Smart Phone Application for Postconcussion Symptom Reduction

用于减轻脑震荡后症状的智能手机应用程序

• 批准号: 9982085
• 负责人: Tracy S Kretzmer
• 金额: --
• 依托单位: JAMES A. HALEY VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-10-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9982085
• 关键词: Address; American; Cellular Phone; Clinical; Communication; Control Groups; Diagnosis; Distress; Evaluation; Future; Generations; Goals; Improve Access; Injury; Intervention; Interview; Knowledge; Mediation; Medical; Methods; Modification; Outcome; Patients; Randomized; Recording of previous events; Research; Self Efficacy; Self Management; Severities; Social support; Source; Symptoms; Technology; Time; Veterans; control trial; coping; experience; improved; mild traumatic brain injury; mobile application; prevent; psychological distress; reduce symptoms; smartphone Application; tool; Address; American; Cellular Phone; Clinical; Communication; Control Groups; Diagnosis; Distress; Evaluation; Future; Generations; Goals; Improve Access; Injury; Intervention; Interview; Knowledge; Mediation; Medical; Methods; Modification; Outcome; Patients; Randomized; Recording of previous events; Research; Self Efficacy; Self Management; Severities; Social support; Source; Symptoms; Technology; Time; Veterans; control trial; coping; experience; improved; mild traumatic brain injury; mobile application; prevent; psychological distress; reduce symptoms; smartphone Application; tool

DESCRIPTION (provided by applicant): Introduction/Methods. The proposed study will address a very important issue for the VA both currently and in the future -- the high percentage of OIF/OEF/OND Veterans who have been medically diagnosed with a mild traumatic brain injury (mild TBI) and experience distressing symptoms. "Smart phone" mobile applications have become a primary source of information and communication among large percentages of Americans, especially those of the OIF/OEF/OND generation. The proposed study is a 4-year randomized control trial investigating the utility of an interactive, self-management smartphone application, "TBI Coach," one of a suite of mobile applications developed by VA. The primary goal of the proposed study is to evaluate the efficacy of TBI Coach for improving clinical outcomes in those with a history of mild TBI and to determine what aspects of TBI Coach are most useful to Veterans. An overarching goal of this line of research is to improve access among Veterans with mild TBI who still have symptoms months to years after injury. Objectives. The study will pursue the following objectives: (1) Evaluate the efficacy of TBI coach for improving clinical outcomes among recipients of TBI Coach. (2) Determine the aspects of TBI Coach most associated with positive outcomes. (3) Obtain qualitative information on factors associated with use of TBI coach or with deriving benefit from use of TBI Coach that can be used to inform future modifications of the application and wide scale implementation. Potential Impact. This study will be the first to systematically evaluate one of VA's smart phone applications, both through RCT and qualitative interview, thereby gaining a summative evaluation of TBI Coach. The information obtained will inform strategies to improve the application and spread its use to Veterans who may be able to benefit from it. It will also provide information that may inform rollout of other smart phone applications.

描述（由申请人提供）： 简介/方法。拟议的研究将针对目前和将来的VA解决一个非常重要的问题 - 在医学上被诊断出患有轻度创伤性脑损伤（轻度TBI）的OIF/OEF/OND退伍军人比例很高，并且经历了令人痛苦的症状。 “智能手机”移动应用程序已成为大部分美国人（尤其是OIF/OEF/OND一代）中信息和通信的主要来源。拟议的研究是一项为期4年的随机对照试验，研究了互动，自我管理智能手机应用程序“ TBI Coach”的实用性，TBI Coach是VA开发的一套移动应用程序之一。拟议的研究的主要目的是评估TBI教练在具有轻度TBI病史的人的临床结果方面的疗效，并确定TBI教练对退伍军人最有用的方面。这项研究线的总体目标是改善受伤后数月至数年症状的轻度TBI退伍军人的进入。目标。该研究将追求以下目标：（1）评估TBI教练在提高TBI教练接受者临床结果方面的功效。 （2）确定与积极成果最相关的TBI教练的各个方面。 （3）获取有关使用TBI教练或使用TBI教练获得利益相关的因素的定性信息，该信息可用于为应用程序的未来修改和大规模实施提供信息。潜在影响。这项研究将是第一个通过RCT和定性访谈系统地评估VA智能手机应用程序之一的一项研究，从而对TBI教练进行了总结性评估。获得的信息将为改善申请的策略提供信息，并将其用于可能从中受益的退伍军人。它还将提供可能告知其他智能手机应用程序的信息。