NCT03480620

Post Discharge Online Telerehabilitation Program

Access to an Online Telerehabilitation Exercise Program Post-discharge From a Comprehensive Pain Management Program: Patient Acceptance and Impact on Outcomes Sustainability and Return to Opioid Use

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 26 (actual)
• Sponsor: Brooks Rehabilitation · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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).

Detailed 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?

Conditions

• Pain, Chronic

Interventions

Type	Name	Description
OTHER	Online Telerehabilitation Platform Access	Participants will have 24/7 access to a standardized set post-discharge exercise videos and self-management instructions across multiple internet connected devices (e.g. computer, tablet, smartphone). Standardized exercises include a flexibility routine that participants learned and performed with a physical therapist while in the pain management program. Self-management instructions are also written versions of concepts learned and practiced with a member of the multidisciplinary team during the pain management program.
OTHER	Usual care	Participants are given a DVD of the standardized post-discharge exercise videos and a written copy of the self-management instructions as described in the experimental group.

Timeline

• Start date: 2018-02-09
• Primary completion: 2019-12-31
• Completion: 2019-12-31
• First posted: 2018-03-29
• Last updated: 2022-12-21

Locations

1 site across 1 country: United States