Article

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.

Langue : ANGLAIS