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

Rock Steady - 一款移动游戏化前庭康复治疗应用程序，适用于患有头晕症状的老年人

• 批准号: 9344950
• 负责人: Sheryl Flynn
• 金额: $ 22.5万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-03 至 2017-10-07
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9344950
• 关键词: Address; Adherence; Administrator; Adopted; Adoption; Adult; Age; Aging; Arts; Benchmarking; Boredom; Clinic; Clinical Practice Guideline; Computer software; Data; Development; Diagnosis; Disease; Dizziness; Educational Materials; Effectiveness; Elderly; Ensure; Equilibrium; Evaluation; Exercise; Eye; Fall prevention; Feedback; Functional disorder; Funding; Gait; Goals; Growth; Head; Head Movements; Health; Health Care Costs; Health Professional; Home environment; Impairment; Interview; Learning; Lower Extremity; Measures; Mechanics; Methodology; Methods; Mission; Motion; National Institute on Deafness and Other Communication Disorders; Needs Assessment; Outcome; Paper; Participant; Patient Care; Patient-Focused Outcomes; Patients; Peripheral; Phase; Population Study; Posture; Production; Public Health; Quality of Care; Quality of life; Questionnaires; Randomized; Randomized Controlled Trials; Recommendation; Recording of previous events; Rehabilitation therapy; Reporting; Research; Research Design; Research Personnel; Risk; Risk Assessment; Risk Reduction; Scientist; Small Business Innovation Research Grant; Standardization; System; Tablets; Technology; Technology Development Study; Testing; Time; TimeLine; Training; Translating; Validity and Reliability; Vertigo; Vision; base; care delivery; cost; design; digital; document outlines; equilibration disorder; evidence base; exercise program; expectation; fall risk; falls; gaze; handheld mobile device; improved; iterative design; mobile application; new technology; novel strategies; programs; prototype; randomized trial; reduce symptoms; response; screening; sensor; software development; statistics; success; tool; trial design; usability; user centered design; vestibulo-ocular reflex; virtual reality

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.

项目摘要 该SBIR应用程序的长期目标是开发和测试Rock Steady的最小可行产品（MVP）， 这是一款针对成年人前庭功能障碍的软件。本产品与NIDCD的使命相关 因为它提出了“发展研究、诊断和治疗平衡的技术”的要求， 疾病，尤其是老年人”。设想的产品是一个优雅简单的移动的应用程序， 根据2016年的建议，测量对凝视稳定性锻炼的家庭锻炼计划的依从性 前庭康复临床实践指南。该产品的构想是为了响应四个主要驱动因素：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 康复治疗（VRT）提高生活质量，3）需要制定参与锻炼计划， 提高对VRT依从性，以及4）缺乏商业上可用的低成本工具来支持VRT。本申请是 考虑到老年人数量的增长以及通过智能平板电脑/个人电脑传播的便利性， 被老年人以前所未有的速度收养。通过在通用数字技术上部署应用程序， 确保其广泛采用。最后，它将根据所有利益相关者团体的最终用户反馈进行设计，包括 前庭功能障碍的人。广泛目标：我们打算将现有的循证教育 将材料、评估和注视稳定性练习传输到移动终端，以便广泛传播和采用， 提高家庭和诊所VRT的依从性，促进健康和福祉，改善患者护理， 通过协调更高的护理质量来实现成果。方法：在第一阶段，我们将1）采用以用户为中心的设计 开发和评估Rock Steady 1.0用于前庭功能障碍成年人的可靠性、有效性和可用性的方法 功能障碍，60岁以上，2）整合眼睛/头部跟踪和3）识别和评估特征和内容 Rock Steady 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， 开发Rock Steady 2.0，并进一步进行可行性、可用性和试点有效性研究。研究设计：我们将使用 随机试验设计，以评估可靠性，有效性和可用性。所有参与者将完成两个版本的 使用传统的纸/笔方法和通过应用程序进行前庭功能障碍的标准评估。参与者将 随机选择从应用程序或传统方法开始开始。将使用组间相关性比较可靠性 系数，使用Pearson/斯皮尔曼统计学评价有效性，使用系统评价可用性 可用性量表问卷。预期结果：我们相信Rock Steady将成为有效且可靠的辅助工具 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， 降低医疗服务的成本。