Self-management for Amputee Rehabilitation Using Technology (SMART) Program: a Peer Supported mHealth Approach for Rehabilitation After Lower Limb Amputation

What this Trial Is About

Lower Limb Amputations (LLAs) pose significant challenges for patients, impacting mobility, mental health, and social life, especially in adults aged 50 and over. This research evaluates the Self-Management for Amputee Rehabilitation using Technology (SMART) program, an online platform designed to support people with unilateral above or below knee amputation. The study aims to assess how SMART influences patients' confidence in walking and their ability to manage daily activities compared to traditional paper-based education. Participants are randomly assigned to two groups: one receives the SMART program via a tablet for six weeks, which includes mental and physical wellness education, prosthetic limb management, and weekly peer support through calls or video chats. The other group receives a care booklet and weekly contact for six weeks. Both groups continue their usual care during the study. The program also allows participants to communicate asynchronously with trainers through a secure website. During the study, participants will be monitored remotely via Zoom for confidence in walking using the Ambulatory Self-Confidence Questionnaire and walking ability using the Timed Up and Go test at ten weeks. Additional assessments include mood, body image, pain, physical function, and quality of life. Researchers will also explore participants' experiences through interviews. The study tracks the program's reach, effectiveness, adoption, and long-term maintenance, with all data collection and support conducted online. The total study period includes a six-week intervention and a four-week follow-up.

Self-Management for Amputee Rehabilitation Using Technology.