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.
This is a 12-week quasi-experimental trial of a tele-rehabilitation program involving seven sites and up to 600 adults in Singapore.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
14
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 rehabilitation care (e.g., PT, OT and ST), prescribed by rehabilitation therapists at participating centers and performed by participants at participating centers.
Miho Asano
Singapore, Singapore
Adherence to rehabilitation over the course of a 2 week trial period
Adherence to the prescribed rehabilitation and exercise therapy will be measured over 12 weeks
Time frame: At 12-weeks post-rehabilitation
EQ-5D
Perceived Health Status and Quality of Life
Time frame: 12-weeks
CESD
The Center for Epidemiological Studies Depression Scale
Time frame: 12-weeks
IADL
The Lawton Instrumental Activities of Daily Living (IADL) Scale
Time frame: 12-weeks
Barthel Index
Barthel Index of Activities of Daily Living
Time frame: 12-weeks
Health Service Utilization
Use of Health Services over the past three months
Time frame: 12-weeks
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