AI-Assisted TelerehabiLitAtion System (ATLAS) for Post-discharge Continuation of Rehabilitative Care

NCT06683963 | Not Yet Recruiting

• 1 other identifier: 20242246
• Study Type: interventional
• Target: 450
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Rehabilitation; Deconditioning

Outcome Measures

Primary Outcomes (1)

• 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.

  from recruitment (week 0) till end of study at 12 weeks

Secondary Outcomes (6)

• Change in Quality of Life scores from baseline to 4, 8, and 12 weeks

  from recruitment (week 0) till end of study at 12 weeks

• Change in Patient Activation Level from baseline to 4, 8, and 12 weeks

  from recruitment (week 0) till end of study at 12 weeks

• Readmission rates to hospital within 30 days of discharge

  within 30 days from discharge date

• Change in Joint range of motion from baseline to 4, 8, and 12 weeks

  from recruitment (week 0) till end of study at 12 weeks

• Length of Stay in Community Hospital reported in days

  From recruitment (week 0) till end of study at 12 weeks

Study Arms (2)

Control - usual care

NO INTERVENTION

Business as usual in community hospital, no added device intervention

Intervention - Rebee

EXPERIMENTAL

Addition of Rebee device during and after community hospital stay

Device: Rebee

Interventions

Rebee DEVICE

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

Intervention - Rebee

Eligibility Criteria

• Age: 60 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Rehabilitation Diagnostic Group (RDG): Total Knee Replacement / Deconditioning
• Age 60 and above
• Speak English/Mandarin
• Able to follow instructions, no cognitive impairment
• No MDRO (MultiDrug Resistant Organism)
• Suitable and able to wear motion sensor on upper and lower limbs
• Suitable and able to engage in Rebee exercises

You may not qualify if:

• Not under RDG: Total Knee Replacement / Deconditioning
• Below 60 years old
• Unable to speak English/Mandarin
• Cognitive impaired, unable to follow instructions
• Has MDRO
• Not suitable to wear motion sensor on upper and lower limbs
• Refusal to participate / give informed consent

Sponsors & Collaborators

• SingHealth Community Hospitals: lead
• Rebee Health: collaborator
• Jurong Community Hospital: collaborator

Central Study Contacts

Lian Leng Low

CONTACT

+6563265872; low.lian.leng@singhealth.com.sg

Charmaine Tan

CONTACT

+6569703029; charmaine.tan.y.m@singhealth.com.sg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: A/Prof

Study Record Dates

• First Submitted: October 29, 2024
• First Posted: November 12, 2024
• Study Start: December 1, 2024
• Primary Completion: November 1, 2025
• Study Completion: November 1, 2025
• Last Updated: November 12, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share