aging Phys Act. 2005 Oct;13(4):434-60. Review. — View Citation

Papaioannou A, Kennedy CC, Dolovich L, Lau E, Adachi JD. Patient adherence to osteoporosis medications: problems, consequences and management strategies. Drugs Aging. 2007;24(1):37-55. Review. — View Citation

Roddey TS, Olson SL, Gartsman GM, Hanten WP, Cook KF. A randomized controlled trial comparing 2 instructional approaches to home exercise instruction following arthroscopic full-thickness rotator cuff repair surgery. J Orthop Sports Phys Ther. 2002 Nov;32(11):548-59. — View Citation

Yuen HK, Wang E, Holthaus K, Vogtle LK, Sword D, Breland HL, Kamen DL. Self-reported versus objectively assessed exercise adherence. Am J Occup Ther. 2013 Jul-Aug;67(4):484-9. doi: 10.5014/ajot.2013.007575. — View Citation

* Note: There are 13 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Home Exercise Adherence	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).	Weekly for 6 weeks