Tele-Rehabilitation Pilot Evaluation Study

Not Applicable

Completed

• Conditions: Stroke; Lower Limb Amputation; Fall; Musculoskeletal Conditions (e.g., Tendinitis, Capsulitis); Fractures, Bone; Lower Limb Joint Replacement (Hip or Knee); Pneumonia; Deconditioning
• Interventions: Behavioral: Tele-rehabilitation; Behavioral: Usual care

• Registration Number: NCT03409354
• Lead Sponsor: National University of Singapore

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.

Study Timeline

• Study First Submitted: 2018-01-11
• Study First Submitted QC: 2018-01-23
• Study First Posted: 2018-01-24
• Study Start: 2018-05-15
• Primary Completion: 2018-09-30
• Study Completion: 2018-09-30
• Status Verified: 2019-08
• Last Update Submitted: 2019-08-15
• Last Update Posted: 2019-08-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Tele-rehabilitation	Tele-rehabilitation	Tele-rehabilitation via iPad.
Usual care	Usual care	Usual rehabilitation care, prescribed by rehabilitation therapists at participating centers and performed by participants at participating centers.

Primary Outcome Measures

Name	Time	Method
Adherence to rehabilitation over the course of a 2 week trial period	At 12-weeks post-rehabilitation	Adherence to the prescribed rehabilitation and exercise therapy will be measured over 12 weeks

Secondary Outcome Measures

Name	Time	Method
CESD	12-weeks	The Center for Epidemiological Studies Depression Scale
EQ-5D	12-weeks	Perceived Health Status and Quality of Life
IADL	12-weeks	The Lawton Instrumental Activities of Daily Living (IADL) Scale
Health Service Utilization	12-weeks	Use of Health Services over the past three months
Barthel Index	12-weeks	Barthel Index of Activities of Daily Living

Trial Locations

Locations (1)

Miho Asano; 🇸🇬 Singapore, Singapore