Post Discharge Online Telerehabilitation Program (OTP)

Brooks Rehabilitation

Status: Terminated

Conditions: Pain, Chronic

Treatments: Other: Usual care; Other: Online Telerehabilitation Platform Access

Study type: Interventional

Funder types: Other

Identifiers

NCT03480620

BRCRC2017_001

Details and patient eligibility

About

This study will evaluate the sustainability of pain and functional outcomes along with return to opioid use in a population of patients that successfully completed a comprehensive interdisciplinary pain rehabilitation program. In addition, this study will compare outcomes sustainability and return to opioid use between pain program graduates who receive post discharge self-management resources consisting of a DVD with videos of recommended flexibility practice (standard of care) or access to an online telerehabilitation platform that provides patients with access to the flexibility practice videos on a variety of telecommunication devices (e.g., computer, smart phone, tablet).

Full description

The primary purpose of this paper is to compare the use of an online telerehabilitation platform versus a standard prerecorded DVD in supporting the sustainability of outcomes achieved during a comprehensive multidisciplinary pain rehabilitation program.

Primary Hypotheses Graduates from a comprehensive interdisciplinary pain rehabilitation program will...

1. ...demonstrate greater adherence to post-discharge home exercise recommendations when given access to an online telerehabilitation platform compared to DVDs offered as current standard of care.
2. ...achieve greater sustainability of programs outcomes including pain intensity, level of function, and reduction of opioid use.

Primary Research Questions

1. Does access to an online telerehabilitation platform impact adherence to post-discharge home exercise recommendations in graduates from a comprehensive interdisciplinary pain rehabilitation program?
2. Does access to an online telerehabilitation platform impact outcomes sustainability and opioid use in graduates from a comprehensive interdisciplinary pain management program?

Additional items that will be evaluated by this study include the participants' experience and satisfaction with use of the online telerehabilitation platform.

Secondary Hypotheses

1. Participants using the online telerehabilitation platform will report a more enjoyable experience and overall greater satisfaction with post-discharge self-management compared to participants receiving standard of care.
2. Utilization of the online telerehabilitation platform will be associated with perceptions of usefulness and ease of use of internet technology.

Secondary Research Questions

1. Does use of an online telerehabilitation platform impact patient satisfaction with post-discharge self-management compared to current standard of care?
2. Does internet technology acceptance impact utilization of post-discharge self-management resources provided through an online telerehabilitation platform?

Enrollment: 26 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of chronic pain consistent with IASP definition.
• Classification as a "completer" of the Brooks Rehabilitation Pain Rehabilitation Program by attending the expected number of sessions and achieving at least 90% of goals.
• Able to read, write, and understand spoken English fluently.

Exclusion criteria

• Any medical condition that would place the participant at risk with performing a home exercise program.
• Inability to see or hear the audio visual device from a distance of at least 5 feet (may use headphones).
• Cognitive impairment or learning barriers preventing appropriate ability to access and navigate the study-related web-site or play the study-related DVD's.
• Lack of regular access to internet service.
• Lack of regular access to an internet connected audio-visual device (e.g., smartphone, computer, tablet, etc) in a location with sufficient space to perform exercises.
• Not familiar with basic internet navigation (i.e. able to locate and access a desired website and use basic within-site navigation tools such as scrolling and clicking on links.
• Currently pregnant (self-reported)

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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26 participants in 2 patient groups

Telerehabilitation

Experimental group

Description:

Participant randomized into the telerehabilitation group will receive verbal and written discharge recommendations from each member of the team as usual. They will also be given a login to the online telerehabilitation platform where they will find the designated flexibility routines which can be accessed from a computer, tablet/slate, or smart phone at any time. Participant will receive electronic reminders via email and/or text message to perform their home program and complete the follow up questionnaires. Other physical therapy exercises may be recommended based on individual patient's need. These exercises will be provided in verbal and written form.

Treatment:

Other: Online Telerehabilitation Platform Access

Usual care

Active Comparator group

Description:

Participants randomized into the usual care group will receive verbal and written discharge recommendations from each member of the team as usual. They will be provided with a copy of the DVD and instructed to practice one of the two routines at least 5 days per week. They will also be given a login to the online platform but will only have access to complete the follow up questionnaires. Participant will receive electronic reminders via email and/or text message to complete the follow up questionnaires. Other physical therapy exercises may be recommended based on individual patient's need. These exercises will be provided in verbal and written form.

Treatment:

Other: Usual care