Effectiveness of Using a Chatbot to Promote Adherence to Home Physiotherapy

NCT05363137 | Completed

• 1 other identifier: NLP-PTAdherence
• Study Type: interventional
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

A Chatbot oriented to virtually assist patients in a physiotherapy treatment has been designed and developed to interact with patients with musculoskeletal disorders in need for domiciliary rehabilitation. The tool has been designed to promote adherence to rehabilitation, what in turn may have an impact on clinical outcome. A randomized clinical trial involving patients undergoing total knee replacement has bee designed to determine the applicability of the proposal. The participants will be assigned into exerimental group (intervention with the software tool) or control group (standard care).

Conditions

Knee Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• Adherence

  Compliance with intervention measured as the percentage of sessions carried out with respect to the total planned

  Change from baseline to 3 months after surgery date

Secondary Outcomes (2)

• Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

  Change from baseline to 3 months and one year after surgery date

• Knee Pain

  Change from baseline to 3 months and one year after surgery date

Other Outcomes (5)

• Safety

  Baseline (surgery day) to 12 months

• Feasibility_1

  Time from initial day to last day of recruitment up to two years

• Feasibility_2

  Time from initial day to 3 months after surgery date

Study Arms (2)

Experimental

EXPERIMENTAL

Other: Chatbot Assistant

Control

ACTIVE COMPARATOR

Other: Standard care

Interventions

Chatbot Assistant OTHER

The physiotherpy treatment will be supervised via chatbot

Experimental

Standard care OTHER

The physiotherpy treatment will be standard care

Control

Eligibility Criteria

• Age: Up to 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals on the waiting list for total knee replacement surgery
• Undergoing primary total knee replacement surgery
• Who have a personal smartphone
• Who have an instant messaging application installed
• Familiar with the use of such application (more than 3 accesses per week),

You may not qualify if:

• Evident cognitive state that prevents to understand care provider instructions
• Vestibular or central nervous system affection (e.g. stroke)
• Cannot read or write
• Do not understand Spanish language
• Not able to consent to participate

Sponsors & Collaborators

• University of Valencia: lead
• Ministerio de Ciencia e Innovación, Spain: collaborator

Study Sites (1)

Hospital La Fe

Valencia, Valencia, 46026, Spain

Location

Related Publications (1)

• Blasco JM, Diaz-Diaz B, Igual-Camacho C, Perez-Maletzki J, Hernandez-Guilen D, Roig-Casasus S. Effectiveness of using a chatbot to promote adherence to home physiotherapy after total knee replacement, rationale and design of a randomized clinical trial. BMC Musculoskelet Disord. 2023 Jun 15;24(1):491. doi: 10.1186/s12891-023-06607-3.

  PMID: 37322506 DERIVED

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: May 2, 2022
• First Posted: May 5, 2022
• Study Start: September 1, 2022
• Primary Completion: June 1, 2023
• Study Completion: June 1, 2024
• Last Updated: March 4, 2025

Record last verified: 2022-09

Locations

ES (1)