Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial – description of device use and physiotherapy support in the post-hospital phase

To describe device use and physiotherapy support in the post-hospital phase of the AMOUNT rehabilitation trial. We performed an evaluation of the support required for device use by participants randomised to the intervention group who received digitally-enabled rehabilitation in the post-hospital phase (n = 144). Intervention, additional to standard rehabilitation, utilised eight digital devices (virtual reality videogames, activity monitors and handheld computer devices) to improve mobility and increase physical activity. Participants were taught to use devices during inpatient rehabilitation and were then discharged home to use the devices for the remainder of the 6-month trial. Physiotherapist-participant contact occurred every 1–2 weeks using a health coaching approach, including technology support when required. Intervention datasheets were audited, and descriptive statistics used to report device use and support required. Participants (mean (SD) age 70 (18) years; 49% neurological health conditions) used an average of 2 (SD 1) devices (98% used an activity monitor). Eight percent of physiotherapy contact included technology support with 30% provided remotely. Support addressed 845 issues categorised under initial set-up and instruction (27%), education and training (31%), maintenance (23%) and trouble-shooting (19%). Digital devices can be used for home-based rehabilitation, but ongoing technology support is essential. Clinical Trials Registry: ACTRN12614000936628IMPLICATIONS FOR REHABILITATIONDigital device use at home to support long-term management of health conditions is likely to become increasingly important as the need for rehabilitation increases and rehabilitation resources become more limited.Technology support for set-up and ongoing device use is a critical enabler of home-based digital interventions.Health professionals delivering home-based digital interventions require sufficient training and equipment and may need to vary the mode (e.g., home visit vs. telephone or video conference) depending on the technology support required. Digital device use at home to support long-term management of health conditions is likely to become increasingly important as the need for rehabilitation increases and rehabilitation resources become more limited. Technology support for set-up and ongoing device use is a critical enabler of home-based digital interventions. Health professionals delivering home-based digital interventions require sufficient training and equipment and may need to vary the mode (e.g., home visit vs. telephone or video conference) depending on the technology support required.

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PID https://www.doi.org/10.1080/09638288.2020.1790679
PID https://www.doi.org/10.6084/m9.figshare.12927815.v1
PID https://www.doi.org/10.6084/m9.figshare.12927815
URL https://www.tandfonline.com/doi/full/10.1080/09638288.2020.1790679
URL https://academic.microsoft.com/#/detail/3043800891
URL http://dx.doi.org/10.6084/m9.figshare.12927815
URL https://researchnow.flinders.edu.au/en/publications/activity-and-mobility-using-technology-amount-rehabilitation-tria-2
URL http://dx.doi.org/10.6084/m9.figshare.12927815.v1
URL https://www.tandfonline.com/doi/pdf/10.1080/09638288.2020.1790679
URL http://dx.doi.org/10.1080/09638288.2020.1790679
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Author Leanne Hassett, 0000-0002-3546-1822
Author Maayken van den Berg
Author Heather Weber
Author Sakina Chagpar, 0000-0002-9395-3243
Author Siobhan Wong
Author Ashley Rabie
Author Annie McCluskey, 0000-0002-9719-6657
Author Richard I. Lindley, 0000-0002-0104-5679
Author Maria Crotty
Author Catherine Sherrington, 0000-0001-8934-4368
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Collected From Datacite; figshare; Crossref; Microsoft Academic Graph
Hosted By Disability and Rehabilitation; figshare
Journal Disability and Rehabilitation, null, null
Publication Date 2020-01-01
Publisher Informa UK Limited
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Resource Type Other literature type; Article
keyword FOS: Biological sciences
system:type publication
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::712a0242994f9c69f9fe7f62cb779f2f
Author jsonws_user
Last Updated 26 December 2020, 11:19 (CET)
Created 26 December 2020, 11:19 (CET)