Ms Priscilla POON1, Dr Brian AU3, Dr Ming Yan Charmian YOUNG4, Mr Peter TSANG5, Ms Ivy WONG6, Mr Hing Loi HUI2, Dr Joanna PANG2, Dr Joyce CHAN2, Mr Daniel LO1, Mr CY Nico CHING1
1Cluster Services Division, Head Office, Hospital Authority, , Hong Kong, 2Information Technology and Health Informatics Division, Head Office, Hospital Authority, , Hong Kong, 3Department of Occupational Therapy,Tai Po Hospital, Hospital Authority, , Hong Kong, 4Clinical Psychology Department, Castle Peak Hospital, Hospital Authority, , Hong Kong, 5Physiotherapy Department, TWGHs Fung Yiu King Hospital, Hospital Authority, , Hong Kong, 6Department of Speech Therapy, Tuen Mun Hospital, Hospital Authority, , Hong Kong
Tele-rehabilitation is evolving to improve patient access and quality of care. Mobile application will also facilitate patients to receive optimal training anytime and anywhere with improved training compliance.
An electronic platform was developed to allow clinical psychologists, occupational therapists, physiotherapists and speech therapists prescribing individualized rehabilitation exercise/ activity for patients with physical or cognitive impairment, in the form of training videos and therapeutic game. The mobile application was characterized with scheduling function and push e-reminder to patients. With integration to the Clinical Management System (CMS), therapists could make discipline-specific prescription on types, dosage and frequency of the home-based training with scheduling, based on individual patient’s assessment. The mobile rehabilitation application was bundled within the Hospital Authority Patient Mobile App (HA Go) for patients’ easy access to the training videos and games. Push e-reminder to patients enhanced training compliance and remote monitoring of training compliance also became feasible for subsequent training adjustment. An online satisfaction survey was pushed to patients upon discharge and to therapists at 4 weeks after prescription.
A total of 189 sets of training videos (Motor module: 41 for oral and swallowing training; 97 for physical training; Daily activities module: 51 videos) and one cognitive module in form of N-Back Game were available for therapists’ prescription. From Jan to Dec 2020, the number of prescribed daily activities and motor modules was 14,835 and that of the cognitive training module was 2,470. Both patients and therapists satisfied with the mobile application with a satisfaction score of 4.1 and 3.6 out of 5 respectively. In summary, this mobile rehabilitation application well supported tele-care services and its application could be extended to provision of tele-information for patient empowerment. The active participation of various Allied Health Co-ordinating Committees and frontline colleagues contributes to the success of this new page of practice.
Ms. Priscilla POON is the Senior Manager (Allied Health) at the Head Office of Hospital Authority, Hong Kong. Priscilla coordinates information technology initiatives for the allied health disciplines for improving workflow and better patients’ experience. She was a physiotherapist providing patient care and taking up managerial role for frontline operation.