AI-Assisted Rehabilitation In Frailty

N/ANot Yet RecruitingNCT07176520

SingHealth Community Hospitals220 enrolled

Overview

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).

This is a pragmatic, randomized controlled study on frail patients discharged from three community hospitals in Singapore.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

TRIPLE

Enrollment

220

Conditions

Frail

Interventions

Eligibility

Sex: ALLMin age: 21 YearsMax age: 120 Years

Medical Language ↔ Plain English

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.

Outcomes

Primary Outcomes

Absolute Functional Gain (AFG)

AFG= Functional score (at discharge/follow-up points) - functional score (at admission). Functional score is based on Modified Barthel Index (MBI).

Time frame: baseline, 3, 6, 9 and 12 weeks.

Secondary Outcomes

Functional outcome: Short Physical Performance Battery (SPBB)

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.

Time frame: baseline, 3, 6, 9, 12-weeks