Frail
Conditions
Keywords
hybrid effectiveness-implementation study, pragmatic
Brief summary
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).
Detailed description
This is a pragmatic, randomized controlled study on frail patients discharged from three community hospitals in Singapore.
Interventions
DEVICEAI-assisted rehabilitation
Receives AI-assisted rehabilitation post-discharge at home in addition to usual care
OTHERusual care only
Verbal and written discharge summary, advice, and referral to outpatient physiotherapy (if applicable)
Sponsors
Jurong Community Hospital, Singapore
SingHealth Community Hospitals
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
21 Years to 120 Years
Healthy volunteers
No
Inclusion criteria
* 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)/
Exclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Absolute Functional Gain (AFG) | 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). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional outcome: Short Physical Performance Battery (SPBB) | baseline, 3, 6, 9, 12-weeks | SPBB is a validated and commonly used tool to evaluate physical performance particularly in older adults. It is based on three timed tasks: gait speed (over short distance of 4 metres), balance tests (side-by-side, semi-tandem, and full-tandem), and repetitive chair sit-to-stand (strength and endurance) performance.45 It is an indicator of vulnerability, is associated with readmissions, and predictive of all-cause mortality. |
Contacts
Primary ContactChong Yau Clinical Asst Professor, MBBS
Outcome results
None listed