TY - JOUR
T1 - The effect of the interactive mobile health and rehabilitation system on health and psychosocial outcomes in spinal cord injury
T2 - Randomized controlled trial
AU - Kryger, Michael Alan
AU - Crytzer, Theresa M.
AU - Fairman, Andrea
AU - Quinby, Eleanor J.
AU - Karavolis, Meredith
AU - Pramana, Gede
AU - Made Agus Setiawan, I.
AU - McKernan, Gina Pugliano
AU - Parmanto, Bambang
AU - Dicianno, Brad E.
N1 - Funding Information:
The authors would like to thank Carly Sullivan, Taya Irizarry, Yongbin Matthew Kwon, and Elizabeth Mueller, for assistance with data collection and Zara Ambadar, PhD, and Daniel Rusnak for assistance with clinical coordination. The contents of this publication were developed under grants from the Craig H Neilsen Foundation and the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR; grant numbers 90DP0064-01-00, 90DPGE0002-01-00, and 90DP5004-01-00). NIDILRR is a center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this publication do not necessarily represent the views of the Department of Veterans Affairs or the United States government nor do they necessarily represent the policy of NIDILRR, ACL, or HHS.
Funding Information:
The contents of this publication were developed under grants from the Craig H Neilsen Foundation and the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR; grant numbers 90DP0064-01-00, 90DPGE0002-01-00, and 90DP5004-01-00). NIDILRR is a center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this publication do not necessarily represent the views of the Department of Veterans Affairs or the United States government nor do they necessarily represent the policy of NIDILRR, ACL, or HHS.
Publisher Copyright:
© Michael Alan Kryger, Theresa M Crytzer, Andrea Fairman, Eleanor J Quinby, Meredith Karavolis, Gede Pramana, I Made Agus Setiawan, Gina Pugliano McKernan, Bambang Parmanto, Brad E Dicianno. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 28.08.2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
PY - 2019/8
Y1 - 2019/8
N2 - Background: Individuals with spinal cord injury (SCI) are at risk for secondary medical complications, such as urinary tract infections (UTIs) and pressure injuries, that could potentially be mitigated through improved self-management techniques. The Interactive Mobile Health and Rehabilitation (iMHere) mobile health (mHealth) system was developed to support self-management for individuals with disabilities. Objective: The main objective of this study was to determine if the use of iMHere would be associated with improved health outcomes over a 9-month period. A secondary objective was to determine if the use of iMHere would be associated with improved psychosocial outcomes. Phone usage, app usage, and training time data were also collected to analyze trends in iMHere use. Methods: Overall, 38 participants with SCI were randomized into either the intervention group who used the iMHere system and received standard care or the control group who received standard care without any technology intervention. Health outcomes were recorded for the year before entry into the study and during the 9 months of the study. Participants completed surveys at baseline and every 3 months to measure psychosocial outcomes. Results: The intervention group had a statistically significant reduction in UTIs (0.47 events per person; P=.03; number needed to treat=2.11). Although no psychosocial outcomes changed significantly, there was a nonsignificant trend toward a reduction in mood symptoms in the intervention group compared with the control group meeting the threshold for clinical significance. Approximately 34 min per participant per month were needed on average to manage the system and provide technical support through this mHealth system. Conclusions: The use of the iMHere mHealth system may be a valuable tool in the prevention of UTIs or reductions in depressive symptoms. Given these findings, iMHere has potential scalability for larger populations.
AB - Background: Individuals with spinal cord injury (SCI) are at risk for secondary medical complications, such as urinary tract infections (UTIs) and pressure injuries, that could potentially be mitigated through improved self-management techniques. The Interactive Mobile Health and Rehabilitation (iMHere) mobile health (mHealth) system was developed to support self-management for individuals with disabilities. Objective: The main objective of this study was to determine if the use of iMHere would be associated with improved health outcomes over a 9-month period. A secondary objective was to determine if the use of iMHere would be associated with improved psychosocial outcomes. Phone usage, app usage, and training time data were also collected to analyze trends in iMHere use. Methods: Overall, 38 participants with SCI were randomized into either the intervention group who used the iMHere system and received standard care or the control group who received standard care without any technology intervention. Health outcomes were recorded for the year before entry into the study and during the 9 months of the study. Participants completed surveys at baseline and every 3 months to measure psychosocial outcomes. Results: The intervention group had a statistically significant reduction in UTIs (0.47 events per person; P=.03; number needed to treat=2.11). Although no psychosocial outcomes changed significantly, there was a nonsignificant trend toward a reduction in mood symptoms in the intervention group compared with the control group meeting the threshold for clinical significance. Approximately 34 min per participant per month were needed on average to manage the system and provide technical support through this mHealth system. Conclusions: The use of the iMHere mHealth system may be a valuable tool in the prevention of UTIs or reductions in depressive symptoms. Given these findings, iMHere has potential scalability for larger populations.
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U2 - 10.2196/14305
DO - 10.2196/14305
M3 - Article
C2 - 31464189
AN - SCOPUS:85071621992
SN - 1439-4456
VL - 21
JO - Journal of medical Internet research
JF - Journal of medical Internet research
IS - 8
M1 - e14305
ER -