Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial
Background: Mobile app has been used to improve exercise adherence and outcomes in populations with different health conditions. However, the effectiveness of mobile app in delivering home-based rehabilitation program to elderly patients with hip fracture is unclear. Objective: The aim of this study...
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| Format: | Article |
| Language: | English |
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World Scientific Publishing
2022-12-01
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| Series: | Hong Kong Physiotherapy Journal |
| Subjects: | |
| Online Access: | https://www.worldscientific.com/doi/10.1142/S101370252250010X |
| _version_ | 1811345171279773696 |
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| author | Kui Ching Cheng Kin Ming Ken Lau Andy S. K. Cheng Tin Sing Keith Lau Fuk On Titanic Lau Mun Cheung Herman Lau Sheung Wai Law |
| author_facet | Kui Ching Cheng Kin Ming Ken Lau Andy S. K. Cheng Tin Sing Keith Lau Fuk On Titanic Lau Mun Cheung Herman Lau Sheung Wai Law |
| author_sort | Kui Ching Cheng |
| collection | DOAJ |
| description | Background: Mobile app has been used to improve exercise adherence and outcomes in populations with different health conditions. However, the effectiveness of mobile app in delivering home-based rehabilitation program to elderly patients with hip fracture is unclear. Objective: The aim of this study was to test the effectiveness of mobile app in delivering home-based rehabilitation program for improving functional outcomes and reducing caregiver stress with enhancing adherence among the elderly patients with hip fracture. Methods: A randomized controlled trial with an intervention period of two months was performed. Eligible participants were randomized into either experimental group with home-based rehabilitation program using a mobile app or control group with home-based rehabilitation program using an exercise pamphlet. Primary outcomes were Modified Functional Ambulatory Category (MFAC), Elderly Mobility Scale (EMS) and Lower Extremity Functional Scale (LEFS). Secondary outcomes were exercise adherence and Modified Caregiver Strain Index (M-CSI). The outcomes were collected at pre-discharge training session, one month and two months after hospital discharge. Results: A total of 50 participants were enrolled, with 19 participants in the experimental group and 20 participants in the control group. Eleven participants had withdrawn from the study. The experimental group showed higher exercise adherence than the control group in first month ([Formula: see text]). There were no between-group differences in MFAC, EMS, LEFS and M-CSI at the first month and second month. Conclusion: Use of the mobile app improved exercise adherence, yet it did not improve physical performance, self-efficacy and reduce caregiver stress when compared to a standard home rehabilitation program for elderly patients with hip fracture. Further studies to investigate the benefits of mobile apps are required. (ClinicalTrials.gov ID: NCT04053348.) |
| first_indexed | 2024-04-13T20:00:24Z |
| format | Article |
| id | doaj.art-5ef70b44bc6744d284dde4727ebae9e3 |
| institution | Directory Open Access Journal |
| issn | 1013-7025 1876-441X |
| language | English |
| last_indexed | 2024-04-13T20:00:24Z |
| publishDate | 2022-12-01 |
| publisher | World Scientific Publishing |
| record_format | Article |
| series | Hong Kong Physiotherapy Journal |
| spelling | doaj.art-5ef70b44bc6744d284dde4727ebae9e32022-12-22T02:32:14ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70251876-441X2022-12-0142029911010.1142/S101370252250010XUse of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trialKui Ching Cheng0Kin Ming Ken Lau1Andy S. K. Cheng2Tin Sing Keith Lau3Fuk On Titanic Lau4Mun Cheung Herman Lau5Sheung Wai Law6Physiotherapy Department, Tai Po Hospital, 9 Chuen on Road, Tai Po, New Territories, Hong Kong SAR, ChinaPhysiotherapy Department, Tung Wah Eastern Hospital, 19 Eastern Hospital Road, Causeway Bay, Hong Kong SAR, ChinaDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong SAR, ChinaPhysiotherapy Department, Tai Po Hospital, 9 Chuen on Road, Tai Po, New Territories, Hong Kong SAR, ChinaPhysiotherapy Department, Tai Po Hospital, 9 Chuen on Road, Tai Po, New Territories, Hong Kong SAR, ChinaCUHK Medical Centre, 9 Chak Cheung Street, Shatin, New Territories, Hong Kong SAR, ChinaDepartment of Orthopaedics and Traumatology, CUHK Medical Centre, 9 Chak Cheung Street, Shatin, New Territories, Hong Kong SAR, ChinaBackground: Mobile app has been used to improve exercise adherence and outcomes in populations with different health conditions. However, the effectiveness of mobile app in delivering home-based rehabilitation program to elderly patients with hip fracture is unclear. Objective: The aim of this study was to test the effectiveness of mobile app in delivering home-based rehabilitation program for improving functional outcomes and reducing caregiver stress with enhancing adherence among the elderly patients with hip fracture. Methods: A randomized controlled trial with an intervention period of two months was performed. Eligible participants were randomized into either experimental group with home-based rehabilitation program using a mobile app or control group with home-based rehabilitation program using an exercise pamphlet. Primary outcomes were Modified Functional Ambulatory Category (MFAC), Elderly Mobility Scale (EMS) and Lower Extremity Functional Scale (LEFS). Secondary outcomes were exercise adherence and Modified Caregiver Strain Index (M-CSI). The outcomes were collected at pre-discharge training session, one month and two months after hospital discharge. Results: A total of 50 participants were enrolled, with 19 participants in the experimental group and 20 participants in the control group. Eleven participants had withdrawn from the study. The experimental group showed higher exercise adherence than the control group in first month ([Formula: see text]). There were no between-group differences in MFAC, EMS, LEFS and M-CSI at the first month and second month. Conclusion: Use of the mobile app improved exercise adherence, yet it did not improve physical performance, self-efficacy and reduce caregiver stress when compared to a standard home rehabilitation program for elderly patients with hip fracture. Further studies to investigate the benefits of mobile apps are required. (ClinicalTrials.gov ID: NCT04053348.)https://www.worldscientific.com/doi/10.1142/S101370252250010XCaregiversexercisehip fracturesmobile application |
| spellingShingle | Kui Ching Cheng Kin Ming Ken Lau Andy S. K. Cheng Tin Sing Keith Lau Fuk On Titanic Lau Mun Cheung Herman Lau Sheung Wai Law Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial Hong Kong Physiotherapy Journal Caregivers exercise hip fractures mobile application |
| title | Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial |
| title_full | Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial |
| title_fullStr | Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial |
| title_full_unstemmed | Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial |
| title_short | Use of mobile app to enhance functional outcomes and adherence of home-based rehabilitation program for elderly with hip fracture: A randomized controlled trial |
| title_sort | use of mobile app to enhance functional outcomes and adherence of home based rehabilitation program for elderly with hip fracture a randomized controlled trial |
| topic | Caregivers exercise hip fractures mobile application |
| url | https://www.worldscientific.com/doi/10.1142/S101370252250010X |
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