Mobility Training Research Articles

Psychomotor learning theory informing the design and evaluation of an interactive augmented reality hand hygiene training app for healthcare workers

Hand hygiene is critical for infection control, but studies report poor transfer from training to practice. Hand hygiene training in hospitals typically involves one classroom session per year, but psychomotor skills require repetition and feedback for retention. We describe the design and independent evaluation of a mobile interactive augmented reality training tool for the World Health Organisation (WHO) hand hygiene technique. The design was based on a detailed analysis of the underlying educational theory relating to psychomotor skills learning. During the evaluation forty-seven subjects used AR hand hygiene training over 4 weeks. Hand hygiene proficiency was assessed at weekly intervals, both electronically and via human inspection. Thirty eight participants (81%) reached proficiency after 24.3 (SD = 17.8) two-minute practice sessions. The study demonstrated that interactive mobile applications could empower learners to develop hand hygiene skills independently. Healthcare organizations could improve hand hygiene quality by using self-directed skills-based training combined with regular ward-based assessments.

Pelvic floor muscle training and postural balance in elderly women: An exploratory single arm trial

IntroductionTo investigate the influence of a training of mobility, gait speed and postural balance of pelvic floor muscles (PFM). MethodsA single-arm clinical trial study was approved and registered at the Brazilian Clinical Trials Registry (RBR-4rxhd4). Eighteen women over the age of 60 with pelvic floor dysfunction complaints were subjected to 10 sessions of functional electrical stimulation and digital palpation of PFM. Mobility and gait speed were evaluated by the Timed up and Go and the 10-m walk tests respectively. Standing balance was evaluated using a force plate. ResultsNo significant differences were found in mobility, gait speed, and standing balance. PFM contraction worsened mobility, gait speed, and standing balance performance. ConclusionsThe training protocol enhanced PFM strength and endurance, but the improved ability to recruit PFM did not positively affect balance, mobility, and gait speed.

Impact of Individual Belief, Facilitating Condition, and Habits on the Acceptance and Support to Use Mobile Training

Implementation and adoption of mobile training are still nascent in the public sector in the UAE. A successful migration model for a mobile training system relies on user support and acceptance as well as the decision to migrate to mobile training. The study aims to investigate a comprehensive range of the factors that influence the intention to use and support to change to mobile training in the Sharjah police general command – UAE. The proposed conceptual framework includes Individual Beliefs (attitude) (IB), Facilities Condition (FC), Habits (HA), Intention to Use Mobile Training (IUMT), and support to change to mobile training (SCMT). The study's target population is all the staff members of the General Department of Sharjah Police in the Emirate of Sharjah, which has a total of 7,715 employees and a sample size of 367. The final dataset includes 373 respondents collected from 19 different departments by using the quota sampling technique. Results of intention to use mobile training (IUMT), illustrate a satisfactory predictive power; the three variables; IB, FC, and HA can explain 44.6% of the variance. The precedence of the impacts based on the path coefficient is individual belief, facilitating conditions, then habit. Results of support to change to mobile training (SCMT), illustrate a moderate predictive power; the four variables; IUMT, IB, FC, and HA can explain 63.6% of the variance. The precedence of the impacts based on the path coefficient is the intention to use mobile training, then individual belief. The three main predictors have impacts on the support to change to mobile training (SCMT) either directly or indirectly. Based on the total effect, the precedence of the three main variables is individual belief, facilitating conditions, then habit.

Impact of Individual Belief, Facilitating Condition, and Habits on the Acceptance and Support to Use Mobile Training

Impact of Individual Belief, Facilitating Condition, and Habits on the Acceptance and Support to Use Mobile Training

Varied impacts on outpatient services among departments and divisions in the early phase of the COVID-19 pandemic: Implications for personnel mobilization and preparatory training.

Coronavirus disease 2019 (COVID-19) spread all over the world in 2020. In the face of the sudden pandemic, workforce mobilization has been of critical concern to medical institutions. During the pandemic, the public's behaviors of seeking medical assistance have also changed. Using the real-world data of a large medical center in Taiwan, this study aimed to analyze the fluctuations of outpatient visits among various departments and divisions in the early phase of the COVID-19 pandemic and to provide suggestions for staff allocation in similar future events. Data of outpatient visits at Taipei Veterans General Hospital were obtained for analysis. The weekly fluctuations of outpatient visits among 36 departments or divisions were computed for 8 weeks from February 3 to March 29, 2020, the early phase of the pandemic. The monthly data of outpatient visits by department and division in March 2020 were also extracted for comparison with those in March 2019. A simple regression equation was used to calculate the weekly trends. Average outpatient visits decreased by 26% in 2 months following the outbreak. Among the 36 departments or divisions, ophthalmology, orthopedics, and cardiology underwent marked declines after the outbreak; the slopes of the simple regression equation were -110.8, -100.7, and -99.2, respectively. By contrast, transfusion medicine, toxicology, transplantation surgery, pediatric surgery, chest surgery, technical aid, and oncology were divisions less influenced. In the year-over-year comparison, infection was the only department or division with positive growth (20.5%), whereas all others exhibited negative growth. In the future, we can fulfil the additional personnel needs during a pandemic by redeploying physicians from departments experiencing a reduced workload. Hospitals should also establish preparatory employee training programs to ensure that the reassigned personnel are adequately equipped to serve in their new positions.

Return to Sport Following Anterior Cruciate Ligament Reconstruction: Women's Lacrosse

Participation in women’s lacrosse has increased in popularity over the last 20 years with a subsequent rise in sports-related injuries. Despite this increase, there is a paucity of research examining this population, particularly regarding guidelines for safe return to lacrosse after anterior cruciate ligament (ACL) reconstruction. A lacrosse-specific functional rehabilitation program is critical to the success of the athlete. The athlete must be prepared and demonstrate the ability to cut, pivot, jump, pass, and shoot with the incidental contact required for sport clearance. A criterion-based program delineating a progression of range of motion, mobility, strength, neuromuscular control, agility, and cardiovascular training is an essential part of ACL rehabilitation. Early incorporation of lacrosse-specific skills emphasizing multiplanar neuromuscular control should gradually progress to more challenging field-based tasks as the athlete transitions through their rehabilitation program. A multidisciplinary team of physicians, physical therapists, athletic trainers, strength and conditioning specialists, coaches, and parents must collaborate effectively to reduce the athlete’s risk for reinjury, meet the demands of the sport, and facilitate returning to the field without complications. Associated video content

Seamless Wayfinding by a Deafblind Adult on an Urban College Campus: A Case Study on Wayfinding Performance, Information Preferences, and Technology Requirements

This article reports on an empirical evaluation of the experience, performance, and perception of a deafblind adult participant in an experimental case study on pedestrian travel in an urban environment. The case study assessed the degree of seamlessness of the wayfinding experience pertaining to routes that traverse both indoor and outdoor spaces under different modalities of technology-aided pedestrian travel. Specifically, an adult deafblind pedestrian traveler completed three indoor/outdoor routes on an urban college campus using three supplemental wayfinding support tools: a mobile application, written directions, and a tactile map. A convergent parallel mixed-methods approach was used to synthesize insights from a pre-travel questionnaire, route travel video recordings, post-travel questionnaire, and post-travel interview. Our results indicate that wayfinding performance and confidence differed considerably between the three wayfinding support tools. The tactile map afforded the most successful wayfinding and highest confidence. Wayfinding performance and confidence were lowest for the mobile application modality. The simplicity of use of a wayfinding tool is paramount for reducing cognitive load during wayfinding. In addition, information that does not match individual, user-specific information preferences and needs inhibits wayfinding performance. Current practice pertaining to the representation of digital spatial data only marginally accounts for the complexity of pedestrian human wayfinding across the gamut of visual impairment, blindness, and deafblindness. Robust orientation and mobility training and skills remain key for negotiating unexpected or adverse wayfinding situations and scenarios, irrespective of the use of a wayfinding tool. A substantial engagement of the deafblind community in both research and development is critical for achieving universal and equitable usability of mobile wayfinding technology.

A smart objects library for BIM-based construction site and emergency management to support mobile VR safety training experiences

PurposeHealth and safety training via immersive virtual reality (VR) in the construction sector is still limited to few early adopters despite the benefits it could provide in terms of training effectiveness. To foster its adoption, in this work, the authors address the lack of an organized asset of digital contents dedicated to the production of VR site scenarios that emerged as one of the most limiting factors for the implementation of building information modeling (BIM) and VR for construction workers’ safety training. To improve this critically time-consuming process, a dedicated site object library is proposed.Design/methodology/approachThe development of the site object library for the production of BIM-based VR safety training experiences followed a four-step process: definition of the object list and categories from the analysis of heterogeneous knowledge sources – construction sectors’ regulations, case studies and site scenarios’ imagery; definition of the object requirements (e.g. information, graphics, sounds, animations and more); design of an object information sheet as a library implementation support tool; and library implementation and validation via collaborative VR sessions.FindingsThis work provides the definition of a structured library of construction site objects dedicated to the production of VR scenarios for safety training comprising 168 items, implemented and validated.Originality/valueThe research contributes to facilitate and standardize the time-consuming contents’ production and modeling process of site scenarios for VR safety training, addressing the lack of a dedicated site object library. Furthermore, the novel library framework could serve as a base for future extensions dedicated to other applications of VR site simulations (e.g. constructability analysis).

Effectiveness of the Mobility Rehab System for Mobility Training in Older Adults: A Pragmatic Clinical Trial.

Introduction: Mobility impairments are among the main causes of falls in older adults and patients with neurological diseases, leading to functional dependence and substantial health care costs. Feedback-based interventions applied in controlled, laboratory environments have shown promising results for mobility rehabilitation, enhancing the benefits of standard therapy. However, the effectiveness of sensor-based feedback to improve gait in actual outpatient physical therapy settings is unknown. The proposed trial examines the effectiveness of a physical therapist-assisted, visual feedback system using wearable inertial sensors, Mobility Rehab, for mobility training in older adults with gait disturbances in an outpatient clinic.Methods: The study is a single site, pragmatic clinical trial in older adults with gait disturbances. Two hundred patients undergoing their outpatient rehabilitation program are assigned, by an independent assistant, for screening by one of four therapists, and assigned to either a standard physical therapy or therapist-assisted feedback therapy. Both groups train twice a week for 6 weeks. Four physical therapists were randomized and stratified by years of experience to deliver standard therapy or therapist-assisted feedback rehabilitation. Each session is 45 min long. Gait is trained for 30 min. The additional 15 min include exercises for endurance, strength, and static and dynamic balance in functional tasks. Mobility Rehab uses unobtrusive, inertial sensors on the feet and belt with real-time algorithms to provide real-time feedback on gait metrics (i.e., gait speed, double support time, foot clearance, angle at foot strike, and arm swing), which are displayed on a hand-held monitor. Blinded assessments are carried out before and after the intervention. The primary outcome measure is subjects' perception of balance as measured by the Activities-specific Balance Confidence scale. Gait speed, as measured with wearable inertial sensors during walking, is the secondary outcome measure.Discussion: We hypothesize that therapist-assisted feedback rehabilitation will be more effective than standard rehabilitation for gait. Feedback of motor performance plays a crucial role in rehabilitation and objective characterization of gait impairments by Mobility Rehab has the potential to improve the accuracy of patient-specific gait feedback.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT03869879.

The Effect of Joint Mobilization and Deep Neck Flexor Training on the Range of Motion in Adults with Non-specific Neck Dysfunction-A Pilot Study

This study was conducted to identify the effects of mobilization, deep cervical flexor training(DCFT), and mixed training on the mobility of adults with nonspecific neck dysfunction. Thirty adults with nonspecific neck dysfunction were selected as subjects through the Korean version of the neck disability index (K-NDI) and classified into a joint mobilization group, deep neck flexor training group, and mixed group. They were then subjected to an intervention for four weeks. To examine the effect of the intervention on the range of motion of the neck, the range of motion of the neck before and after the experiment was measured. As the result of the four-week intervention, the flexion and extension of the joint mobilization group and the mixed group increased significantly compared to that of the deep neck flexor training group (p < .05). As a result, joint mobilization and mixed training for nonspecific neck dysfunction were effective in increasing the range of motion of the neck. Based on these results, an intervention program including joint mobility can be effective in treating adults with nonspecific neck dysfunction caused by various factors.

Mobility Tool Use Relates to Disability Affirmation among Adults with Visual Impairments

Introduction: Research is beginning to support the association between positive disability identity and well-being among individuals with disabilities, including those with visual impairments (i.e., blindness and low vision). To enhance practitioner understanding of how to support individuals with visual impairments, research is needed to examine how disability identity attitudes may vary based on disability characteristics in this population. Methods: Using multiple linear regression, the author examined the association between impairment-related factors and personal disability identity (PDI; i.e., disability affirmation and disability acceptance) and group disability identity (GDI) in a sample of 212 adult U.S. residents with visual impairments. Results: Results of this study indicated that participants who use a mobility tool (cane, dog guide, or both) have higher self-reported disability affirmation ( p = .001)—an identity construct related to feelings of disability pride versus shame—after controlling for age, gender, and impairment-related factors (e.g., severity indicators). The Cohen’s f 2 value for the affirmation model was .15, a medium effect size (Cohen, 1988). The regression on GDI indicated that younger participants, in general, reported higher feelings of connection to the disability community (i.e., higher GDI; p = .001); Cohen’s f 2 was .13, a small effect. The regression on disability acceptance yielded non-significant findings. Discussion: Researchers and practitioners working with adults who have visual impairments should consider the relationship between an individual’s disability affirmation and decision-making regarding mobility tool use and training . Future research should also examine hypotheses regarding the negative association between age and GDI among adults with visual impairments. Implications for practitioners: Practitioners within the field of visual impairment may benefit from a consideration of consumer disability identity, including disability affirmation and disability group affiliation.

Efficacy of mobile app-based training on health literacy among pregnant women: A randomized controlled trial study.

: Health literacy of mothers during pregnancy shows social and cognitive skills indicating the motivation and ability of mothers to receive and use useful knowledge to maintain and promote the health of themselves and their children. The present study was conducted aimed to determine the effect of mobile app-based training on health literacy among pregnant women. A random allocation clinical trial was conducted on 140 eligible mothers. All participants were randomly allocated to the experimental and control groups. Data collection tools included personal information and maternal health literacy questionnaires. The questionnaires were completed and then a mobile app-based training intervention was performed for the experimental group. The participants of the experimental group were asked to read the contents of the software once a week for 8 weeks. The questionnaires were completed again after 8 weeks of the training intervention. The data were analyzed using SPSS software version 21. Independent t-test, Mann-Whitney U, Wilcoxon, Fisher, Chi-square, Kruskal-Wallis, and one-way analysis of variance was used for this purpose. The participants showed no statistically significant difference in terms of demographic-social information (p > 0.05). The mean change in health literacy scores after the intervention was statistically significant between the experimental and control groups (p < 0.001). Also, the mean change in health literacy scores before and after the intervention in the experimental group was statistically significant (p < 0.001). But this change in the control group was not statistically significant (p = 0.609). For the first time we used mobile app-based training and results showed that it is effective in the health literacy of pregnant women especially in situations like the Corona Virus pandemic. Therefore, it is suggested that health care providers, especially midwives, use this training method to promote the health literacy of pregnant women.

Long-term ambient PM2.5 and O3 reduced cognitive function in young adults as measured through the Lumosity brain training platform

BACKGROUND AND AIM: A growing body of evidence indicates that exposure to air pollution affects cognitive performance; however, few studies have assessed this in the context of repeated measures within a large group of individuals. To evaluate the association between long-term exposure to ambient air pollution and aspects of cognitive function we used cognitive performance data from the mobile Lumosity brain training platform. METHODS: The study cohort included 29,091 Lumosity users in the contiguous US who completed 20 repetitions of the Lost in Migration game between 2017 and 2018. Game scores reflect focus and ability to filter information and avoid distracting information. Air pollution data included ambient PM2.5 and O3 averaged for the 365-day period before each gameplay date. Air pollution data from Federal Reference Method monitors was aggregated to the ZIP code (three-digit) level to match the geography included in the game data set. Generalized linear models were used to examine the association between long-term ambient PM2.5 and O3 and game score. Co-pollutant models were adjusted for meteorology, time trend, age, gender, device, education, local socioeconomic factors, and urbanicity. RESULTS:A 5 μg/m3 increase in PM2.5 was associated with lower user focus scores (-0.50% 95% CI: -0.80, -0.15). No association was observed with O3. Associations with scores were stronger among young adults (18-29 years old) for both PM2.5 (-1.25%; 95% CI: -2.25, -0.25) and O3 (-2.93% per 0.01 ppm; 95% CI: -4.64, -1.20). In the oldest age group (60-90 years old), PM2.5 was associated with decreased scores (-0.33%; 95% CI: -0.75, 0.09) and O3 associated with increased scores (1.22%; 95% CI: 0.54, 1.88). CONCLUSIONS:We observed that elevated long-term PM2.5 and O3 were associated with decreased focus score in young adults. This abstract does not reflect EPA policy. KEYWORDS: Air pollution, Particulate matter, Long-term exposure

Methodological Characteristics, Physiological and Physical Effects, and Future Directions for Combined Training in Soccer: A Systematic Review.

Combined training (CT) may combine strength and endurance training within a given time period, but it can also encompass additional protocols consisting of velocity, balance, or mobility as part of the same intervention. These combined approaches have become more common in soccer. This systematic review was conducted to (1) characterize the training protocols used in CT studies in soccer, (2) summarize the main physiological and physical effects of CT on soccer players, and (3) provide future directions for research. Methods: A systematic review of Cochrane Library, PubMed, Scopus, SPORTDiscus, and Web of Science databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The PICOS were defined as follows: P (soccer players of any age or sex); I (CT combining strength and endurance or sprinting or balance or mobility training); C (the control group (whenever applicable), with or without comparative interventions in addition to usual soccer training); O (acute and/or chronic responses: biochemical, physiological and physical); S (must have at least two groups, either randomized or non-randomized). The database search initially identified 79 titles. From those, eight articles were deemed eligible for the systematic review. Three studies analyzed acute responses to concurrent training, while the remaining five analyzed adaptations to CT. In those tested for acute responses, physiological (hormonal) and physical (strength and power external load, internal load) parameters were observed. Adaptations were mainly focused on physical parameters (strength and power, sprints, jumps, repeated sprint ability, aerobic, change-of-direction), with relatively little focus on physiological parameters (muscle architecture). Short-term responses to CT can affect hormonal responses of testosterone after resistance training with internal and external load. In turn, these responses’ effects on strength and power have produced mixed results, as have adaptations. Specifically, strength and hypertrophy are affected to a lesser extent than speed/power movements. Nevertheless, it is preferable to perform CT before endurance exercises since it is a limiting factor for interference. Volume, intensity, rest between sessions, and athletes’ fitness levels and nutrition dictate the degree of interference.

Sensor-Based Indices for the Prediction and Monitoring of Anterior Cruciate Ligament Injury: Reliability Analysis and a Case Study in Basketball.

The possibility of measuring predictive factors to discriminate athletes at higher risk of anterior cruciate ligament (ACL) injury still represents an open research question. We performed an observational study with thirteen female basketball players who performed monopodalic jumps and single-leg squat tests. One of them suffered from an ACL injury after the first test session. Data gathered from twelve participants, who did not suffer from ACL injury, were used for a reliability analysis. Parameters related to leg stability, load absorption capability and leg mobility showed good-to-excellent reliability. Path length, root mean square of the acceleration and leg angle with respect to the vertical axis revealed themselves as possible predictive factors to identify athletes at higher risk. Results confirm that six months after reconstruction represents the correct time for these athletes to return to playing. Furthermore, the training of leg mobility and load absorption capability could allow athletes to reduce the probability of new injuries.

The effect of mobilization protocol on mobilization start time and patient care outcomes in patients undergoing abdominal surgery

To evaluate the effect of mobilization protocol on mobilization start time, maintenance of mobilization and patient care outcomes in patients who underwent major abdominal open surgery. Early mobilization in the first 24hours postoperatively is recommended. Early mobilization is one of the evidence-based, effective nursing interventions that improve patient care outcomes. A quasi-experimental non-randomised design was used in the study. In the study, the groups were followed sequentially and the data of the control group (n = 21) were collected before the intervention group (n = 21). The patients in the control group were mobilised postoperatively by the nurses according to the decision of the nurse and physician in the intensive care unit (ICU) on the day of the operation. There was no standard protocol for mobilization in the ICU. Mobilization training was given to the patients in the intervention group by the researcher nurse the evening before the operation, and a mobilization protocol was applied on the 0th postoperative day. Data on patient care outcomes were collected until the day when the patient was discharged from the hospital. The TREND checklist was followed. According to the postoperative comparison of the patients in the intervention group to those in the control group, patients in the intervention group started mobilization earlier after admission in intensive care unit (6.22 ± 1.95hours versus 12.21 ± 3.76hours), had higher postoperative 0th -day total mobilization time (128minutes versus 34minutes), had a shorter passage of flatus time and length of intensive care unit and hospital stay and had higher sleep quality and satisfaction scores. The structured mobilization protocol is effective in the management of early mobilization and improvement of patient care outcomes. mobilization protocols ensure that the mobilization process is maintained effectively.

Improving Patients' Early Mobility Through Innovative Interprofessional Education Using Educational Neuroscience Theory.

Ambulation is one of the most frequently reported components of unfinished nursing care, yet early mobilization can prevent patient deconditioning. This project was designed as an interprofessional mobility training program by using educational neuroscience theory to engage learners in appreciating the need for early ambulation and change behaviors. This article reviews one initiative that incorporated neuroscience and learning science in the teaching methodologies to achieve high rates of successful educational outcomes. [J Contin Educ Nurs. 2021;52(8):362-366.].

Effect of Tilt Table Training on Balance among Subjects with Basal Ganglia Bleed: A Pilot Study

Background: Basal ganglia bleed is a major cause of disability with 40% subjects suffering frommoderate to severe disability. Among different treatments, mobilization on a tilt-table and functionaltraining, which consisted of strengthening and stretching exercises of the limbs, postural control trainingin sitting and standing positions, therapist-guided techniques for facilitating normal movement, andsimple forward stepping might have effect on balance in subjects with Basal ganglia bleed.Objective: To see the effect of tilt table mobilization and functional training on balance in subjects withbasal ganglia bleed.Methodology: 10 subjects within age group of 18-65 years diagnosed with Basal ganglia bleed wereincluded in the study based on inclusion and exclusion criteria. After measuring the baseline data,subjects were given mobilization on tilt table and functional training 30 minutes per session 5 days aweek for 6 weeks. Pre and post measures of balance were assessed using dynamic gait index (DGI).Results: Mobilization on tilt table and functional training on balance in subjects with basal gangliableed showed statistically significant improvement in balance (p&lt;0.05) on paired t test.Conclusion: Tilt table training can be beneficial for improving balance in subjects with basal gangliableed.

Awareness drives changes in reward value which predict eating behavior change: Probing reinforcement learning using experience sampling from mobile mindfulness training for maladaptive eating.

Background and aimsMaladaptive eating habits are a major cause of obesity and weight-related illness. The development of empirically-based approaches, such as mindfulness training (MT) that target accurate mechanisms of action to address these behaviors is therefore critical. Two studies were conducted to examine the impact of MT on maladaptive eating and determine the involvement of reinforcement learning mechanisms underlying these effects.MethodsIn Study1, maladaptive eating behaviors were assessed using self-report questionnaires at baseline and 8 weeks after an app-based MT intervention (n = 46). A novel mindful eating craving tool was embedded in our intervention to assess: eating behaviors (intake frequency/magnitude), and reward (contentment ratings) experienced after eating. Using a well-established reinforcement learning (Rescorla-Wagner) model, expected reward values (EV) were estimated as a function of contentment levels reported after eating. In Study2 (n = 1,119), craving tool assessments were examined in an independent sample using the app in a real-world naturalistic context.ResultsStudy 1's results revealed a significant decrease in EV and eating behaviors across craving tool uses. In addition, changes in reward values predicted decreases in eating behaviors. Finally, Study 1's results revealed significant pre-post intervention reductions in self-reported eating behaviors. In Study2, we observed a significant decrease in EV, but not in eating behaviors, across craving tool uses. Study 2 also revealed a predictive relationship between EV and eating behaviors.Discussion and conclusionsThese results support the implementation of MT to prevent and treat maladaptive eating behaviors, which target reinforcement learning processes as mechanisms of action.

Rancang Bangun Aplikasi Pemesanan Tiket Kereta Cepat Jakarta – Bandung Khusus Lansia Dan Ibu Hamil Berbasis Mobile Web Secara Online

PT. Indonesia Indonesia Fast Train (KCIC) has begun to build its Project, namely the Jakarta-Bandung Fast Train, look at the application features of PT. KAI access that does not yet have a need for the elderly and pregnant wome to get special service, then in this study the train ticket booking application was designed Fast Jakarta-Bandung Special for the Elderly and Pregnant Women Online-Based Android Web. Ticket booking application This mobile web-based fast train aims to help the elderly and pregnant women make it easier in booking fast train tickets effectively and efficiently because the feature can be used in a reltime, inside in order to improve services aimed at making it easier for the Elderly and Pregnant Women to do Fast train ticket reservations, this application makes the elderly and pregnant women do not need to queue at the time will check in to get into the fast train. This research methodology uses Disciplined methodology Agile Delivery System design phase aims as a preparation for system design, sketching how the system is formed and provide a clear picture of the development to build the system The design of this system using the DAD (Disciplined Agile Delivery) DAD (Ambler and Lines) methodology, 2012). The results of this study are based on innovations of features that make it easy for the elderly and pregnant women to be designed then developed so as to produce a Jakarta-Bandung Cepata train ticket booking application specifically for the elderly and online android-based pregnant women who will help and facilitate the elderly and pregnant women in ordering fast train tickets, fast train ticket transactions and the use of fast trains jakarta-bandung.