The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial
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...
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| Veröffentlicht in: | Journal of medical Internet research 2019-08, Vol.21 (8), p.e14305-e14305 |
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| creator | Kryger, Michael Alan Crytzer, Theresa M Fairman, Andrea Quinby, Eleanor J Karavolis, Meredith Pramana, Gede Setiawan, I Made Agus McKernan, Gina Pugliano Parmanto, Bambang Dicianno, Brad E |
| description | 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.
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.
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.
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.
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.
ClinicalTrials.gov NCT02592291; https://clinicaltrials.gov/ct2/show/NCT02592291. |
| doi_str_mv | 10.2196/14305 |
| format | Article |
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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.
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.
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.
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.
ClinicalTrials.gov NCT02592291; https://clinicaltrials.gov/ct2/show/NCT02592291.</description><identifier>ISSN: 1438-8871</identifier><identifier>ISSN: 1439-4456</identifier><identifier>EISSN: 1438-8871</identifier><identifier>DOI: 10.2196/14305</identifier><identifier>PMID: 31464189</identifier><language>eng</language><publisher>Canada: JMIR Publications</publisher><subject>Adult ; Female ; Humans ; Male ; Original Paper ; Spinal Cord Injuries - psychology ; Spinal Cord Injuries - rehabilitation ; Spinal Cord Injuries - therapy ; Telemedicine - methods</subject><ispartof>Journal of medical Internet research, 2019-08, Vol.21 (8), p.e14305-e14305</ispartof><rights>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.</rights><rights>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. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-ed516315069a720fc2290145d5c935e556ded6a54918b7a989a62cc51163320f3</citedby><cites>FETCH-LOGICAL-c363t-ed516315069a720fc2290145d5c935e556ded6a54918b7a989a62cc51163320f3</cites><orcidid>0000-0003-1082-0494 ; 0000-0001-8760-2650 ; 0000-0003-0738-0192 ; 0000-0002-3470-8096 ; 0000-0002-5470-6354 ; 0000-0002-3751-8845 ; 0000-0001-8383-8471 ; 0000-0003-3234-7802 ; 0000-0002-6777-5391 ; 0000-0002-4907-8402</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,723,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31464189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kryger, Michael Alan</creatorcontrib><creatorcontrib>Crytzer, Theresa M</creatorcontrib><creatorcontrib>Fairman, Andrea</creatorcontrib><creatorcontrib>Quinby, Eleanor J</creatorcontrib><creatorcontrib>Karavolis, Meredith</creatorcontrib><creatorcontrib>Pramana, Gede</creatorcontrib><creatorcontrib>Setiawan, I Made Agus</creatorcontrib><creatorcontrib>McKernan, Gina Pugliano</creatorcontrib><creatorcontrib>Parmanto, Bambang</creatorcontrib><creatorcontrib>Dicianno, Brad E</creatorcontrib><title>The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial</title><title>Journal of medical Internet research</title><addtitle>J Med Internet Res</addtitle><description>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.
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.
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.
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.
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.
ClinicalTrials.gov NCT02592291; https://clinicaltrials.gov/ct2/show/NCT02592291.</description><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Original Paper</subject><subject>Spinal Cord Injuries - psychology</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Spinal Cord Injuries - therapy</subject><subject>Telemedicine - methods</subject><issn>1438-8871</issn><issn>1439-4456</issn><issn>1438-8871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkdtu1DAQhi1ERdulr4B8g8TNgg-x43CBhFYtrdSqVVmuLa8zIa6SeLGdSsuz8LBMaam2V_N7_P1z0BBywtlHwRv9iVeSqVfkCKNZGlPz13v6kBznfMeYYFXD35BDyStdcdMckT_rHuhp14EvNHa04OtiKpCcL-Ee6FXchAHoObih9NRNLb2F3mEuFFdCnOj3XS4wUlR7zE3e-T7m6IMb6PVcfBwh04D0NkyYWsXUYpu7Oe0-01t0xDH8hhbzU0lxGFCuE3rfkoPODRlOnuKC_Dg7Xa_Ol5fX3y5WXy-XXmpZltAqriVXTDeuFqzzQjSMV6pVvpEKlNIttNop3N1sateYxmnhveLoksjLBfnyWHc7b0ZoPeAYbrDbFEaXdja6YF_-TKG3P-O91bWsjVFY4MNTgRR_zZCLHUP2MAxugjhnK4QRilcCGy7I-0fUp5hzgu65DWf24ZL23yWRe7c_0zP1_3TyLwTxmfw</recordid><startdate>20190828</startdate><enddate>20190828</enddate><creator>Kryger, Michael Alan</creator><creator>Crytzer, Theresa M</creator><creator>Fairman, Andrea</creator><creator>Quinby, Eleanor J</creator><creator>Karavolis, Meredith</creator><creator>Pramana, Gede</creator><creator>Setiawan, I Made Agus</creator><creator>McKernan, Gina Pugliano</creator><creator>Parmanto, Bambang</creator><creator>Dicianno, Brad E</creator><general>JMIR Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1082-0494</orcidid><orcidid>https://orcid.org/0000-0001-8760-2650</orcidid><orcidid>https://orcid.org/0000-0003-0738-0192</orcidid><orcidid>https://orcid.org/0000-0002-3470-8096</orcidid><orcidid>https://orcid.org/0000-0002-5470-6354</orcidid><orcidid>https://orcid.org/0000-0002-3751-8845</orcidid><orcidid>https://orcid.org/0000-0001-8383-8471</orcidid><orcidid>https://orcid.org/0000-0003-3234-7802</orcidid><orcidid>https://orcid.org/0000-0002-6777-5391</orcidid><orcidid>https://orcid.org/0000-0002-4907-8402</orcidid></search><sort><creationdate>20190828</creationdate><title>The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial</title><author>Kryger, Michael Alan ; Crytzer, Theresa M ; Fairman, Andrea ; Quinby, Eleanor J ; Karavolis, Meredith ; Pramana, Gede ; Setiawan, I Made Agus ; McKernan, Gina Pugliano ; Parmanto, Bambang ; Dicianno, Brad E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-ed516315069a720fc2290145d5c935e556ded6a54918b7a989a62cc51163320f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Original Paper</topic><topic>Spinal Cord Injuries - psychology</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Spinal Cord Injuries - therapy</topic><topic>Telemedicine - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kryger, Michael Alan</creatorcontrib><creatorcontrib>Crytzer, Theresa M</creatorcontrib><creatorcontrib>Fairman, Andrea</creatorcontrib><creatorcontrib>Quinby, Eleanor J</creatorcontrib><creatorcontrib>Karavolis, Meredith</creatorcontrib><creatorcontrib>Pramana, Gede</creatorcontrib><creatorcontrib>Setiawan, I Made Agus</creatorcontrib><creatorcontrib>McKernan, Gina Pugliano</creatorcontrib><creatorcontrib>Parmanto, Bambang</creatorcontrib><creatorcontrib>Dicianno, Brad E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medical Internet research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kryger, Michael Alan</au><au>Crytzer, Theresa M</au><au>Fairman, Andrea</au><au>Quinby, Eleanor J</au><au>Karavolis, Meredith</au><au>Pramana, Gede</au><au>Setiawan, I Made Agus</au><au>McKernan, Gina Pugliano</au><au>Parmanto, Bambang</au><au>Dicianno, Brad E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial</atitle><jtitle>Journal of medical Internet research</jtitle><addtitle>J Med Internet Res</addtitle><date>2019-08-28</date><risdate>2019</risdate><volume>21</volume><issue>8</issue><spage>e14305</spage><epage>e14305</epage><pages>e14305-e14305</pages><issn>1438-8871</issn><issn>1439-4456</issn><eissn>1438-8871</eissn><abstract>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.
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.
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.
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.
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.
ClinicalTrials.gov NCT02592291; https://clinicaltrials.gov/ct2/show/NCT02592291.</abstract><cop>Canada</cop><pub>JMIR Publications</pub><pmid>31464189</pmid><doi>10.2196/14305</doi><orcidid>https://orcid.org/0000-0003-1082-0494</orcidid><orcidid>https://orcid.org/0000-0001-8760-2650</orcidid><orcidid>https://orcid.org/0000-0003-0738-0192</orcidid><orcidid>https://orcid.org/0000-0002-3470-8096</orcidid><orcidid>https://orcid.org/0000-0002-5470-6354</orcidid><orcidid>https://orcid.org/0000-0002-3751-8845</orcidid><orcidid>https://orcid.org/0000-0001-8383-8471</orcidid><orcidid>https://orcid.org/0000-0003-3234-7802</orcidid><orcidid>https://orcid.org/0000-0002-6777-5391</orcidid><orcidid>https://orcid.org/0000-0002-4907-8402</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Adult Female Humans Male Original Paper Spinal Cord Injuries - psychology Spinal Cord Injuries - rehabilitation Spinal Cord Injuries - therapy Telemedicine - methods |
| title | The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial |
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