外伤性脑损伤患者的智能手机应用综述:哪些是可用的,证据是什么?

Vivian Kwan, Nicoline Bihelek, Vicki Anderson, Keith Yeates
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引用次数: 10

摘要

目的:绘制可用于创伤性脑损伤(TBI)患者的智能手机应用程序的数量和类型,评估应用程序内容的有效性,并调查任何索赔的证据。方法:在iTunes和Google Play上进行检索,并完成网页检索。提取每个应用程序的目的和任何声明,并搜索最佳可用证据。结果:70个应用程序符合我们的纳入标准(35个与评估有关,11个与教育有关,9个与治疗/管理有关,8个与影响传感器有关,7个与症状跟踪有关)。据我们所知,目前还没有实证研究表明,与不使用应用程序相比,使用任何特定的tbi相关应用程序会带来有临床意义的好处。其他问题包括自我报告中的潜在偏见,可能导致应用程序滥用,缺乏应用程序内容参考,以及对未经培训的外行人进行不当营销,无法解释医疗保健专业人员使用的验证工具的结果。结论:目前使用tbi相关应用程序有益的证据很少。临床医生、科学家和应用程序开发人员之间需要进行更多的合作研究,以确定应用程序是否以及如何对有TBI风险的个体有所帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Review of Smartphone Applications for Persons With Traumatic Brain Injury: What Is Available and What Is the Evidence?

Objectives: To map the number and type of smartphone applications available for persons with traumatic brain injury (TBI), evaluate validity of app content, and investigate evidence for any claims made.

Methods: We searched iTunes and Google Play and also completed a web search. The purpose of each app and any claims were extracted, and a search for best available evidence was performed.

Results: Seventy apps met our inclusion criteria (35 related to assessment, 11 to education, 9 to treatment/management, 8 to impact sensors, and 7 to symptom tracking). To the best of our knowledge, no empirical research has been published to demonstrate that the use of any particular TBI-related app leads to clinically meaningful benefits compared with not using the app. Other problems include potential biases in self-report leading to possible app misuse, lack of references for app content, and inappropriate marketing to laypersons not trained to interpret the findings of tools validated for use by healthcare professionals.

Conclusions: The current evidence for benefit from using TBI-related apps is minimal. More collaborative research is needed among clinicians, scientists, and app developers to determine whether, and how, apps may be helpful to individuals at risk for or following TBI.

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