Feasibility of using mobile health to promote self-management in spina bifida
Model System:
TBIReference Type:
JournalAccession No.:
J74110Journal:
American Journal of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
, 95, 6, 425-437Publication Website:
Abstract:
Study explored the feasibility of using the interactive Mobile Health and Rehabilitation (iMHere) system in spina bifida and examined its effects on psychosocial and medical outcomes. The iMHere system consists of a suite of 6 Android smartphone modules for patients, a web-based clinician portal, and a 2-way communication system. In a randomized controlled trial, 13 intervention participants using the iMHere system and receiving usual care and 10 control participants receiving usual care were followed for 1 year. Feasibility of use of the system was demonstrated by participants using a customized smartphone system for reminders to conduct various self-care tasks, upload photos of wounds, manage medications, complete mood surveys, and for secure messaging. High usage of the system was associated with positive changes in the subscales of the Adolescent Self-Management and Independence Scale II. This study demonstrated that use of the iMHere system in spina bifida is feasible and was associated with short-term self-reported improvements in self-management skill. This system holds promise for use in many diverse chronic care models to support and increase self-management skills.
Author(s):
Dicianno, Brad E., Fairman, Andrea D., McCue, Michael, Parmanto, Bambang, Yih, Erika, McCoy, Andrew, Pramana, Gede, Yu, Daihua X., McClelland, Justin , Collins, Diane M., Brienza, David M.