Background

Despite an overhaul in the system for donor lung allocation to reduce death rates on the waiting list, nearly 1 in 5 patients listed for lung transplantation dies before receiving a suitable donor offer. After transplant, there are trends towards increasing complications in the perioperative period; the immediate post-transplant hospital stay lasts more than a month for one in four patients and half are discharged to places other than home without in-home nursing support (e.g. skilled nursing facility).

The focus of this study is to perform an early phase home-based interventional trial to treat frailty in lung transplant candidates. The hypothesis is that a multimodal aerobic and strength training exercise program delivered through the Aidcube platform coupled with nutrition optimization will be feasible and improve Short Physical Performance Battery frailty scores, daily activity (by wearable monitor), and patient reported disability and health related quality of life.

Solution

UCSF chose to use the Aidcube platform, a fully customizable, commercially available digital “app”-based platform to deliver home-based pulmonary rehabilitation for patients with COPD based on ERS/ATS guidelines.

In partnership with UCSF, we customized the suite of exercises and features of our platform to meet the specific needs of the pilot study to treat frailty in lung transplant candidates in the United States.

On the patient-facing side, participants can view their daily exercise prescription, descriptions and videos demonstrating correct execution of the exercises, document completion of exercises, and message their health-care provider. On the provider-facing side, UCSF investigators can choose from over 150 available exercises, surveys, and activities to design a personalized and fully-customized exercise prescription. Based on real-time participant feedback, the exercise prescription can be progressed (i.e., advanced and/or modified) by adding repetitions or time to specific exercises or adding new activities. UCSF investigators can also message the patient from within the Aidcube environment. Weekly emails are automatically sent to the UCSF investigators summarizing each participants activity over the prior 7 days.

Results

Results will become available on this page, when the study is has been completed (during 2017).

Dr. Jonathan Singer

The AidCube home rehabilitation program has the potential to fill a large void – given the geographic and financial limitations of access to traditional pulmonary rehab programs in the United States. By targeting frailty specific deficits, we hope to reduce waiting list mortality and improve outcomes after lung transplantation.

Dr. Jonathan SingerAssistant Professor of Medicine at UCSF

Background

AFFIRMATIVhealth, PLLC presenters of RE:mind, a program created to improve brain health for the millions impacted by Alzheimer’s or dementia, has chosen AidCube as their mobile health platform.

Together, AFFIRMATIVhealth and AidCube are delivering a personalized protocol-based mobile tool for individual support and follow-up to RE:mind program participants, those affected by mild cognitive impairment and early stage Alzheimer’s disease.

The AFFIRMATIVhealth interventional program and protocol builds upon research done by The Buck Institute for Research on Aging . The protocol requires long-term modifications to the patient’s diet, physical condition and behavioral habits, which can be a challenge – especially in terms of remembering what to do on a daily basis.

AFFIRMATIVhealth is offering the RE:mind program in cooperation with Sonoma Valley Hospital and other providers.

Solution

The AidCube mobile health platform enables remote interaction with and among cognitive health specialists and RE:mind participants. The app integrates with the participants personalized protocol to include protocol compliance advice, videos, questionnaires, activity tracking and reminders focused on supplements, diet, exercise, sleep and stress management. The app also enables dialogue through secure messaging, text and video.

“We are very excited to introduce this innovative mobile tool, which enables constant engagement, and coaching opportunities following RE:mind’s immersion experience. It allows us to extend our precise, science-based protocol through this personalized app, continuously capturing feedback from our participants” says Denise Kalos, COO of AFFIRMATIVhealth.

Results
Results of the mobile coaching program will become available in 2017. The main success criteria are patient program adherence and satisfaction with the mobile platform.

Background

AidCube’s platform is used in a multicenter study involving three hospitals in the Copehagen area. The participating COPD patients and care providers from each hospital use AidCube’s support tool during a 7-10 week pulmonary rehabilitation program with emphasis on strength exercises, breathing techniques, and a specially designed walking test, that measures the walking pace and intensity of the training.

The aim of the study is to improve adherence to pulmonary rehabilitation and increase COPD patients’ level of physical activity.

One hundred and fifteen patients with severe COPD were recruited from the pulmonary clinics of the three hospitals Hvidovre Hospital, Gentofte Hospital, and Nordsjællands Hospital. Eligibility criteria included: stable COPD defined spirometrically as forced expiratory volume in one second (FEV1) <80% of the predicted value and FEV1/forced vital capacity (FVC) <70%; motivation for PR. Exclusion criteria included: significant musculo-skeletal disease, cardiac – or cognitive problems.

Solution
AidCube HomeRehab improves the patient-provider relationship by facilitating instant communication and information sharing. By using the AidCube App COPD-patients were able to follow a specialized digital home-based rehabilitation course for 6 months after finishing the out-patient rehabilitation course. Meanwhile, the care team at Hvidovre Hospital were able to follow the patients activity level and health status. This allowed for continuous improvement in the patients treatment plans, while the care team was able to communicate with the patients via secure messaging

Results
Preliminary results from the study, that focus on patient satisfaction, show that 82% of the patients found they were either satisfied or very satisfied with with using the AidCube App. The results of this study will soon become available.

Background
AidCube is collaborating with Frederiksberg Hospital, which is a part of the healthcare system in the Capital Region of Denmark, on a feasibility study regarding elderly medical patients.
The focus of the study is to investigate the benefit of continued rehabilitation during and after hospitalization.

Solution
Patients in the treatment group are using the AidCube App and are supervised by healthcare professionals who are using the AidCube Webportal. The the AidCube App a customized rehabilitation intervention is delivered to the patient – at the hospital and in their own home.

Results
Results will become available on this page, when the study is has been completed (during 2017).

Background

In Denmark, healthcare services such as homecare, nursing homes, rehabilitation etc. are municipal tasks that integrate with the public Danish Hospital System. In Silkeborg Municipality, where around 100.000 Danish citizens live, AidCube HomeRehab has been implemented to support the treatment of elderly patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD). Their primary aim is to increase patients’ level of physical activity, reduce the number and duration of hospital readmissions and improve their quality of life.

Solution

The COPD-patients where provided with a tablet that contains a personalized rehabilitation program which can be followed in their own home.

From the tablet, patients can communicate and share information with the care team on a continuous basis. Physicians, physical therapists and nurses are able to follow the patients’ progress and provide instant feedback.

Results

AidCube HomeRehab has been used in Silkeborg Municipality since 2014. In terms of adherence to the home-based rehabilitation program, 68% of patients are adhering to their daily activities. Following this, Silkeborg Municipality has seen a reduction in COPD-related hospital admissions of 10%. Furthermore, Silkeborg Municipality found that the AidCube platform improved their resource allocation and ability to prioritize which patients needed the most attention.