Model System:
SCIReference Type:
JAAccession No.:
Journal:
Spinal Cord
Year, Volume, Issue, Page(s):
, 51, 9, 715-720Publication Website:
Abstract:
Study design:Single-blind randomized controlled trial of 6 months' duration.Objectives:To evaluate the efficacy of a novel telehealth intervention, 'CareCall', on reducing pressure ulcers and depression and enhancing the use of appropriate health care.Setting:General community, Massachusetts and Connecticut, United StatesMethods:'CareCall' is an automated, interactive voice response system that combines patient education, cognitive behavioral interventions, screening and referrals, with alerts to a nurse telerehabilitation coordinator for direct non-emergent phone follow up. Participants consisted of a convenience sample of 142 persons with multiple sclerosis or spinal cord injury using a wheelchair >6?h per day. The intervention group received CareCall (n=71) The control group received usual care (n=71). The main outcome measures were: The pressure ulcer scale for healing tool, Patient Health Questionnaire-9 depression scale, Cornell Services Index and Craig Hospital Inventory of Environmental Factors-Short Form Question 5.Results:CareCall achieved a reduction in presence of pressure ulcers at 6 months in women (P
Author(s):
Houlihan BV, Jette A, Friedman RH, Paasche-Orlow M, Ni P, Wierbicky J, Williams K, Ducharme S, Zazula J, Cuevas P, Rosenblum D, Williams S.