Knee Osteoarthritis Clinical Trial
Official title:
Experience and Technology Acceptance of Older Adults Towards a Gamified Rehabilitative Device Prototype
Title: Older adults' experience and acceptance of a 'gamified' rehabilitative device for
Total Knee Arthroplasty Background: Total Knee Arthroplasty (TKA) is a common surgical
procedure. Good post-operative rehabilitation is needed for successful functional recovery.
Patients in our institution demonstrated reduced exercise compliance and accuracy during
early post-operative rehabilitation. Root cause analysis identified 'reduced feedback',
'reduced care continuity' and 'lack of engagement' to be key contributing factors. Yet,
healthcare resource limitations necessitate new ways of care continuation and patient
activation. In response, Fun-Knee™, an app-based innovation was created. Using 'gamification'
of rehabilitative exercises, Fun-Knee™ guides and tracks rehabilitation from post-surgery to
after hospital discharge, till outpatient physiotherapy review. The experience and opinions
of older adults towards such 'gamified' rehabilitative technology is unknown.
Purpose: This feasibility study aims to evaluate and develop Fun-Knee™, a novel, app-based
rehabilitation device that 'gamifies' post-TKA exercises to improve exercise compliance,
effectiveness, and patient activation. Our prototype of Fun-Knee™ was introduced to two
cohorts of healthy older adults. Users' experience with hardware and software components of
Fun-Knee™, and their acceptance of Fun-Knee™ for rehabilitation were surveyed. Feedback from
the first cohort guided prototype refinement. User experience was re-evaluated in the second
cohort.
Methods: Community-dwelling adults with no knee pain, 50 years old and above were recruited
if they met inclusion criteria. Participants were introduced to two 'gamified' exercises
within Fun-Knee™ with standardised instructions. They were instructed to complete one round
of the two games at their own time. Thereafter, a survey consisting of quantitative responses
was administered. Statistical analysis were performed using Stata (version 13.1, College
Station, TX: StataCorp LP), Fisher's exact tests were performed 2-sided at the 5%
significance level. Qualitative feedback was obtained during individual interview.
Suggestions for hardware or software refinements to Fun-Knee™ were collated and implemented.
The above process was repeated for the second cohort of participants, using the latest
version of Fun-Knee™.
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