Adherence to Exercises for Neck Pain.

Study Overview
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Brief Summary
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This project continuing to study on the effectiveness of a Chatbot in promoting adherence to home physiotherapy treatment for patients, in this case, with cervical musculoskeletal injuries and pain. The use of digital technologies and media is an important option to complement in-person treatment and promote adherence to treatment at home. The research aims to verify whether the use of a Chatbot as a means of communication can produce improvements in patient adherence and clinical results.

Official Title
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Adherence to Home Treatment of Patients With Neck Pain Through the Use of Information and Communication Technologies.

Conditions
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Treatment Adherence and Compliance

Intervention / Treatment
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* Other: Education
* Device: Chatbot
* Other: Home exercise, usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Over 18 years. Diagnosis of cervical pain. Indication of treatment through home exercises. With a personal smartphone Verbally confirms to have installed an instant messaging service or app, and accesses it at least 3 times a week Exclusion Criteria: No to sign the informed consent. Not able to understand, read and write in the Spanish language

Ages Eligible for Study
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Minimum Age: 18 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two arms study, experimental vs control
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental<br>Home exercise assisted with a chatbot | Other: Education<br>* One-week, three sessions in alternate days, outpatient supervised education on how to perform the exercises at home<br>Device: Chatbot<br>* 12 week- intervention consisting of messages with an explanatory video of each exercise indicating how to do it and how many repetitions to perform<br>|
| Active Comparator: Control<br>Home exercise, usual care | Other: Education<br>* One-week, three sessions in alternate days, outpatient supervised education on how to perform the exercises at home<br>Other: Home exercise, usual care<br>* 12 week- intervention. Printed sheets indicating how to exercises and how many repetitions to perform<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adherence | Record of the number of sessions performed. | 0 weeks, 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue scale (VAS) | Numerical scale from 0 to 10, where 0 indicates no pain and 10 is the maximum pain experienced. | 0 weeks, 12 weeks | 
| Disability | The Neck Disability Index (NDI) consists of ten questions in the following domains: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation. Scoring: Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). | 0 weeks, 12 weeks | 
| Satisfaction scale with the treatment received | The CRES-4 satisfaction scale consists of four items designed to evaluate whether patients are satisfied with the therapy they have received and whether it has been perceived as effective. Its global score is intended to reflect treatment effectiveness as perceived by the patient. It is a good complementary tool to judge, in particular, satisfaction with the treatment received. Consists of four questions, and score with a score ranging from 0 to 18 points. The more points, the more satisfied you are with the treatment. | 12 weeks | 
| Sistem usability scale | It consists of a 10 item questionnaire for measuring the usability of the experimental intervention tool with five response options for respondents, from Strongly agree to Strongly disagree | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Treatment adherence, New technologies, Back pain