Deconditioning, Rehabilitation
Conditions
Brief summary
The study team proposes ATLAS (AI-Assisted TelerehabiLitAtion System) a two-part solution. The first-Rebee AI-assisted telerehabilitation device-assists in inpatient rehabilitation, and allows patients to continue with their physical rehabilitation when discharged and waiting for Day Rehabilitation Centre (DRC). The second-a structured programme to train and familiarise patients and caregivers to Rebee over patients' Community Hospital (CH) inpatient rehabilitation stay-adopts an evidence-based approach to increase uptake and adherence to Rebee.
Interventions
DEVICERebee
Tablet device with accompanying sensor device. Tablet device is preloaded with exercises, to be taught to patients during their hospital stay, and to be continued post-discharge
Sponsors
Rebee Health
Jurong Community Hospital
SingHealth Community Hospitals
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
1. Rehabilitation Diagnostic Group (RDG): Total Knee Replacement / Deconditioning 2. Age 60 and above 3. Speak English/Mandarin 4. Able to follow instructions, no cognitive impairment 5. No MDRO (MultiDrug Resistant Organism) 6. Suitable and able to wear motion sensor on upper and lower limbs 7. Suitable and able to engage in Rebee exercises
Exclusion criteria
1. Not under RDG: Total Knee Replacement / Deconditioning 2. Below 60 years old 3. Unable to speak English/Mandarin 4. Cognitive impaired, unable to follow instructions 5. Has MDRO 6. Not suitable to wear motion sensor on upper and lower limbs 7. Refusal to participate / give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Modified Barthel Index scores from baseline to 4, 8, and 12 weeks | from recruitment (week 0) till end of study at 12 weeks | Modified Barthel Index (MBI) measures ability to complete activities of daily living (ADLs). Scores range from 0 to 100. A higher score represents more independence, a lower score indicates more assistance needed (ie less independent). 0-20: Total dependence, 21-60: Severe dependence, 61-90: Moderate dependence, 91-99: Slight dependence, 100: Independence. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient Activation Level from baseline to 4, 8, and 12 weeks | from recruitment (week 0) till end of study at 12 weeks | Patient Activation Level measured using PAM-13 Score from 0 to 100 Higher scores indicate greater patient activation |
| Readmission rates to hospital within 30 days of discharge | within 30 days from discharge date | e.g. 0 means no readmissions back to hospital within 30 days of discharge occured |
| Change in Quality of Life scores from baseline to 4, 8, and 12 weeks | from recruitment (week 0) till end of study at 12 weeks | Quality of Life as measured using EQ-5D-5L. Has two components to this instrument: 1. EQ-5D descriptive system * 1 to 5 for each dimension * A higher score represents worse health status (i.e., more severe problems with dimension). 2. EQ visual analogue scale (EQ VAS) * 0 to 100 * A higher score represents better health status (i.e., overall current health status). |
| Length of Stay in Community Hospital reported in days | From recruitment (week 0) till end of study at 12 weeks | Length of (inpatient) Stay in Community Hospital Reported in days, as measured by Discharge Date minus Admission Date e.g. if Discharge Date is 3/11/2024, and Admission Date is 1/11/2024, patient stayed for 2 days as an inpatient in the community hospital |
| Change in STS (sit to stand) score from baseline to 4, 8, and 12 weeks | from recruitment (week 0) till end of study at 12 weeks | Time taken to Sit to Stand 5 times, calculated in seconds A higher score represents taking a longer time to complete 5 times sit to stand. |
| Change in Joint range of motion from baseline to 4, 8, and 12 weeks | from recruitment (week 0) till end of study at 12 weeks | Measured Joint Range of operated knee for patients with total knee replacement (TKR) Joint range will be measured for knee Extension and well as knee Flexion |
Contacts
Primary ContactLian Leng Low
Backup ContactCharmaine Tan
Outcome results
None listed