About this trial
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).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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)/
Disqualifiers
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.
Trial design
Parallel
Treatments tested in this trial
AI-assisted rehabilitation
DeviceReceives AI-assisted rehabilitation post-discharge at home in addition to usual care
usual care only
Other interventionVerbal and written discharge summary, advice, and referral to outpatient physiotherapy (if applicable)
Treatment groups
Trial 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).
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.
Locations
Sponsors and contacts
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SingHealth Community Hospitals
Lead sponsor
Jurong Community Hospital, Singapore
Collaborator
This trial is not recruiting at the moment. You can still explore other options: