Home Exercise Adherence in Physical Therapy

Study Overview
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Brief Summary
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The purpose of this study is to determine the effectiveness of an individualized video recording in improving adherence in home exercise programs for orthopaedic physical therapy patients. Specific aims: 1. Evaluate whether individualized video recordings improve adherence with home exercise programs (HEP) as compared with conventional printed instructions measured by a self-report exercise log. (1-tail analysis)

Detailed Description
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This investigation will focus on the specific issues surrounding adherence to the use of individualized video recordings via smartphone versus conventional printed instructions in patients with orthopaedic injuries. The data reported will be used to explore the feasibility and potential benefits of smartphone usage for home exercise adherence.

Official Title
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Effectiveness of Individualized Video Recordings Versus Conventional Printed Instructions on Home Exercise Program Adherence in Physical Therapy

Conditions
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Adherence

Intervention / Treatment
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* Other: Home Exercise Program and Adherence Logs


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants who can read and understand the English language, adults between 18-65 years of age, have a referral to an outpatient physical therapy clinic for an orthopaedic condition, and who own a smartphone with video recording capabilities and available data storage space (at least 500 MB or 0.5 GB). Exclusion Criteria: Individuals referred for non-orthopaedic conditions, individuals currently on an established, prescribed home exercise program, individuals requiring more than 4 home exercises at one time as part of their rehabilitation program, and individuals who do not own a smartphone device with the required storage and recording specifications.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video Recording Group<br>The experimental group participants will be recorded on their personal smartphone performing their prescribed exercises with individualized instruction from the participating physical therapist. The prescribing therapist will record participants on their own smartphones doing the exercise program in the clinic so that participants can have that video recording of the exercises to help remind them how to do the exercises properly at home. Participants will not be asked to record themselves performing future exercise sessions as documentation of improvement. Intervention: Home Exercise Program and Adherence Logs | Other: Home Exercise Program and Adherence Logs<br>* Both groups will receive physical therapy prescribed home exercises and be asked to record adherence to their program on an exercise log.<br>* Other names: HEP;|
| Active Comparator: Conventional Printed Group<br>The active comparator group will receive individualized instruction from the participating physical therapist on how to perform their home exercise program as well as printed instructions of the exercises. No video recording of the control group participants will be performed. Intervention: Home Exercise Program and Adherence Logs | Other: Home Exercise Program and Adherence Logs<br>* Both groups will receive physical therapy prescribed home exercises and be asked to record adherence to their program on an exercise log.<br>* Other names: HEP;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Home Exercise Adherence | Data will be recorded via a self-reported exercise log that includes number of days exercises were completed per week. Participants will record the number of days participants did All of the program (defined as doing 100% of their exercises), Most of the program (defined as doing 75% of their exercises), Some of the program (defined as doing 50% of their program, and None of the program (defined as doing 0% of their exercise program). | Weekly for 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Exercise, Adherence, Physical Therapy