Kneed help? Patients perceived value of apps to support their - PowerPoint PPT Presentation

Kneed help? Patients’ perceived value of apps to support their rehabilitation Geremy Farr-Wharton, Jane Li, Jill Freyne, Sazzad M. Hussain, Emily Brindal July 2018 HEALTH AND BIOSECURITY

Activate TKR Technology Digital assisted orthopaedic healthcare care models Wearable Patient technology Empowerment integration 2 | Activate TRK | Jill Freyne

Activate TKR Platform – Patient App • TKR Preparation & Recovery Program • Behavioural coaching • Practical information • Personalised physiotherapy plans • Physiotherapy video library • Checklists • Self monitoring tools • Integrated Activity Tracking with Garmin VivoSmart HR – sleep, steps, stairs • Pain and ROM reporting • Gamified rewards for compliance and achievements 3 | Activate TRK | Jill Freyne

Activate TKR Platform – Clinician Portal • Physiotherapists & Surgeons • Review patient status • Algorithms identify patient data in need of review • Traffic light system highlights algorithm outputs • Search, filter, archive 4 | Activate TRK | Jill Freyne

Validation & Testing • Randomised Control Trial • 150 participants • Multi-site Clinical Efficacy o 3 Private Hospitals (2 x NSW + 1 x Qld) o 1 Public Hospital (1 x Qld) Acceptance & • Unblinded satisfaction • 16 week Intervention Economic impact 5 | Activate TRK | Jill Freyne

Qualitative Evaluation A focus on the Patient’s TKR Journey and Experiences • Activate TKR Usability, Impact and Compliance o Usefulness of Support Tools/educational content – preoperative and postoperative (a keen focus on videos to guide physiotherapy exercises and rehabilitation) o Self monitoring recovery and pain progression, and when particular activities are again achievable o Improving clinical communication and information flow between the patient and their clinician team o Understanding technical and other unforeseen issues experienced by patients o Exploring patient suggestions for system improvements to enhance future patient experiences • Interview transcripts underwent Latent Coding with two researchers to derive emergent themes for NVivo Analysis. 6 | Activate TRK | Jill Freyne

Initial Findings 7 | Activate TRK | Jill Freyne

Activate TKR played a significant role in prompting, reminding and motivating at-home physiotherapy “Even I who hate exercise knew that I had to do it and that’s it” “ Probably the exercise program, I found that really beneficial” “I wouldn’t have kept doing it without the app. […] Just the fact that it's there to remind you every day and if I forget […] it reminded me at night. For me just having something like that is a great help, because it's very easy not to do exercises, but if I’ve got something there saying this is what you do and I go in and make sure I do them” 8 | Activate TRK | Jill Freyne

Initial Findings - Activate TKR has played a significant role in prompting, reminding and motivating at- home physiotherapy (continued…) “ Well you know it’s really easy to get lazy and because you know you are sort of being watched, […] you sort of go oh I better do that I better do that – so you do tend to make sure you do it” “ I am answerable to this thing so I better just get on with it – it was like having a boss in the house all the time” “It was acting as a personal coach for me” 9 | Activate TRK | Jill Freyne

Enhanced patient-clinician communication flow “yes well you know you sort of feel like that you are on the same wavelength you understand where you are and what you are trying to do” “And (they - Physiotherapist*) changed the exercises a few times too because (they*) said oh well you are up to this now, I’ll change this and tweak that and so on” “And some of the exercises I found were just aggravating. […] (I explained) the difficulties that I was having and they altered the exercise programme on the App” 10 | Activate TRK | Jill Freyne

Enhanced patient-clinician communication flow (continued…) “I knew (they – Physiotherapist*) had the data, I knew (they*) were getting my pain, like (they*) said (the me during a consultation) “you don’t seem to have had much pain, how are you going with pain”, so.” “Yeah, (they - Physiotherapist) were keeping track of it […]. I think he kept a pretty close eye on what I was doing and gave me more exercises and stuff like that” 11 | Activate TRK | Jill Freyne

Participant Suggestions for Future Inclusion “I don't know where I stand in comparison to other people at 3 months, you know what I mean, am I average, am I below average, have I excelled, that will tell me if I’ve done things well” “I reckon you virtually have to right off 3 months of your life, because your focus for 3 months […] , you’ve got to get up and down the stairs, you’ve got to do this – and it does – it tends to take over your life” “I was under the impression that after 6, 12 weeks I’d be right, it's not true” 12 | Activate TRK | Jill Freyne

Activate TKR Qualitative Analysis Continues Clinician Evaluation Patient Evaluation …. • 10 Clinician Interviews (Surgeons • Patient Interviews & Physiotherapists) – exploring • Carer Interviews – exploring how their value of Activate TKR to best support aspects of the TKR carer role through Activate TKR 13 | Activate TRK | Jill Freyne

At CSIRO we do the extraordinary every day. We innovate for tomorrow while delivering impact today – for our customers, all Australians and the world. For more information contact: Dr Jill Freyne, Project Leader t +61 2 9372 4453 E jill.freyne@csiro.au 14 | Activate TRK | Jill Freyne