Smart Wearable Device (gaitQ) That Helps People With Long-term Conditions Affecting Movement: Walk Better
Design: Participatory design with testing for validity, reliability and responsiveness Participants: This will involve healthy people and people with long-term conditions affecting their movement, including people with Parkinson's \[PwP\]. Additional patient groups will be investigated, including stroke, and people with hip/knee injuries. Methods The Researchers will collect movement data using the gaitQ system, which monitors and cues, to both collect data and cue in the lab environment and investigate the reliability of the measure, concurrent validity of the metric to gold standard gait capture, the responsiveness of measures to the cueing system and usability for participants and clinical teams. To determine reliability, 60 participants will be invited to repeat testing on a second visit. Researchers will describe participants' conditions using standard questionnaires and their mobility and functioning. This study will be underpinned by the new MRC guidelines for developing a complex intervention with a participatory design methodology that uses evidence-based research and behaviour change models to identify intrinsic and extrinsic factors that contribute to a given outcome in a specific population.
• Participants with long-term conditions affecting movement
‣ Diagnosis of idiopathic Parkinson's disease (UK Brain Bank Criteria) or other appropriate condition-specific scales \[stroke, multiple sclerosis, arthritis or osteoporosis\]
⁃ Able to self-report history of daily gait freezing and/or festination for people with PD or gait affected by condition
⁃ Able to walk unsupported or using an aid for at least 3 minutes and satisfactory completion of the Canadian PARQ and if over 69 used to carry out this level of exercise
⁃ Adult (+18 years old)
⁃ Normal or corrected-to-normal vision (Snellen Visual Acuity \> 12/18) or safe to mobilise with support
⁃ Montreal Cognitive assessment score \>21 or ability to follow 2-stage commands
• Healthy participants
‣ With no long-term conditions affecting movement
⁃ Able to walk unsupported or using an aid for at least 3 minutes and satisfactory completion of the Canadian PARQ and if over 69 used to carrying out this level of exercise
⁃ Adult (+18 years old)
⁃ Normal or corrected-to-normal vision (Snellen Visual Acuity \> 12/18) or safe to mobilise with support