Ensure efficacy of therapeutic intervention by video-guided training in inpatient rehabilitation

Abstract Description

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Authors (including presenting author) :

Bryan Ping Ho Chung, Kin Ming Lau, Wai Tung Cheung, Kui Ching Cheng, Chau Yee Yeung, Donna Mei Yee Fung, Tak Man Lo, Titanic Fuk On Lau

Affiliation :

Physiotherapy Department, Tai Po Hospital, Tai Po, New Territories, Hong Kong, China

Introduction :

Ensuring efficacy of therapeutic training such as empowering carers and providing guidance of exercises to patients has been a challenge for physiotherapists. Recent evidence showed that video-based intervention can improve patients’ performance accuracy, knowledge, ability to complete exercises, emotional functioning, coping skills and it was more effective than handout alone. In 2017, Physiotherapy Department of Tai Po Hospital launched video-guided training (VGT) to various patient groups such as stroke, hip fracture, and psychiatry from inpatient to ambulatory rehabilitation services. VGT videos with multiple features aimed at ensuring the efficacy of therapeutic intervention in terms of patients’ knowledge, performance and competence; resource utilization and service standardization.

Objectives :

The purpose of the study was to evaluate the effectiveness of VGT in ensuring efficacy of therapeutic training.

Methodology :

VGT was a versatile tool for therapists to enhance traditional clinical services such as carer training, individual therapeutic exercise and group exercise etc. Therefore, a range of tailor-made evaluation tools were used to analyses the efficacy of VGT. For stroke rehabilitation, VGT focused on carer training that educational booklets for carers were replaced by videos, QR codes were also given to carers for easy sharing and revisiting the videos. Therefore, score of knowledge (0-10), skill (0-5), competence (0-28) of carers and percentage of direct therapist contact time to total carer training time (%) were used to compare before (control group) and after (VGT group) launching VGT. For hip fracture rehabilitation, VGT focused on enhancing therapeutic exercises by real-time video demonstration in gymnasium. Accordingly, score of performance (0-8), competence (0-30) of patients and direct therapist contact time (min) were used to compare before (control group) and after (VGT group) launching VGT. For psychiatry rehabilitation, VGT focused on group exercises. A survey was conducted to analysis the effect of VGT in terms of interest in exercise, competence in exercise and self-efficacy of patients after launching VGT.

Result & Outcome :

For stroke rehabilitation, VGT group (n = 24) had higher scores of knowledge (7.1 vs. 3.6), skill (4.8 vs. 4.0), and competence (22.1 vs. 20.3) than control group (n = 26) and lower percentage of direct therapist contact time to total carer training time (49% vs 99%) than control group. For hip fracture rehabilitation, VGT group (n = 15) had better performance (5.67 vs. 3.38), similar competence (15.67 vs 15.92) and shorter direct therapist contact time (1.4 mins to 3.5 mins) than control group (n = 13). For psychiatry rehabilitation, majority of patients (n = 16) agreed that VGT could enhance their interest in exercise (100%), competence in exercise (97.8%) and self-efficacy (97.8%). The results supported that video-guided training could ensure efficacy of therapeutic intervention in inpatient rehabilitation.