Pilot Trial of Spirometer Games for Airway Clearance Practice in Cystic Fibrosis.
BACKGROUND: Many children with cystic fibrosis (CF) adhere poorly to airway clearance techniques (ACTs), and would rather play video games that challenge their dexterity and visual tracking skills. We developed gaming technology that encourages forced expiratory maneuvers. OBJECTIVE: Following inter...
| Published in: | Respiratory Care Vol. 57; no. 8; pp. 1278 - 1285 |
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| Main Authors: | , , |
| Format: | pictorial research tables/charts randomized controlled trial Journal Article |
| Published: |
Mary Ann Liebert, Inc.
Aug2012
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104482440&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104482440 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Aug2012 vid: 57 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 104482440 78079959 10.4187/respcare.01263 NLM22348602 104482440 ppf: 1278 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Pilot Trial of Spirometer Games for Airway Clearance Practice in Cystic Fibrosis. aug: au: Bingham, Peter M. Lahiri, Thomas Ashikaga, Taka affil: Department of Neurology, University of Vermont, Burlington, Vermont sug: subj: Cystic Fibrosis Therapy Respiratory Therapy Methods Spirometry Methods Therapy, Computer Assisted Methods Video Games Spirometry Equipment and Supplies Lung Diseases, Obstructive Therapy Product Development Methods Human Pilot Studies Respiratory Function Tests Forced Expiratory Flow Rates T-Tests Descriptive Statistics Interviews Forced Expiratory Volume Child Vital Capacity Patient Compliance Motivation Funding Source Vermont Software Crossover Design Randomized Controlled Trials Outcomes (Health Care) Single-Blind Studies Calibration Outcome Assessment Paired T-Tests Pearson's Correlation Coefficient Male Female Severity of Illness Child: 6-12 years Male Female ab: BACKGROUND: Many children with cystic fibrosis (CF) adhere poorly to airway clearance techniques (ACTs), and would rather play video games that challenge their dexterity and visual tracking skills. We developed gaming technology that encourages forced expiratory maneuvers. OBJECTIVE: Following interviews regarding recreational activities and subjects' practice of ACTs, we conducted a pilot trial of spirometer games in 13 adolescents with CF, to test the hypothesis that games could increase subjects' engagement with forced expiratory breathing maneuvers and improve pulmonary function tests (PFTs). METHODS: After baseline PFTs, subjects were provided with digital spirometers and computers set up as "game only" or "control" devices. After the first of 2 periods (each > 2 weeks), the computer was set-up for the alternate condition for period 2. The t test and non-parametric correlation analyses examined use, number of expiratory high flow events (HFEs), and change in PFTs, identifying trends at P ≤ .1, significance at P < .05. RESULTS: Interviews disclosed minimal awareness of ACTs among our pediatric CF patients. Subjects used games and control software a similar percentage of days during the game (26%) and control periods (32%). There was a trend toward more minutes with the game versus control setup (P = .07), though HFE count did not differ between the 2 conditions (P = .71). Game play showed no overall effect on FEV1, though correlation analysis showed a modest relation between minutes of play and change in FEV1 from baseline (r = 0.50, P = .09). The game period showed a trend to increased vital capacity (P = .05). CONCLUSIONS: Spirometer games elicit forced expiratory breath maneuvers in pediatric CF patients. Improvement in PFTs may be due to improved test performance technique, though improved obstructive/restrictive lung function due to game play cannot be excluded. A formal clinical trial of this approach is planned. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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