Teleassessments for Enrollment of Adults With Physical or Mobility Disability in a Home-Based Exercise Trial in Response to COVID-19: Usability Study.
Teleassessments for Enrollment of Adults With Physical or Mobility Disability in a Home-Based Exercise Trial in Response to COVID-19: Usability Study.
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DOI：
10.2196/29799
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发表时间：
2021-11-18
影响因子：
2.2
通讯作者：
Rimmer J
中科院分区：
文献类型：
--
作者：
Wilroy J;Lai B;Currie M;Young HJ;Thirumalai M;Mehta T;Giannone J;Rimmer J
评估对家庭锻炼和生活方式远程健康（SUPER-HEALTH）的响应性的扩大项目是一项大型随机对照研究，旨在通过远程健康克服身体残疾人锻炼的后勤障碍。然而，在COVID-19大流行开始时，由于测试中心的操作有限，包括没有涉及参与者数据收集的现场访问，招募被停止。为应对有限的操作，制定了一项修改后的数据收集方案，用于虚拟入组研究受试者。本文介绍了使用远程评估的可行性数据，以登记的人与行动不便的家庭为基础的运动试验。修改后的方案取代了现场招募和数据收集访问，使用平板电脑和测试设备进行远程评估，这些设备在运动生理学家通过Zoom进行同步远程评估之前被运送到参与者的家庭地址。参与者被邮寄了一个远程评估工具包，其中包括数字血压袖带，肺活量计，手部测力计，迷你盘锥和卷尺（以完成标准化测试）。远程评估措施包括静息血压和心率，用力肺活量，握力，五次坐到站，定时起身和走。可行性指标包括技术有效性、效率和安全性。远程保健评估的技术有效性是通过在没有技术问题的情况下完成的会话的百分比确定的，其中先验设定的标准≥90%。通过≤2小时的会话持续时间来测量效率。通过与报告的远程评估相关的不良事件数量来衡量安全性。本可行性研究纳入了36名参与者的数据，34名（94%）参与者完成了所有远程评估，没有出现任何技术问题。为了提高效率，远程评估会议平均用时65分钟，最长时间为110分钟。未报告表明远程评估安全性问题的不良事件。为应对COVID-19的限制，修改后的远程评估方案可能是一个可行的过程，可以将行动不便的成年人纳入家庭锻炼试验，否则他们将无法参与。ClinicalTrials.gov NCT 03024320; https://clinicaltrials.gov/ct2/show/NCT03024320
The Scale-Up Project Evaluating Responsiveness to Home Exercise And Lifestyle Tele-Health (SUPER-HEALTH) initiative is a large randomized controlled study that aims to overcome logistical barriers to exercise via telehealth for people with physical disabilities. However, at the start of the COVID-19 pandemic, enrollment was halted due to limited operations at the testing site, which included no onsite visits that involved participant data collection. In response to the limited operations, a modified data collection protocol was developed for virtual enrollment of study participants. This paper presents feasibility data on using teleassessments to enroll people with mobility impairment into a home-based exercise trial. The modified protocol replaced onsite enrollment and data collection visits with teleassessments using a computer tablet and testing equipment that was shipped to the participants’ home address prior to the synchronous teleassessments conducted by an exercise physiologist through Zoom. The participants were mailed a teleassessment toolkit that included a digital blood pressure cuff, spirometer, hand dynamometer, mini disc cone, and measuring tape (to complete standardized testing). The teleassessment measures included resting blood pressure and heart rate, forced vital capacity, grip strength, Five Times Sit to Stand, and Timed Up and Go. Feasibility metrics included technological effectiveness, efficiency, and safety. The technological effectiveness of the telehealth assessment was determined by the percentage of sessions completed without technical issues with ≥90% criteria set a priori. Efficiency was measured by a session duration of ≤2 hours. Safety was measured by the number of adverse events related to the teleassessments reported. Data from 36 participants were included in this feasibility study, and 34 (94%) participants completed all teleassessments without technical issues. For efficiency, the teleassessment sessions were completed in a mean time of 65 minutes and a maximum session length of 110 minutes. There were no adverse events reported to indicate concerns with the safety of teleassessments. The modified teleassessment protocol, in response to COVID-19 restrictions, may be a feasible process for enrolling adults with mobility impairment into a home exercise trial who otherwise would have not been able to participate. ClinicalTrials.gov NCT03024320; https://clinicaltrials.gov/ct2/show/NCT03024320