University of Twente Student Theses


Early mobilization at the Paediatric Intensive Care Unit (PICU) : Assessing safety, feasibility, and acceptability in an exergame for the respiratory function

Malestein, S.R. (2022) Early mobilization at the Paediatric Intensive Care Unit (PICU) : Assessing safety, feasibility, and acceptability in an exergame for the respiratory function.

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Abstract:Objective) This pilot study aimed to evaluate the safety, feasibility, and acceptability of the SilverFit Flow to assist early mobilization in the form of training the respiratory function at a PICU setting. Method) The study used a mixed-method design. Participants were recruited via a convenience sampling method at the PICU of the University Medical Centre Utrecht (UMCU). Patients were asked to participate in a trial to use the SilverFit Flow one, two, or three times. In total, four patients, four caregivers and four professionals were recruited. Descriptive statistics was gathered via observation and satisfaction forms. In addition, qualitative data was gathered via semi-structured dual interviews with the patients and caregivers and semi-structured interviews were done with the professionals. Results) Including patients for this study was much harder than expected due to various factors. In the end, the sessions with the SilverFit Flow took on average 20.1 minute (SD=5.9). One professional was needed in almost all sessions. The SilverFit Flow had no adverse events with a direct relation to the system. The issues that occurred during the sessions (N=13) were mostly that the game was too complicated for the patient (N=7). Professionals mainly gave enthusiastic reactions and mentioned that the SilverFit Flow would suit at the PICU. Yet, they also mentioned some barriers (such as, low priority and the pain or energy of the patient) and some suggestions for improvements (such as, structuring the process and indicating provider champions). Both patients and their caregivers were satisfied with the SilverFit Flow and indicated that the SilverFit Flow was fun, a good addition to care and a nice way of monitoring progress. Suggestions for improvement included making the game more targeted to the patients of the PICU and increase the structure of the implementation process of the SilverFit Flow at the PICU. Conclusion) This study suggest that the SilverFit Flow seems safe, feasible and acceptable to assist early mobilisation (via training the respiratory function) in children at the hospital. However, the study revealed that inclusion was difficult and therefore more research is needed, also in other PICUs. It is recommended to further research the implementation of the SilverFit Flow at a PICU.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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