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| Name | Class |
|---|---|
| Jurong Community Hospital, Singapore | UNKNOWN |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual care | Other | Verbal and written discharge summary, advice, and referral to outpatient physiotherapy (if applicable) |
|
| AI-assisted rehabilitation | Active Comparator | AI-assisted rehabilitation on top of usual care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AI-assisted rehabilitation | Device | Receives AI-assisted rehabilitation post-discharge at home in addition to usual care |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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). | baseline, 3, 6, 9 and 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chong Yau Clinical Asst Professor, MBBS | Contact | 6569703000 | ong.chong.yau@singhealth.com.sg |
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In accordance to my ethical board and institutional requirements.
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| usual care only | Other | Verbal and written discharge summary, advice, and referral to outpatient physiotherapy (if applicable) |
|
| baseline, 3, 6, 9, 12-weeks |