Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
16 participants
INTERVENTIONAL
2024-01-31
2024-08-31
Brief Summary
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Detailed Description
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Bootle Boot Camp is a novel ICP technology developed by the Possibility Engineering and Research Lab at Holland Bloorview Kids Rehabilitation Hospital that uses a 3D motion tracking camera to provide real time feedback on skeletal movements during game play. It allows physiotherapists to prescribe personalized lower limb home exercise programs to clients.
The investigator's specific objectives are:
1. To compare participants' level of affective, behavioural, and cognitive engagement with Bootle Boot Camp with and without movement tracking feedback
2. To determine the quality of exercise performance when participants use Bootle Boot Camp with and without movement tracking feedback
3. To estimate the treatment response associated with use of Bootle Boot Camp
4. To explore physiotherapists, children, and their caregivers' experiences with the App.
Children with cerebral palsy (ages 6-12 years, GMFCS Level I or II) will be prescribed a home exercise program by their treating physiotherapist that they will complete independently using the App on their television at home. Bootle Boot Camp exercise sessions offered with movement-tracking feedback will be alternated with sessions offered without feedback for 4 weeks (4 sessions per week). Following this comparison period, the version of the App providing the most therapeutic data pattern based on system data and children's input will be used for an additional 2 weeks. Post 6 weeks of Bootle Boot Camp game play, children and caregivers will be asked to take part in semi-structured interviews to learn more about families' experiences with the home program
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
We will also use a mixed methods sequential explanatory approach, with quantitative data collected in weeks 1-6 and qualitative data in weeks 7-8.
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Bootle Boot Camp with movement tracking feedback (virtual Coach Botley present)
Bootle Boot Camp exercise sessions offered with movement tracking feedback through the presence of virtual coach Botley.
Bootle Boot Camp Home Exercise App - with Virtual Coach Botley
Bootle Boot Camp exercise sessions offered with movement tracking feedback will be provided for a maximum of two consecutive sessions before being alternated with the no feedback condition for a period of 4 weeks (4 sessions/week). Movement feedback will be guided by skeletal data captured by the 3D motion tracking camera and based on predefined movement acceptability criteria for each exercise. Feedback will take the form of visual markers, text/audio cues and rewards.
Bootle Boot Camp without movement tracking feedback (virtual Coach Botley absent)
Bootle Boot Camp exercise sessions offered without movement tracking feedback through the absence of virtual coach Botley.
Bootle Boot Camp Home Exercise App - without Virtual Coach Botley
Bootle Boot Camp exercise sessions offered without movement tracking feedback will be provided for a maximum of two consecutive sessions before being alternated with the movement tracking feedback condition for a period of 4 weeks (4 sessions/week).
Interventions
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Bootle Boot Camp Home Exercise App - with Virtual Coach Botley
Bootle Boot Camp exercise sessions offered with movement tracking feedback will be provided for a maximum of two consecutive sessions before being alternated with the no feedback condition for a period of 4 weeks (4 sessions/week). Movement feedback will be guided by skeletal data captured by the 3D motion tracking camera and based on predefined movement acceptability criteria for each exercise. Feedback will take the form of visual markers, text/audio cues and rewards.
Bootle Boot Camp Home Exercise App - without Virtual Coach Botley
Bootle Boot Camp exercise sessions offered without movement tracking feedback will be provided for a maximum of two consecutive sessions before being alternated with the movement tracking feedback condition for a period of 4 weeks (4 sessions/week).
Eligibility Criteria
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Inclusion Criteria
* Minimum 1-year pediatric clinical experience
* Caseload consists of clients with cerebral palsy (ages 6-12 years; GMFCS Level I-II)
* Works in public sector (Holland Bloorview) or private sector (clinics) within Ontario
* Has technology (e.g., laptop) and internet services needed to use Bootle Boot Camp, complete online surveys and video calls
* Has managerial and institutional approval
* Diagnosis of cerebral palsy (GMFCS Levels I-II)
* Ages 6-12 years
* Minimum 1 lower limb goal
* Able to complete 4 weekly exercise sessions using Bootle Boot Camp for 6 weeks
* Not currently receiving physiotherapy services more than once every two months (on an off block from physiotherapy)
* Normal or corrected to normal vision and hearing
* Child and parent can speak and understand English
* Has technology (e.g., laptop) and internet services needed to use Bootle Boot Camp, complete online surveys, and video calls
* Child's physiotherapist and parent able and willing to also participate in the study
Exclusion Criteria
* Botox injection in the last 6 weeks or orthopedic surgery in the last 6 months
* Has serial casting, Botox injection, orthopedic surgery or other significant medical intervention during the 6-week training period with the App
* Photosensitivity or unstable epilepsy triggered by video games, screen activities or TV light
* Visual or auditory deficits that would limit gameplay
* Respiratory, cardiovascular, or other significant medical condition that would limit safe gameplay
* Engaging in a progressive lower limb muscle strengthening or balance home exercise program as prescribed by a health care provider
* An extensive medical or therapeutic schedule (services scheduled on more than 3 days/week)
* Scheduled event (e.g., family or school trip) that would limit ability to perform 4 sessions/week for 6 weeks during training period with the App
6 Years
12 Years
ALL
No
Sponsors
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Canadian Institutes of Health Research (CIHR)
OTHER_GOV
Holland Bloorview Kids Rehabilitation Hospital
OTHER
Responsible Party
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Principal Investigators
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Elaine Biddiss
Role: PRINCIPAL_INVESTIGATOR
Bloorview Research Institute
Locations
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Holland Bloorview Kids Rehabilitation Hospital
Toronto, Ontario, Canada
Countries
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Central Contacts
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Facility Contacts
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Elaine Biddiss, PhD
Role: primary
Ajmal Khan, MHSc
Role: backup
References
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Petrevska M, Wright FV, Khan A, Munce S, Fehlings D, Biddiss E. Evaluating the impact of movement tracking feedback on engagement with home exercise programmes of children with cerebral palsy using a new therapy app: a protocol for a mixed-methods single-case experimental design with alternating treatments. BMJ Open. 2024 Mar 18;14(3):e082761. doi: 10.1136/bmjopen-2023-082761.
Other Identifiers
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0607
Identifier Type: -
Identifier Source: org_study_id