Home Exercise Adherence in Physical Therapy

April 15, 2019 updated by: Evan J. Petersen

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

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)

Study Overview

Status

Terminated

Conditions

Detailed Description

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.

Study Type

Interventional

Enrollment (Actual)

25

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Texas
      • San Antonio, Texas, United States, 78209
        • Texas Physical Therapy Specialists

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Video Recording Group
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
Both groups will receive physical therapy prescribed home exercises and be asked to record adherence to their program on an exercise log.
Other Names:
  • HEP
Active Comparator: Conventional Printed Group
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
Both groups will receive physical therapy prescribed home exercises and be asked to record adherence to their program on an exercise log.
Other Names:
  • HEP

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Home Exercise Adherence
Time Frame: Weekly for 6 weeks
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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Chair: Evan J Petersen, PT, DSc, University of the Incarnate Word

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 1, 2016

Primary Completion (Actual)

September 1, 2018

Study Completion (Actual)

September 1, 2018

Study Registration Dates

First Submitted

June 30, 2016

First Submitted That Met QC Criteria

July 1, 2016

First Posted (Estimate)

July 4, 2016

Study Record Updates

Last Update Posted (Actual)

April 17, 2019

Last Update Submitted That Met QC Criteria

April 15, 2019

Last Verified

April 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • UniversityIW

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

All individual data will be reported as a group

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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