Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: a protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial

Leanne Hassett; Maayken van den Berg; Richard I Lindley; Maria Crotty; Annie McCluskey; Hidde van der Ploeg; Stuart T Smith; Karl Schurr; Maggie Killington; Bert Bongers; Kirsten Howard; Stephanie Heritier; Leanne Togher; Maree Hackett; Daniel Treacy; Simone Dorsch; Siobhan Wong; Katharine Scriverner; Sakina Chagpar; Heather Weber; Ross Pearson; Catherine Sherrington

doi:10.1136/bmjopen-2016-012074

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Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: a protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial

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Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: a protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial

Leanne Hassett, Maayken van den Berg, Richard I Lindley, Maria Crotty, Annie McCluskey, Hidde van der Ploeg, Stuart T Smith, Karl Schurr, Maggie Killington, Bert Bongers, …

BMJ Open, Vol.6, e012074

2016

DOI: https://doi.org/10.1136/bmjopen-2016-012074

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Abstract

Introduction People with mobility limitations can benefit from rehabilitation programmes that provide a high dose of exercise. However, since providing a high dose of exercise is logistically challenging and resource-intensive, people in rehabilitation spend most of the day inactive. This trial aims to evaluate the effect of the addition of affordable technology to usual care on physical activity and mobility in people with mobility limitations admitted to inpatient aged and neurological rehabilitation units compared to usual care alone. Methods and analysis A pragmatic, assessor blinded, parallel-group randomised trial recruiting 300 consenting rehabilitation patients with reduced mobility will be conducted. Participants will be individually randomised to intervention or control groups. The intervention group will receive technology-based exercise to target mobility and physical activity problems for 6 months. The technology will include the use of video and computer games/exercises and tablet applications as well as activity monitors. The control group will not receive any additional intervention and both groups will receive usual inpatient and outpatient rehabilitation care over the 6-month study period. The coprimary outcomes will be objectively assessed physical activity (proportion of the day spent upright) and mobility (Short Physical Performance Battery) at 6 months after randomisation. Secondary outcomes will include: self-reported and objectively assessed physical activity, mobility, cognition, activity performance and participation, utility-based quality of life, balance confidence, technology self-efficacy, falls and service utilisation. Linear models will assess the effect of group allocation for each continuously scored outcome measure with baseline scores entered as a covariate. Fall rates between groups will be compared using negative binomial regression. Primary analyses will be preplanned, conducted while masked to group allocation and use an intention-to-treat approach.

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Title: Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: a protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial
Authors: Leanne Hassett (Author) - University of Sydney
Maayken van den Berg (Author) - Flinders University
Richard I Lindley (Author) - University of Sydney
Maria Crotty (Author) - Flinders University
Annie McCluskey (Author) - University of Sydney
Hidde van der Ploeg (Author) - University of Sydney
Stuart T Smith (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Karl Schurr (Author) - South Western Sydney Hospital Local Health District
Maggie Killington (Author) - Flinders University
Bert Bongers (Author) - University of Technology Sydney
Kirsten Howard (Author) - University of Sydney
Stephanie Heritier (Author) - Monash University
Leanne Togher (Author) - University of Sydney
Maree Hackett (Author) - University of Sydney
Daniel Treacy (Author) - South Western Sydney Local Health District
Simone Dorsch (Author) - Australian Catholic University
Siobhan Wong (Author) - South Western Sydney Local Health District
Katharine Scriverner (Author) - Macquarie University
Sakina Chagpar (Author) - University of Sydney
Heather Weber (Author) - Flinders University
Ross Pearson (Author)
Catherine Sherrington (Author) - University of Sydney
Publication details: BMJ Open, Vol.6, e012074; 10
Publisher: B M J Group
Date published: 2016
DOI: 10.1136/bmjopen-2016-012074
ISSN: 2044-6055
Copyright note: Copyright © 2016 The Authors. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449654002621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Rehabilitation