Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial
IntroductionIn rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quality...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1012369/full |
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| author | María-José Estebanez-Pérez Rocío Martín-Valero Noelia Moreno-Morales Antonio Liñán-González Rocío Fernández-Navarro José-Manuel Pastora-Bernal |
| author_facet | María-José Estebanez-Pérez Rocío Martín-Valero Noelia Moreno-Morales Antonio Liñán-González Rocío Fernández-Navarro José-Manuel Pastora-Bernal |
| author_sort | María-José Estebanez-Pérez |
| collection | DOAJ |
| description | IntroductionIn rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quality of life.Methods and analysisA randomized clinical trial with a mixed quantitative-qualitative design will be carried out. It is a single-blind study, where the evaluator does not know the nature of the intervention. Sixty subjects will be enrolled and randomly divided into two groups: the experimental group (EG) will receive a 4-week digital physiotherapy intervention through an app in a recycled mobile device after hospital discharge; the control group (CG) will receive the physiotherapy standard care recommended for patients discharged from the hospital. Subjects will receive a baseline (T0-pre) assessment of Functional Independence and Quality of Life. At the end of the 4-week intervention (T1-post) a new assessment of the outcome will be performed adding data on adherence, satisfaction (ad hoc questionnaire and TSQ), and barriers of use. Qualitative outcomes will also be explored. The author's hypothesized that the implementation of a digital physiotherapy intervention is feasible and effective to improve functional independence and quality of life. This study protocol is the first to explore the effect of digital physiotherapy intervention in children's patients in a low resource setting (Anantapur).DiscussionThe successful delivery of the intervention, an optimal adherence records, the absence of significant adverse effects, user satisfaction level and the qualitative analysis of limitations, will demonstrate the effectiveness of these procedure. This study will add more evidence in support the use of digital physiotherapy practice as an effective tool. User particularities, provider's capacity, technological and cultural limitations, and considerations for vulnerable populations will be taken into account.Clinical trial registrationNCT04946695 (https://clinicaltrials.gov/). |
| first_indexed | 2024-04-12T03:50:01Z |
| format | Article |
| id | doaj.art-a2d5f1b625d744e99f2902d348774251 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T03:50:01Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a2d5f1b625d744e99f2902d3487742512022-12-22T03:49:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.10123691012369Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trialMaría-José Estebanez-Pérez0Rocío Martín-Valero1Noelia Moreno-Morales2Antonio Liñán-González3Rocío Fernández-Navarro4José-Manuel Pastora-Bernal5Department of Physiotherapy, Faculty of Health Science, University of Málaga, Málaga, SpainDepartment of Physiotherapy, Faculty of Health Science, University of Málaga, Málaga, SpainDepartment of Physiotherapy, Faculty of Health Science, University of Málaga, Málaga, SpainDepartment of Nursing, Faculty of Health Science, Melilla Campus, University of Granada, Melilla, SpainDepartment of Physiotherapy, Faculty of Health Science, University of Granada, Granada, SpainDepartment of Physiotherapy, Faculty of Health Science, University of Málaga, Málaga, SpainIntroductionIn rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quality of life.Methods and analysisA randomized clinical trial with a mixed quantitative-qualitative design will be carried out. It is a single-blind study, where the evaluator does not know the nature of the intervention. Sixty subjects will be enrolled and randomly divided into two groups: the experimental group (EG) will receive a 4-week digital physiotherapy intervention through an app in a recycled mobile device after hospital discharge; the control group (CG) will receive the physiotherapy standard care recommended for patients discharged from the hospital. Subjects will receive a baseline (T0-pre) assessment of Functional Independence and Quality of Life. At the end of the 4-week intervention (T1-post) a new assessment of the outcome will be performed adding data on adherence, satisfaction (ad hoc questionnaire and TSQ), and barriers of use. Qualitative outcomes will also be explored. The author's hypothesized that the implementation of a digital physiotherapy intervention is feasible and effective to improve functional independence and quality of life. This study protocol is the first to explore the effect of digital physiotherapy intervention in children's patients in a low resource setting (Anantapur).DiscussionThe successful delivery of the intervention, an optimal adherence records, the absence of significant adverse effects, user satisfaction level and the qualitative analysis of limitations, will demonstrate the effectiveness of these procedure. This study will add more evidence in support the use of digital physiotherapy practice as an effective tool. User particularities, provider's capacity, technological and cultural limitations, and considerations for vulnerable populations will be taken into account.Clinical trial registrationNCT04946695 (https://clinicaltrials.gov/).https://www.frontiersin.org/articles/10.3389/fpubh.2022.1012369/fulltelerehabilitationfracturelow resourcespediatricsdigital practice |
| spellingShingle | María-José Estebanez-Pérez Rocío Martín-Valero Noelia Moreno-Morales Antonio Liñán-González Rocío Fernández-Navarro José-Manuel Pastora-Bernal Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial Frontiers in Public Health telerehabilitation fracture low resources pediatrics digital practice |
| title | Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial |
| title_full | Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial |
| title_fullStr | Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial |
| title_full_unstemmed | Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial |
| title_short | Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial |
| title_sort | digital physiotherapy intervention in children in a low resource setting in anantapur india study protocol for a randomized controlled trial |
| topic | telerehabilitation fracture low resources pediatrics digital practice |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1012369/full |
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