Clinical Trial Details
— Status: Enrolling by invitation
Administrative data
| NCT number |
NCT06070415 |
| Other study ID # |
CHATBOT_LOW_BACK_PAIN |
| Secondary ID |
|
| Status |
Enrolling by invitation |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
September 20, 2023 |
| Est. completion date |
June 20, 2024 |
Study information
| Verified date |
October 2023 |
| Source |
University of Valencia |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
This project focuses on the effectiveness of a Chatbot in promoting adherence to home
physiotherapy treatment for patients with lumbar musculoskeletal injuries. The use of digital
technologies and media are an important option to complement in-person treatment and promote
adherence to treatment at home. The research aims to verify whether the use of a Chatbot as a
means of communication can produce improvements in patient adherence and clinical results.
Description:
Currently, performing therapeutic exercises in the treatment of musculoskeletal injuries of
the spine is decisive in many cases to achieve an improvement in the symptoms of these
pathologies, both in the patient's functionality and in the patient's evaluation of their
pain. These types of exercises provide improvement, whether they are outpatient or at home.
Due to the paradigm shift that has occurred in recent years, mainly motivated by limited
resources and the COVID-19 pandemic, it is necessary to complement in-person exercise and/or
teaching sessions with homework whenever possible. In addition, unnecessary travel is avoided
in case patients live far from the consultation.
Adherence to treatment is crucial to obtain the desired benefits. According to the WHO
(2003), adherence is the degree to which a person's behavior corresponds to the
recommendations agreed upon by a healthcare professional, and it has been observed that
patients who comply may have a better outcome at the end of treatment. However, not meeting a
minimum of more than 65% adherence negatively influences the outcome of the patient's
recovery, with probable consequences on socio-health costs.
Before the appearance of new technologies, home-type therapeutic exercises were taught in
consultation and given to the patient in paper format. Nowadays, the use of information and
communication technologies (ICT) and digital media are an option when administering home
treatments, and thanks to these we have much more complete teaching materials. when it comes
to remembering what was learned in consultation, such as the Chatbot. For this reason, we
value the possibility that the use of this system can help increase adherence to treatment
and therefore improve your health condition.
On the other hand, non-compliance rates with treatment are one of the main barriers when it
comes to obtaining benefits for the patient. Therefore, digital applications in physiotherapy
should be aimed at improving clinical outcomes and promoting adherence through interactive
and accessible environments that promote self-efficacy and changes in behavior and routines,
as offered by the Chatbot program. One of the most common forms of ICT use is through the use
of smartphones, where half of the users of these devices use them to obtain information about
health issues, and a fifth uses applications related to this area. This has expanded the
offer of health-oriented mobile applications but very little research has been carried out to
evaluate adherence or the level of satisfaction among users.
