Effect of a transitional tele-rehabilitation programme on quality of life of adult burn survivors: A randomised controlled trial.

Bayuo, Jonathan; Wong, Frances Kam Yuet; Chung, Loretta Yuet Foon

Objective: To examine the effects of the transitional tele-rehabilitation programme on quality of life of adult burn survivors. Design: A prospective, single centre, randomised controlled trial and reported according to the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Participants: Adult burn survivors aged ≥18 years with burn size ≥10% total body surface area irrespective of the depth was considered eligible to participate. Intervention: The intervention was in two phases: pre-discharge and active follow-up phase (which occurred via WeChat). In both phases, comprehensive assessment and intervention guided by the Omaha System and evidenced-based protocols guided the care delivery over an 8-week period. Main measures: The outcome of interest was quality of life. Two outcome measures were used to assess the outcome of interest: Burn Specific Health Scale-Brief (BSHS-B) and the EQ-5D-5L tools. The outcome was assessed at three time points: T0 (baseline), T1 (immediate post-intervention) and T2 (4 weeks from T1). Results: In total, 60 adult burn survivors were randomly allocated to undergo the new programme. The transitional tele-rehabilitation programme elicited statistically significant improvement in simple abilities, affect, interpersonal relationship (T2) and overall quality life (T1 and T2) measured on the BSHS-B. Conclusion: Ongoing rehabilitative care is essential to support the recovery process of burn survivors considering that some quality-of-life subscales may improve faster than others. The study findings highlight the potential of employing a social media platform to improve post-burn quality of life outcomes. Trial registration: ClinicalTrials.govNCT04517721. Registered on 20 August 2020

CHINA; BODY surface area; MEDICAL protocols; SOCIAL media; PATIENT education; SANITATION; BURNS & scalds; SELF-management (Psychology); INCOME; INFECTION control; CRONBACH'S alpha; T-test (Statistics); DATA analysis; ARM; STATISTICAL sampling; QUESTIONNAIRES; EVALUATION of human services programs; RESIDENTIAL patterns; NEUROPHYSIOLOGY; TELEREHABILITATION; TREATMENT effectiveness; RANDOMIZED controlled trials; FAMILIES; NEUROMUSCULAR system; DESCRIPTIVE statistics; BURN patients; TRANSITIONAL care; LONGITUDINAL method; CONTROL groups; PRE-tests & post-tests; SKIN; HYDRATION; QUALITY of life; PAIN management; STATISTICS; AFFECT (Psychology); INTERPERSONAL relations; OMAHA system (Medicine); DRUGS; WOUND care; SOCIAL support; DATA analysis software; CONFIDENCE intervals; PATIENT aftercare; HEALTH care teams; HISTAMINE; EVALUATION

Clinical Rehabilitation, 2024, Vol 38, Issue 10, p1333

0269-2155

Academic Journal

10.1177/02692155241265930