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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
450
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
Change in Modified Barthel Index scores from baseline to 4, 8, and 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.
Time frame: from recruitment (week 0) till end of study at 12 weeks
Change in Quality of Life scores from baseline to 4, 8, and 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).
Time frame: from recruitment (week 0) till end of study at 12 weeks
Change in Patient Activation Level from baseline to 4, 8, and 12 weeks
Patient Activation Level measured using PAM-13 Score from 0 to 100 Higher scores indicate greater patient activation
Time frame: from recruitment (week 0) till end of study at 12 weeks
Readmission rates to hospital within 30 days of discharge
e.g. 0 means no readmissions back to hospital within 30 days of discharge occured
Time frame: within 30 days from discharge date
Change in Joint range of motion from baseline to 4, 8, and 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
Time frame: from recruitment (week 0) till end of study at 12 weeks
Length of Stay in Community Hospital reported in days
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
Time frame: From recruitment (week 0) till end of study at 12 weeks
Change in STS (sit to stand) score from baseline to 4, 8, and 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.
Time frame: from recruitment (week 0) till end of study at 12 weeks
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