Feasibility of Using Mobile Health to Promote Self-Management in Spina Bifida

被引：47

作者：

Dicianno, Brad E. ^{[1
]}

Fairman, Andrea D. ^{[2
]}

Mccue, Michael ^{[3
]}

Parmanto, Bambang ^{[4
]}

Yih, Erika ^{[5
]}

Mccoy, Andrew ^{[6
]}

Pramana, Gede ^{[7
]}

Yu, Daihua X. ^{[7
]}

McClelland, Justin ^{[7
]}

Collins, Diane M. ^{[8
]}

Brienza, David M. ^{[9
]}

机构：

[1] Univ Pittsburgh, Med Ctr, Dept Phys Med & Rehabil, 6425 Penn Ave,Suite 400, Pittsburgh, PA 15206 USA

[2] MGH Inst Hlth Profess, Boston, MA USA

[3] Univ Pittsburgh, Dept Rehabil Sci & Technol, 6425 Penn Ave,Suite 400, Pittsburgh, PA 15206 USA

[4] Univ Pittsburgh, Dept Hlth Informat Management & Biomed Informat, 6425 Penn Ave,Suite 400, Pittsburgh, PA 15206 USA

[5] Univ Pittsburgh, Sch Med, 6425 Penn Ave,Suite 400, Pittsburgh, PA 15206 USA

[6] Drexel Univ, Coll Med, Philadelphia, PA 19104 USA

[7] Univ Pittsburgh, Dept Hlth Informat Management, 6425 Penn Ave,Suite 400, Pittsburgh, PA 15206 USA

[8] Univ Texas Med Branch, Dept Occupat Therapy, Galveston, TX 77555 USA

[9] Univ Pittsburgh, Dept Rehabil Sci & Technol, 6425 Penn Ave,Suite 400, Pittsburgh, PA 15206 USA

来源：

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION | 2016年 / 95卷 / 06期

基金：

美国国家卫生研究院;

关键词：

Cellular Phone; Emergency Departments; Health Care Costs; Hospitalization; Mobile Applications; Pressure Ulcer; Rehabilitation; Self-Care; Spina Bifida; Spinal Dysraphism; Telemedicine; Urinary Tract Infections; PSYCHOMETRIC PROPERTIES; PREVENTABLE CONDITIONS; YOUNG-ADULTS; CARE; DEPRESSION; OUTCOMES; ADOLESCENTS; VALIDATION; SYMPTOMS; COST;

D O I：

10.1097/PHM.0000000000000400

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To determine feasibility of using the interactive Mobile Health and Rehabilitation (iMHere) system in spina bifida and its effects on psychosocial and medical outcomes. Design: 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. Results: 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. Conclusion: 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.

引用

页码：425 / 437

页数：13

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