Rock Steady A mobile gamified vestibular rehabilitation therapy app for older adults with complaints of dizziness

Project Summary The long term objective of this SBIR application is to develop and test a minimum viable product MVP of Rock Steady a software application for adults with vestibular dysfunction This product is relevant to the mission of the NIDCD because it addresses the request for the development of technologies for the study diagnosis and treatment of balance disorders particularly for the elderly The envisioned product is an elegantly simple mobile application that is designed to measure adherence to a home exercise program of gaze stability exercises based on recommendations from the Clinical Practice Guidelines for Vestibular Rehabilitation This product was conceived in response to four main drivers the growing number of adults aging with balance impairments due to vestibular dysfunction the finding that vestibular rehabilitation therapy VRT improves quality of life the need for developing engaging exercise programs that will improve adherence to VRT and a lack of commercially available low cost tools to support VRT This application is very timely given the growth in the number of older adults and the ease of dissemination via smart tablets PCs which are being adopted by older adults at faster rates than ever before By deploying the app on common digital technology we will ensure its widespread adoption Finally it will be designed with end user feedback from all stakeholder groups including people with vestibular dysfunction Broad Objective We intend to translate existing evidence based educational material assessments and gaze stability exercises to a mobile device for widespread dissemination and adoption to increase adherence with home and clinic based VRT promote health and wellbeing and improve patient care and outcomes through coordinated higher quality of care Approach In Phase we will employ user centered design methodologies to develop and evaluate reliability validity and usability of Rock Steady for adults with vestibular dysfunction over age integrate eye head tracking and identify and evaluate feature and content expansions adaptations for Rock Steady In Phase we will employ user centered iterative design approaches to develop Rock Steady and further feasibility usability and a pilot effectiveness study Research Design We will use a randomized trial design to evaluate reliability validity and usability All participants will complete two versions of standard evaluations of vestibular dysfunction using traditional paper pencil method and via the app Participants will be randomized to begin with either the app or traditional approaches Reliability will be compared using interclass correlation coefficient validity will be evaluated using Pearson Spearman statistics and usability will be evaluated using the System Usability Scale questionnaire Expected Outcomes We believe that Rock Steady will be a valid and reliable adjunct to VRT The app will provide healthcare professionals with important data regarding adherence and function while also reducing the cost of care delivery Project Narrative This proposal describes the development of Rock Steady a novel approach to fall risk reduction through digital assessment and guided exercises for adults with balance impairments due to vestibular deficits Rock Steady presents opportunities for improved management of fall risk and quality of life and to containing the cost of health care in the elderly