Feasibility of Using Mobile Health to Promote Self-Management in Spina Bifida
Abstract
OBJECTIVE: To determine feasibility of using the interactive Mobile Health and Rehabilitation (iMHere) system in spina bifida and its effects on psychosocial and medical outcomes. DESIGN: In a randomized controlled trial, 13 intervention participants using the iMHere system and receiving usual care and 10 control participants receiving usual care were followed for 1 year. RESULTS: Feasibility of use of the system was demonstrated by participants using a customized smartphone system for reminders to conduct various self-care tasks, upload photos of wounds, manage medications, complete mood surveys, and for secure messaging. High usage of the system was associated with positive changes in the subscales of the Adolescent Self-Management and Independence Scale II. CONCLUSION: Use of the iMHere system in spina bifida is feasible and was associated with short-term self-reported improvements in self-management skill. This system holds promise for use in many diverse chronic care models to support and increase self-management skills.
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Dicianno et al. demonstrated the feasibility of a mHealth intervention for patients with spina bifida to improve self-management skills.
“Dicianno et al. [24] demonstrated the feasibility of a mHealth intervention for patients with spina bifida to improve self-management skills and high usage of the mobile system was associated with positive changes in the self-management skills.”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [24]
High usage of the mobile system was associated with positive changes in self-management skills in patients with spina bifida.
“Dicianno et al. [24] demonstrated the feasibility of a mHealth intervention for patients with spina bifida to improve self-management skills and high usage of the mobile system was associated with positive changes in the self-management skills.”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [24]
A quarter of the reviewed studies (3/12) reported feasibility of the mHealth intervention as a pilot study to assess potential for successful implementation.
“A quarter of the studies (3 out of 12) reported the feasibility of the mHealth intervention as a pilot study to assess the potential for successful implementation of the mHealth intervention to patients/participants [24–26].”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [24]
Four trials failed to provide a full description of participants and losses to follow-up during their trials.
“Four trials failed to provide a full description of participants and losses to follow-up during their trials [24, 28, 29, 31].”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [24]
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- Authors
- Dicianno, B. E., Fairman, A. D., McCue, M., Parmanto, B., Yih, E., McCoy, A., Pramana, G., Yu, D. X., McClelland, J., Collins, D. M., & Brienza, D. M.
- Affiliations
- MGH Institute of Health Professions (US)
- Alcohol and Drug Foundation (AU)
- Corresponding author
- Dicianno, Brad E.
- ORCID
- Venue
- American Journal of Physical Medicine & Rehabilitation
- Published
- 2016-06
- Volume
- 95
- Issue
- 6
- Pages
- 425-437
- ISSN
- 0894-9115 (ISSN-L)
- OpenAlex
- W2179708069
- Cited by
- 61
- References
- 30
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 9 · 2019: 6 · 2018: 9 · 2017: 6 · 2016: 2
- FWCI
- 10.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physical Medicine & Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Complementary and Integrative Health (T35AT005933)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD071810)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Spinal Dysraphism and Malformations
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- spina bifida, mobile health, self-management, smartphone reminders, wound care, medication management, mood tracking, feasibility, chronic disease self-management
- MeSH terms
- Smartphone, Adult, Feasibility Studies, Female, Humans, Male, Surveys and Questionnaires, Self Care, Spinal Dysraphism, Treatment Outcome, Telemedicine
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