AI-Assisted Rehabilitation for Frail Older Adults Discharged From Community Hospitals: A Hybrid Effectiveness-Implementation Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 220
- 主要终点
- Absolute Functional Gain (AFG)
研究概览
简要总结
This study investigates the effectiveness and implementation of an AI-assisted rehabilitation tool for adults with frailty in the real-world. The main questions it aims to answer are:
Does AI-assisted rehabilitation among frail adults improve patients' physical outcomes? Is there a particular subgroup of frail subjects that will benefit most from AI-assisted rehabilitation?
Researchers will compare AI-assisted rehabilitation to standard practice (advice and QR link for rehabilitation videos to be done at home) to see if AI-assisted rehabilitation improves clinical outcomes compared to standard practice.
Participants will either:
Undergo an AI-assisted rehab with the AI-sensor tool or a standard practice post-discharge from community hospitals for 12 weeks.
Undergo interval assessments of outcomes. Keep a diary of outpatient rehabilitations (if applicable for the subjects).
详细描述
This is a pragmatic, randomized controlled study on frail patients discharged from three community hospitals in Singapore.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 120 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged ≥ 21years
- •Clinical Frailty Score (CFS) 4 to 6 *
- •Provided informed consent (for cognitively impaired persons MMSE<18, next-of-kin or proxy to give consent).
- •Have access to smartphone/tablet (own or loaned from investigators)/
排除标准
- •Medical conditions precluding safe home exercises or severely affect interaction with AI-tool (angina, vision loss, hearing impairment).
- •Cognitive impairment (MMSE<18) and no caregiver to assist with use of tool.
- •Participation in structured outpatient physiotherapy (>1 times/week), or day rehab programme.
结局指标
主要结局
Absolute Functional Gain (AFG)
时间窗: baseline, 3, 6, 9 and 12 weeks.
AFG= Functional score (at discharge/follow-up points) - functional score (at admission). Functional score is based on Modified Barthel Index (MBI).
次要结局
- Functional outcome: Short Physical Performance Battery (SPBB)(baseline, 3, 6, 9, 12-weeks)
研究者
Ong Chong Yau
Doctor
SingHealth Community Hospitals