Noelle E Carlozzi, Jonathan P Troost, Srijan Sen, Sung Won Choi, Zhenke Wu, Jennifer A Miner, Wendy L Lombard, Christopher Graves, Angelle M Sander
{"title":"改善创伤性脑损伤患者护理伙伴的结果：CareQOL应用程序的移动健康随机对照试验结果。","authors":"Noelle E Carlozzi, Jonathan P Troost, Srijan Sen, Sung Won Choi, Zhenke Wu, Jennifer A Miner, Wendy L Lombard, Christopher Graves, Angelle M Sander","doi":"10.1016/j.apmr.2024.12.022","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To test the efficacy of a randomized control trial low-touch mobile health intervention designed to promote care partner self-awareness and self-care.</p><p><strong>Design: </strong>This randomized controlled trial (RCT) included a baseline assessment of self-report surveys of health-related quality of life (HRQOL), care partner-specific outcomes, and the functional/mental status of the person with TBI, as well as a 6-month home monitoring period that included three daily questions about HRQOL, monthly assessments of 12 HRQOL domains, and the use of a Fitbit® to continuously monitor physical activity and sleep. HRQOL surveys were repeated at 3- and 6-months post-home monitoring.</p><p><strong>Setting: </strong>Two academic medical centers PARTICIPANTS: 254 TBI care partners INTERVENTIONS: The CareQOL app, a mobile health app designed to promote care partner self-awareness (through self-monitoring) and self-care (through personalized self-care push notifications) RESULTS: Care partners were randomized to self-monitoring alone (n=128) or self-monitoring plus self-care push notifications (n=126). Although we did not see improvements in HRQOL outcomes, nor in physical activity or sleep, we found that across all the different measures, approximately1/3 of the participants showed clinically meaningful improvements, 1/3 stayed the same, and 1/3 got worse; care partners who reported engagement in the intervention were more likely to show improvements than those who were not engaged. There was preliminary support for factors such as being male, caring for a person with posttraumatic stress symptoms, living in the same household as the person with TBI, being a spousal care partner, working, and being diagnosed with COVID-19 during the study were associated with increased risk for negative outcomes.</p><p><strong>Conclusions: </strong>Findings suggest that engagement with the app, even when it is confined to self-monitoring alone, is associated with small improvements in HRQOL.</p><p><strong>Trial registration: </strong>ClinicalTrial.gov NCT04570930; https://clinicaltrials.gov/ct2/show/NCT04570930.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving outcomes for care partners of individuals with traumatic brain injury: Results for a mHealth randomized control trial of the CareQOL app.\",\"authors\":\"Noelle E Carlozzi, Jonathan P Troost, Srijan Sen, Sung Won Choi, Zhenke Wu, Jennifer A Miner, Wendy L Lombard, Christopher Graves, Angelle M Sander\",\"doi\":\"10.1016/j.apmr.2024.12.022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To test the efficacy of a randomized control trial low-touch mobile health intervention designed to promote care partner self-awareness and self-care.</p><p><strong>Design: </strong>This randomized controlled trial (RCT) included a baseline assessment of self-report surveys of health-related quality of life (HRQOL), care partner-specific outcomes, and the functional/mental status of the person with TBI, as well as a 6-month home monitoring period that included three daily questions about HRQOL, monthly assessments of 12 HRQOL domains, and the use of a Fitbit® to continuously monitor physical activity and sleep. 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Improving outcomes for care partners of individuals with traumatic brain injury: Results for a mHealth randomized control trial of the CareQOL app.
Objective: To test the efficacy of a randomized control trial low-touch mobile health intervention designed to promote care partner self-awareness and self-care.
Design: This randomized controlled trial (RCT) included a baseline assessment of self-report surveys of health-related quality of life (HRQOL), care partner-specific outcomes, and the functional/mental status of the person with TBI, as well as a 6-month home monitoring period that included three daily questions about HRQOL, monthly assessments of 12 HRQOL domains, and the use of a Fitbit® to continuously monitor physical activity and sleep. HRQOL surveys were repeated at 3- and 6-months post-home monitoring.
Setting: Two academic medical centers PARTICIPANTS: 254 TBI care partners INTERVENTIONS: The CareQOL app, a mobile health app designed to promote care partner self-awareness (through self-monitoring) and self-care (through personalized self-care push notifications) RESULTS: Care partners were randomized to self-monitoring alone (n=128) or self-monitoring plus self-care push notifications (n=126). Although we did not see improvements in HRQOL outcomes, nor in physical activity or sleep, we found that across all the different measures, approximately1/3 of the participants showed clinically meaningful improvements, 1/3 stayed the same, and 1/3 got worse; care partners who reported engagement in the intervention were more likely to show improvements than those who were not engaged. There was preliminary support for factors such as being male, caring for a person with posttraumatic stress symptoms, living in the same household as the person with TBI, being a spousal care partner, working, and being diagnosed with COVID-19 during the study were associated with increased risk for negative outcomes.
Conclusions: Findings suggest that engagement with the app, even when it is confined to self-monitoring alone, is associated with small improvements in HRQOL.
期刊介绍：
The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities.
Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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