Seinsche Julia, de Bruin Eling D, Saibene Enrico, Rizzo Francesco, Carpinella Ilaria, Ferrarin Maurizio, Ifanger Sarina, Moza Sotiria, Giannouli Eleftheria
Motor Control and Learning Group, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, Eidgenössische Technische Hochschule Zurich, Zurich, Switzerland.
Department of Health, OST - Eastern Swiss University of Applied Sciences, St Gallen, Switzerland.
JMIR Res Protoc. 2023 Nov 9;12:e49377. doi: 10.2196/49377.
Exergame-based motor-cognitive training in older adults has been associated with improvements in physical, cognitive, and psychological functioning. The novel Cocare system (Dividat GmbH), developed through a user-centered design process, allows motor-cognitive training in a telerehabilitation setting. It includes (1) a stationary stepping platform for supervised exergame training (Dividat Senso; Dividat GmbH), (2) a home-based version (Dividat Senso Flex, which is a rollable pressure-sensitive mat; Dividat GmbH), (3) an assessment system (including motor-cognitive tests), and (4) a rehabilitation cockpit for remote training supervision and management.
The aim of this study is to test the feasibility and effectiveness of this novel training system.
A total of 180 older adults from Switzerland, Italy, and Cyprus aged ≥60 years with a prescription for rehabilitation are randomly allocated to an intervention group or a control group. Both groups continue with their usual care, whereas participants in the intervention group additionally perform a 2-week supervised exergame training program at rehabilitation centers, followed by a 10-week home training program under remote supervision. The assessment system is used to indicate the start level of each participant, and, in both intervention periods, standardized progression rules are applied. The measures of feasibility include adherence, attrition, exergame enjoyment, willingness to perform such a training program, and the number and types of help requests. Effectiveness is assessed in terms of cognitive and physical functioning, balance confidence, and quality of life.
Data collection started in February 2023 and is ongoing. Final measurements are expected to be performed in January 2024.
Owing to the user-centered design approach, the Cocare system is expected to be user-friendly and offers several novel features to cover the whole continuum of care. This pragmatic trial will provide valuable information regarding final necessary adaptations and subsequent implementation efforts.
ClinicalTrials.gov NCT05751551; https://www.clinicaltrials.gov/study/NCT05751551.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/49377.
针对老年人的基于运动游戏的运动认知训练已被证明与身体、认知和心理功能的改善有关。通过以用户为中心的设计过程开发的新型Cocare系统（Dividat GmbH），允许在远程康复环境中进行运动认知训练。它包括：（1）一个用于监督运动游戏训练的固定式踏步平台（Dividat Senso；Dividat GmbH），（2）一个家庭版（Dividat Senso Flex，这是一个可滚动的压敏垫；Dividat GmbH），（3）一个评估系统（包括运动认知测试），以及（4）一个用于远程训练监督和管理的康复驾驶舱。
本研究的目的是测试这种新型训练系统的可行性和有效性。
共有180名来自瑞士、意大利和塞浦路斯的60岁及以上有康复处方的老年人被随机分配到干预组或对照组。两组都继续接受常规护理，而干预组的参与者还在康复中心进行为期2周的监督运动游戏训练计划，随后在远程监督下进行为期10周的家庭训练计划。评估系统用于指示每个参与者的起始水平，并且在两个干预期内，都应用标准化的进展规则。可行性的衡量指标包括依从性、损耗率、运动游戏的趣味性、执行此类训练计划的意愿以及求助请求的数量和类型。有效性通过认知和身体功能、平衡信心和生活质量来评估。
数据收集于2023年2月开始，目前仍在进行中。预计最终测量将在2024年1月进行。
由于采用了以用户为中心的设计方法，Cocare系统预计将对用户友好，并提供几个新颖的功能来覆盖整个护理连续体。这项务实的试验将为最终必要的调整和后续实施工作提供有价值的信息。
ClinicalTrials.gov NCT05751551；https://www.clinicaltrials.gov/study/NCT05751551。
国际注册报告识别号（IRRID）：DERR1-10.2196/49377。
