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

项目摘要 此SBIR应用程序的长期目标是开发和测试Rock Stadline的最低可行产品(MVP)， 为患有前庭功能障碍的成年人开发的软件应用程序。本产品与NIDCD的使命相关 因为它满足了这样的要求：“研究、诊断和治疗平衡的技术的发展 精神障碍，特别是老年人的疾病“。设想的产品是一个优雅简单的移动应用程序，其设计 根据2016年的建议，衡量对凝视稳定练习的家庭锻炼计划的遵守情况 前庭康复临床实践指南。这款产品是为了响应四个主要驱动因素而构思的：1) 越来越多的成年人因前庭功能障碍而出现平衡障碍，2)前庭功能障碍的发现 康复治疗(VRT)提高了生活质量，3)需要开发引人入胜的运动计划， 提高对VRT的遵从性，以及4)缺乏商业上可用的低成本工具来支持VRT。此应用程序是 考虑到老年人数量的增长以及通过智能平板电脑/PC传播的便利性，这一点非常及时 被老年人收养的速度比以往任何时候都快。通过在通用数字技术上部署该应用程序，我们将 确保其广泛采用。最后，它将根据来自所有利益相关者团体的最终用户反馈进行设计，包括 有前庭功能障碍的人。广泛的目标：我们打算将现有的循证教育 向移动设备提供材料、评估和凝视稳定性练习，以便广泛传播和采用 提高家庭和诊所VRT的遵从性，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取得成果。方法：在第一阶段，我们将1)采用以用户为中心的设计 ROCK STRATE 1.0用于成人前庭疾病的信度、效度和可用性的开发和评估方法 60岁以上的功能障碍，2)整合眼睛/头部跟踪，3)识别和评估特征和内容 岩石稳定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来 开发Rock STRATE 2.0以及进一步的可行性、可用性和试点效果研究。研究设计：我们将使用 随机试验设计，评价信度、效度和易用性。所有参与者将完成两个版本的 使用传统的纸/笔方法和通过APP对前庭功能障碍进行标准评估。参与者将是 随机开始，要么是应用程序，要么是传统方法。可靠性将使用类间相关性进行比较 系数、效度将使用Pearson/Spearman统计进行评估，可用性将使用该系统进行评估 可用性量表问卷。预期结果：我们相信Rock Steid将是一个有效和可靠的附属公司 VRT。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 降低护理服务的成本。

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.