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Table 1 TIDieR Checklist describing the clinical intervention

From: Implementing digital devices to increase mobility training for people receiving inpatient rehabilitation: protocol for a feasibility hybrid type II randomized controlled trial

Checklist item

Intervention group

Control group

Brief name

Digitally enabled rehabilitation in addition to usual care

Usual care

Why

AMOUNT study [9] showed improvements in mobility with digitally enabled rehabilitation in addition to usual care when the intervention was provided by a research physiotherapist external to the service. This study will test whether the clinical intervention can be delivered by physiotherapists employed within a service in addition to the usual rehabilitation

Pragmatic trial design

What

Procedures:

Patient-participants will be prescribed exercises targeting mobility using digital devices in addition to usual physiotherapy exercises

Materials: The digital devices include: Recreational devices like: Nintendo Wii (Nintendo, Kyoto, Japan); Xbox Kinect (Microsoft, Redmond, Washington, USA); and Rehabilitation devices like: StepWatch (Modus Health, USA); LusioMate (Lusio Rehab, Sydney, Australia); Clock Yourself (iphone application, Brisbane, Australia); PTX app (iphone application, Sydney, Australia); Humac Balance System (CSMi Solutions, Stoughton, Massachusetts, USA); Fysiogaming (Doctor Kinetic, Amsterdam, The Netherlands)

Procedures:

Patient-participants will receive usual inpatient physiotherapy care including assessment and prescription of tailored task specific and strengthening repetitive exercises (e.g., practice of standing up, stepping and gait training), usual care also includes assessment and tailored management by medical specialists, nurses, occupational therapists, speech pathologists, social workers, and dietician

Materials: All the equipment used in a regular physiotherapy gym including treadmill, bike, weights and theraband

Who provided

Physiotherapists employed in the rehabilitation ward

How

One-on-one, semi-supervised, independent and group sessions according to ability and safety

Where

Inpatient physiotherapy gym and in their rooms on the rehabilitation ward

When and how much

30 to 60 min additional therapy using digital devices daily for five or more days per week for 3 weeks

Monday to Friday, typically 2 × 1 h sessions/day, for 3 weeks. A Saturday session may be provided if assessed as a clinical priority

Tailoring

Tailored for each participant by physiotherapist according to their mobility limitations, goals, and preference of devices

Tailored for each participant by physiotherapist according to their impairments, activity limitations and goals

Modifications

Modifications to the clinical intervention will be documented throughout the trial

None

How well

Fidelity measures will be collected as part of the implementation evaluation