YOOMI: Effect of Gamified Physical Therapy Exercise Software on Inpatient Mobility

Study Overview
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Brief Summary
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Patients admitted to the hospital often develop functional impairments due to being in bed most of the day. Each day of bedrest leads to significant muscle loss. As a result, many patients become dependent on others or require rehabilitation at a facility to improve mobility and function prior to returning home. Staff in the hospital is limited and often unable to mobilize patients every day while hospitalized. The investigators are testing a new experimental gamified physical therapy exercise software to see if it can be a fun, enjoyable way to help mobilize patients without the assistance of staff. The primary aim of this pilot/proof of concept study is to determine whether gamified physical therapy software can help inpatients exercise within the safety of their own beds and preserve pre-hospitalization function.

Official Title
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YOOMI: Effect of Gamified Physical Therapy Exercise Software on Inpatient Mobility

Conditions
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Muscle Loss, Weakness, Muscle, Delirium in Old Age, Muscle Atrophy or Weakness, Hospital Acquired Condition, Physical Disability, Physical Inactivity

Intervention / Treatment
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* Device: Yoomi Physical Therapy Software


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: >= 65 years of age English-fluency in reading and speaking Capacity to consent Enrolled in HELP program Attending physician confirms there are no medical contraindications to in-bed exercises Exclusion Criteria: Unstable Psychiatric Illness Unstable/Critically Ill Patients requiring ICU-level of care Surgical tube present (e.g. JP drains) Surgery during the hospitalization Bed Rest Activity Order

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Gamified Physical Therapy Exercise Software Intervention + Usual Care<br>Participants randomized to the intervention group will be asked each day by a volunteer whether they would like to use the gamified physical therapy exercise software while in their beds. Participants willing to exercise will have the device set up for them to participate by a volunteer and the software will begin with a tutorial video for different exercises and then ask patients to perform in sequence with prompting and motion tracking. Exercises include Frontal Bicep Curls, Arm Crosses, Press Ups, Arm Rotations, and Basketball Shots. | Device: Yoomi Physical Therapy Software<br>* Physical Therapy software via a computer/monitor will be set up for the patient. It will begin with a tutorial video for different exercises in the form of games and then ask patients to perform in sequence with prompting and motion tracking. Exercises include Frontal Bicep Curls, Arm Crosses, Press Ups, Arm Rotations, and Basketball Shots.<br>|
| No Intervention: Usual Care<br>Usual Care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction Score for Intervention Group Questionnaire (change is being assessed) |  | Collected daily throughout duration of patient hospitalization, usually 1-2 weeks | 
| Software Utilization Time for Intervention Group (change is being assessed) |  | Collected daily throughout duration of patient hospitalization, usually 1-2 weeks | 
| Percentage of exercise repetitions completed for Intervention Group (change is being assessed) | Completed exercises divided by assigned exercises by software | Collected daily throughout duration of patient hospitalization, usually 1-2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Self-Assessments | Activity Measure for Post Acute Care (AMPAC) scores done as self-assessments (Score ranging from 0 to 24 with higher being better) | Collected daily throughout duration of patient hospitalization, usually 1-2 weeks | 
| 3DCAM Delirium Scale | 22 questions including self reported and observations by staff to determine if patient has delirium | Collected daily throughout duration of patient hospitalization, usually 1-2 weeks | 
| Change in Activity Measure for Post Acute Care (AMPAC) Scores | Activity Measure for Post Acute Care (AMPAC) scores done by nurses twice daily (Score ranging from 0 to 24 with higher being better) | Collected daily throughout duration of patient hospitalization, usually 1-2 weeks | 
| Length of hospital stay |  | Collected at the time of discharge of patient hospitalization, usually 1-2 weeks | 
| Post-discharge care needs | Number of Partipants with Post-discharge needs e.g. subacute rehab, home PT, home assistance, acute rehab, etc | Collected at time of discharge, usually 1-2 weeks | 
| Post-discharge Self Assessed Activity Measure for Post Acute Care (AMPAC) Score | AMPAC scores done as self-assessments (Score ranging from 0 to 24 with higher being better) | 30 days post-discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Artificial Intelligence (AI), Physical Therapy, Hospitalization related muscle atrophy, Hospitalization associated decline, Inpatient rehabilitation, AI driven physical therapy