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Impact of Functional Rehabilitation on Digital Independence: Validation of a Novel Smartphone Use Score as an Indicator of Discharge Readiness in Medical Care and Rehabilitation.
Sponsor: Artois Private Hospital
Summary
Patients' independence in Medical Care and Rehabilitation (SMR) settings is typically assessed using functional scales such as the Barthel Index. However, these tools give little consideration to digital skills, which have become essential in everyday life (communication, access to healthcare, information seeking, and administrative procedures). The Digital Skills Score ("Score d'Habileté Numérique", TSHN-SMR) was developed to provide a simple and standardized assessment of a patient's ability to use a smartphone through several common tasks that simultaneously involve cognitive and motor functions. This study aims to determine whether digital skills constitute a relevant and ecologically valid indicator of functional independence in rehabilitation patients. Ultimately, the TSHN-SMR could complement traditional assessment tools by providing a measure that more closely reflects activities actually performed in daily life within an increasingly digital environment.
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
INTERVENTIONAL
Enrollment
150
Start Date
2026-10-30
Completion Date
2027-09-30
Last Updated
2026-10-21
Healthy Volunteers
No
Conditions
Interventions
TSHN-SMR (Test Standardisé d'Habileté Numérique sur Dispositif Dédié)
The TSHN-SMR score (Standardized Test of Digital Skills on a Dedicated Device) is a proposed assessment tool that we aim to investigate in this study. The test is performed using a standardized smartphone provided by the rehabilitation unit and contains no personal digital data. The score comprises six domains: * Immediate/procedural memory and motor skills * Language, executive functions, and accuracy * Planning and visual attention * Fine motor skills and coordination * Planning, temporal orientation, and fine motor skills * Short-term memory and social recognition For each domain, the patient is asked to complete a task on the smartphone corresponding to an activity they may be required to perform on their personal device in everyday life : * Unlock a phone, * Send a text message , * Search on the internet, * Zoom on a personal photo, * Set up an alarm, * Call a contact , Patients may choose between an Android or iOS smartphone according to their usual device preference.
Barthel scale
The Barthel Index is a validated measure of functional independence in activities of daily living. It assesses ten domains, including feeding, bathing, grooming, dressing, bowel and bladder control, toilet use, transfers, mobility, and stair climbing. Scores range from 0 to 100, with higher scores indicating greater independence. Widely used in rehabilitation settings, the Barthel Index provides a simple and reliable assessment of functional status and is commonly employed to monitor recovery and support discharge planning. (≈ 490 characters)