Tele-Rehabilitation Pilot Evaluation Study

NCT ID: NCT03409354

Last Updated: 2019-08-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-05-15
• Study Completion Date: 2018-09-30

Brief Summary

A proof of concept randomized controlled trial (RCT) only evaluated the National University of Singapore's (NUS) T-Rehab tele-rehabilitation (TR) system at a home setting where rehabilitation was provided on an individual level. The previous RCT was also limited to stroke patients. In addition to stroke, there are many other conditions (such as fractures, lower limb joint replacement, musculoskeletal conditions) require and benefit from rehabilitation. The primary aims of the pilot evaluation study are: (i) To document patient adherence to TR, compared to usual care (ii) To estimate the extent to which TR improves functional status, compared to usual care and (iii) To estimate the cost effectiveness of TR, compared to usual care in eight different health conditions in Singapore.

Detailed Description

This is a 12-week quasi-experimental trial of a tele-rehabilitation program involving seven sites and up to 600 adults in Singapore.

Conditions

Fractures, Bone; Stroke; Lower Limb Joint Replacement (Hip or Knee); Lower Limb Amputation; Pneumonia; Fall; Deconditioning; Musculoskeletal Conditions (e.g., Tendinitis, Capsulitis)

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Tele-rehabilitation

Tele-rehabilitation via iPad.

Group Type: EXPERIMENTAL

Tele-rehabilitation

Intervention Type: BEHAVIORAL

There are five different categories of exercise in the rehabilitation program, which combines both physiotherapy (Category 1 to 4) and occupational therapy components (Category 5). Each tele-therapy session could cover all five categories of exercises. Progression of levels within each exercise within each category should be determined by the tele-therapist and in consultation with the participant.

Usual care

Usual rehabilitation care, prescribed by rehabilitation therapists at participating centers and performed by participants at participating centers.

Group Type: ACTIVE_COMPARATOR

Usual care

Intervention Type: BEHAVIORAL

Usual rehabilitation care (e.g., PT, OT and ST), prescribed by rehabilitation therapists at participating centers and performed by participants at participating centers.

Interventions

Tele-rehabilitation

There are five different categories of exercise in the rehabilitation program, which combines both physiotherapy (Category 1 to 4) and occupational therapy components (Category 5). Each tele-therapy session could cover all five categories of exercises. Progression of levels within each exercise within each category should be determined by the tele-therapist and in consultation with the participant.

Intervention Type: BEHAVIORAL

Usual care

Usual rehabilitation care (e.g., PT, OT and ST), prescribed by rehabilitation therapists at participating centers and performed by participants at participating centers.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• at least 21 years of age
• Admitted into an inpatient or outpatient rehabilitation unit, nursing home or day care centre for an acute or chronic disability
• Deemed by any members of the multi-disciplinary rehabilitation team to potentially able to safely receive and benefit from rehabilitation post-discharge
• Cognitively able to understand and follow instructions (the Abbreviated Mental Test's score of 6 or above (out of 10).

Exclusion Criteria

• Patients with previous seizure episodes
• Patients with limb musculoskeletal pain of at least moderate intensity (visual analogue Scale > 6 out of 10)
• Patients with pacemakers.

• Minimum Eligible Age: 21 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National University of Singapore

OTHER

Sponsor Role: lead

Responsible Party

Miho Asano

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Miho Asano, PhD

Role: PRINCIPAL_INVESTIGATOR

National University of Singapore

Locations

Miho Asano

Singapore, , Singapore

Countries

Singapore

Other Identifiers

MHHISDRFP16217

Identifier Type: -

Identifier Source: org_study_id