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NCT Number: NCT03409354

Tele-Rehabilitation Pilot Evaluation Study

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.

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Key information

Conditions

Fractures, Bone Brain Diseases Bursitis Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Deconditioning Fall Infections Joint Diseases Lower Limb Amputation Lower Limb Joint Replacement (Hip or Knee) Lung Diseases Muscular Diseases Musculoskeletal Conditions (e.g., Tendinitis, Capsulitis) Musculoskeletal Diseases Nervous System Diseases Pneumonia Respiratory Tract Diseases Respiratory Tract Infections Stroke Tendinopathy Tendon Injuries Vascular Diseases Wounds and Injuries

Age range

21 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Miho Asano

Singapore, 117549

About this study

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

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Tele-rehabilitation

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

Behavioral

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

Primary outcomes

  1. Adherence to rehabilitation over the course of a 2 week trial period

    Time frame: At 12-weeks post-rehabilitation

    Adherence to the prescribed rehabilitation and exercise therapy will be measured over 12 weeks

Secondary outcomes

  1. EQ-5D

    Time frame: 12-weeks

    Perceived Health Status and Quality of Life

  2. CESD

    Time frame: 12-weeks

    The Center for Epidemiological Studies Depression Scale

  3. IADL

    Time frame: 12-weeks

    The Lawton Instrumental Activities of Daily Living (IADL) Scale

  4. Barthel Index

    Time frame: 12-weeks

    Barthel Index of Activities of Daily Living

  5. Health Service Utilization

    Time frame: 12-weeks

    Use of Health Services over the past three months

Sponsors and collaborators

Lead sponsor

National University of Singapore

Other

Registry information

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Jan 24, 2018
Registry last updated
Aug 19, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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