Gamification of Incentive Spirometry in Trauma Patients: Protocol for a Prospective, Observational Feasibility Study

Area of Science:

• Trauma Care
• Respiratory Therapy
• Digital Health Interventions

Background:

• Thoracic trauma is a significant cause of hospital admissions, with rib fractures leading to pulmonary complications.
• Incentive spirometry (IS) improves pulmonary function but faces challenges with patient adherence.
• Gamification presents a novel strategy to enhance engagement in respiratory therapy.

Purpose of the Study:

• To evaluate the feasibility and safety of gamified IS using the OmniFlow system in trauma patients with rib fractures.
• To explore preliminary observations of potential clinical efficacy, including respiratory function and adherence.
• This pilot study protocol focuses on feasibility and safety, not structured clinical endpoints.

Main Methods:

• A single-center, prospective, observational phase 2 pilot study was designed.
• Eligible patients: adults in the trauma ICU with rib fractures and GCS of 15, within 48 hours of admission.
• Exclusions: mechanical ventilation, baseline lung disease, IS contraindications. Intervention: daily gamified IS sessions (15-20 min).

Main Results:

• The study protocol was approved, but enrollment did not occur because the OmniFlow device was not supplied.
• No participants were enrolled, thus feasibility and safety could not be assessed.
• The potential benefits of the OmniFlow system remain to be confirmed in future trials.

Conclusions:

• The OmniFlow system shows promise for improving adherence to breathing exercises in thoracic trauma patients.
• The protocol was designed to assess safety and feasibility in patients with thoracic trauma and rib fractures.
• Future iterations could incorporate multiplayer gaming to enhance patient engagement and therapeutic outcomes.