scholarly journals Motor Control and Ergonomic Intervention Home-Based Program: A Pilot Trial Performed in the Framework of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Project

Cureus ◽  
2021 ◽  
Author(s):  
Sophia Stasi ◽  
Maria Tsekoura ◽  
John Gliatis ◽  
Vasiliki Sakellari
Keyword(s):  
Motor Control ◽  
Pilot Trial ◽  
Home Based ◽  
Intervention Home ◽  
Ergonomic Intervention

scholarly journals Process evaluation of a randomised pilot trial of home-based rehabilitation compared to usual care in patients with heart failure with preserved ejection fraction and their caregiver’s

2020 ◽  
Author(s):  
Karen Smith ◽  
Chim Lang ◽  
Jenny Wingham ◽  
Julia Frost ◽  
Colin Greaves ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Cardiac Rehabilitation ◽  
Process Evaluation ◽  
Treatment Options ◽  
Pilot Trial ◽  
Qualitative Assessment ◽  
Intervention Fidelity ◽  
Preserved Ejection Fraction ◽  
Home Based

Abstract Background: Whilst almost 50 percent of heart failure (HF) patients have preserved ejection fraction (HFpEF), evidence-based treatment options for this patient group remain limited. However, there is growing evidence of the potential value of exercise-based cardiac rehabilitation. This study reports the process evaluation of the Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention for HFpEF patients and their caregivers conducted as part of the REACH-HFpEF pilot trial. Methods: Process evaluation sub-study parallel to a single centre (Tayside, Scotland) randomised controlled pilot trial with qualitative assessment of both intervention fidelity delivery and HFpEF patients’ and caregivers’ experiences. The REACH-HF intervention consisted of self-help manual for patients and caregivers, facilitated over 12 weeks by trained healthcare professionals. Interviews were conducted following completion of intervention in a purposeful sample of 15 HFpEF patients and seven caregivers.Results: Qualitative information from the facilitator interactions and interviews identified three key themes for patients and caregivers: (1) understanding their condition, (2) emotional consequences of HF, and (3) responses to the REACH-HF intervention. Fidelity analysis found the interventions to be delivered adequately with scope for improvement in caregiver engagement. The differing professional backgrounds of REACH-HF facilitators in this study demonstrate the possibility of delivery of the intervention by healthcare staff with expertise in HF, cardiac rehabilitation or both. .Conclusions: The REACH-HF home-based facilitated intervention for HFpEF appears to be a feasible and a well-accepted model for the delivery of rehabilitation, with the potential to address key unmet needs of patients and their caregivers who are often excluded from HF and current cardiac rehabilitation programmes. Results of this study will inform a recently funded full multicentre randomised clinical trial.Trial registration: ISRCTN78539530 (date registration 7th July 2015) http://www.isrctn.com/ISRCTN78539530

Effect of electronic time monitors on children's television watching: Pilot trial of a home-based intervention

2009 ◽  
Vol 49 (5) ◽  
pp. 413-417 ◽  
Author(s):  
Cliona Ni Mhurchu ◽  
Vaughan Roberts ◽  
Ralph Maddison ◽  
Enid Dorey ◽  
Yannan Jiang ◽  
...  
Keyword(s):  
Pilot Trial ◽  
Children's Television ◽  
Television Watching ◽  
Home Based ◽  
Home Based Intervention

Home-based treadmill training for individuals with Parkinson’s disease: a randomized controlled pilot trial

2012 ◽  
Vol 26 (9) ◽  
pp. 817-826 ◽  
Author(s):  
Colleen G Canning ◽  
Natalie E Allen ◽  
Catherine M Dean ◽  
Lina Goh ◽  
Victor SC Fung
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Pilot Trial ◽  
Treadmill Training ◽  
Randomized Controlled ◽  
Home Based

scholarly journals Process evaluation of a randomised pilot trial of home-based rehabilitation compared to usual care in patients with heart failure with preserved ejection fraction and their caregiver’s (REACH-HFpEF pilot study)

2020 ◽  
Author(s):  
Karen Smith ◽  
Chim Lang ◽  
Jenny Wingham ◽  
Julia Frost ◽  
Colin Greaves ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Cardiac Rehabilitation ◽  
Process Evaluation ◽  
Treatment Options ◽  
Pilot Trial ◽  
Randomised Clinical Trial ◽  
Qualitative Assessment ◽  
Preserved Ejection Fraction ◽  
Home Based

Abstract Background: Whilst heart failure (HF) with preserved ejection fraction (HFpEF) affects almost 50 percent of the HF population, evidence-based treatment options remain limited. However, there is growing evidence of the potential value of exercise-based cardiac rehabilitation. This study reports the process evaluation of the Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention for HFpEF patients and their caregivers conducted as part of the REACH-HFpEF pilot trial. Methods: Process evaluation sub-study parallel to a single centre (Tayside, Scotland) randomised controlled pilot trial with qualitative assessment of both intervention fidelity delivery and HFpEF patients’ and caregivers’ experiences. The REACH-HF intervention consisted of self-help manual for patients and caregivers, facilitated over 12 weeks by trained healthcare professionals. Interviews were conducted following completion of intervention in a purposeful sample of 15 HFpEF patients and 7 caregivers.Results: Qualitative information from the facilitator interactions and interviews identified three key themes for patients and caregivers: (1) understanding their condition, (2) emotional consequences of HF, and (3) patients’ and caregivers’ responses to the REACH-HF intervention. The differing professional backgrounds demonstrate the possibility of delivering REACH-HF by either existing HF or cardiac rehabilitation services of a combination of the two.Conclusions: The REACH-HF home-based facilitated intervention for HFpEF appears feasible and well accepted model for delivery of a cardiac rehabilitation intervention, with the potential to address key unmet needs of patients and their caregivers who are often excluded from service provision and current CR programmes. Results of this study will inform a recently funded full multicentre randomised clinical trial.Trial registration: ISRCTN78539530 (date registration 7th July 2015) http://www.isrctn.com/ISRCTN78539530

Exercise- and Psychosocial-Based Interventions to Improve Daily Activity in Heart Failure: A Pilot Study

2016 ◽  
Vol 29 (2) ◽  
pp. 111-120 ◽  
Author(s):  
Michael J. Shoemaker ◽  
Nicole L. Oberholtzer ◽  
Lance E. Jongekrijg ◽  
Travis E. Bowen ◽  
Kelly Cartwright ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pilot Study ◽  
Daily Activity ◽  
Pilot Trial ◽  
Cardiac Resynchronization ◽  
Home Based ◽  
Secondary Outcomes ◽  
Single Blind ◽  
Group Stratification ◽  
Present Pilot Study

In individuals with heart failure (HF), low daily activity is associated with a poorer prognosis. The purpose of this pilot study was to investigate the effects of two home-based interventions on the primary HF-related outcome of daily activity and secondary outcomes of exercise tolerance, HF-related health status, and lower extremity functional strength in 16 patients with HF and implanted Medtronic implantable cardioverter defibrillator and cardiac resynchronization devices using a single-blind, randomized controlled pilot trial. Interventions were either daily activity feedback and encouragement or health coaching and home-based exercise. There were no significant differences in primary or secondary outcomes either between or within groups. Three subjects in each treatment group improved in two or more secondary outcomes, and only one improved in daily activity. Although the present pilot study incorporated both exercise and psychosocial components in the intervention, there was no effect on daily activity, perhaps because readiness for behavioral change was not accounted for either in group stratification/allocation or inclusion criteria.

A Robust Method to Improve Estimation Accuracy of Walking Gait Kinematics by Considering Geometrical Constraints on Kinect Data

2016 ◽  
Author(s):  
Mostafa Ghobadi ◽  
Ehsan T. Esfahani
Keyword(s):  
Motor Control ◽  
Estimation Accuracy ◽  
Human Motor Control ◽  
Walking Gait ◽  
Gait Kinematics ◽  
Home Based ◽  
Fitting Algorithm ◽  
Geometrical Constraints ◽  
Human Motor ◽  
Comprehensive Framework

In this paper, we present a robust post processing method to improve the accuracy of kinematics information of human walking gait obtained from the Kinect sensor to be used for home-based gait analysis purposes. The accuracy of raw skeleton tracking data provided by Kinect suffers from a considerable level of uncertainty that compromises any reliable motion analysis. To address this issue, we have developed a comprehensive framework that reconstructs the joint trajectories from the Kinect’s uncertain measurements. The proposed algorithm detects valid motion periods as well as valid segments that represent starting and ending points of fully observed walking gait cycles. It then estimate the skeleton parameters based on the data within these valid periods. The variations of the estimated parameters is significantly reduced when only the data within valid periods are used. Moreover, by considering human motor control principles, the orientation of each limb is filtered through a 5th order polynomial fitting algorithm (Savitzky-Golay). This process removes sudden jumps/deviations which are inconsistent with human motor control. This fitting process along with the estimated skeleton parameters as geometrical constraints are used to reconstruct the joint trajectories. The experimental results demonstrate higher repeatability and less dispersion of the reconstructed joint trajectories compared to the raw skeleton information.

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