Feasibility of a novel blended-care intervention for fatigue after acquired brain injury: a pilot study of the Tied by Tiredness intervention.

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2024-05-11 Epub Date: 2024-02-07 DOI:10.1080/02699052.2024.2311346

Ela Lazeron-Savu, Bert Lenaert, Jeanette Dijkstra, Rudolf Ponds, Caroline van Heugten

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引用次数: 0

Abstract

Purpose: Evidence-based treatments for fatigue after brain injury are scarce and often not personalized. An approach to foster personalization is Experience Sampling Methodology (ESM), consisting of repeated daily measurements of fatigue and related factors in daily life. We investigated the feasibility and usability of a novel six-week ESM-based intervention for fatigue after brain injury.

Materials and methods: Ten individuals with acquired brain injury (six men; four women) aged between 36-70 years (M = 53.3, SD = 12.9) used a mHealth application for three days each week during six-weeks; seven completed the intervention. Momentary fatigue, activities, mood, worrying, and social context were assessed with ESM and participants received weekly personalized feedback by a therapist..

Results: 56% of ESM-questionnaires (568/1008) were completed, providing detailed insights into individual fatigue patterns. No statistically significant decrease in response rate was found over the course of treatment. Qualitative feedback from participants revealed increased insight into factors underlying fatigue, and no problems with treatment duration or difficulties using the app. Five participants showed a decline in fatigue level during treatment.

Conclusions: This pilot study provides initial support for the feasibility and usability of this novel blended-care intervention, aimed at alleviating fatigue through personalized feedback and treatment strategies.

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针对后天性脑损伤后疲劳的新型混合护理干预措施的可行性："疲惫捆绑 "干预措施试点研究。

目的：基于证据的脑损伤后疲劳治疗方法很少，而且往往不是个性化的。经验取样方法（ESM）是一种促进个性化的方法，它包括每天对日常生活中的疲劳和相关因素进行重复测量。我们研究了一种为期六周、基于ESM的新型脑损伤后疲劳干预方法的可行性和可用性：10 名后天性脑损伤患者（6 名男性；4 名女性），年龄在 36-70 岁之间（M = 53.3，SD = 12.9），在为期六周的时间里，每周使用移动医疗应用程序三天；其中 7 人完成了干预。参与者每周都会收到由治疗师提供的个性化反馈：56%的ESM问卷（568/1008）得到了填写，从而提供了有关个人疲劳模式的详细资料。在治疗过程中，答复率没有出现统计学意义上的明显下降。参与者的定性反馈显示，他们对造成疲劳的因素有了更深入的了解，在治疗持续时间或使用应用程序方面没有出现任何问题。五名参与者在治疗过程中疲劳程度有所下降：这项试点研究为这种新型混合护理干预的可行性和可用性提供了初步支持，旨在通过个性化反馈和治疗策略缓解疲劳。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.