Mobile Health Interventions for Traumatic Brain Injuries

Use of mHealth Technology for Patient-Reported Outcomes in Community-Dwelling Adults with Acquired Brain Injuries: A Scoping Review

“…As a result, we cannot make recommendations as to the optimal content, timing, or mHealth platform for capturing accurate information and avoiding participant fatigue. However, personalization is a consistent theme across studies in this review and past studies on mHealth use after ABI [ 20 , 28 ], and individual differences will likely require personalized approaches that pair mHealth technology with unique needs and abilities of each person.…”

“…To date, though, there is limited evidence to support the efficacy of mHealth technologies to improve functional outcomes following an ABI [ 17 , 18 , 19 , 20 ]. While thousands of mHealth applications are currently available for download, fewer than 1% of these are grounded in evidence-based knowledge [ 15 , 21 ].…”

“…Studies using personal digital assistants (PDAs) and telephone-based interventions suggest that mHealth interventions are both feasible and potentially efficacious for managing chronic symptoms in individuals with brain injuries [ 23 , 27 ]. Two recent reviews on mHealth use after ABI found that while there is insufficient evidence to support the use of mHealth interventions as standard practice, emerging evidence does support their efficacy for improving goal attainment and social participation [ 20 , 28 ]. Both reviews highlight the importance of developing more personalized, patient-centered mHealth interventions sensitive to the needs and abilities of individuals with ABI.…”

“…However, there remains insufficient evidence for definitive recommendation of their use after ABI. A previous review presented promising evidence for mHealth interventions in community-dwelling individuals with TBI [ 20 ], but no such review examines the evidence for mHealth technology to support collecting patient-reported outcomes after ABI. Therefore, the purpose of this review is to examine the currently available literature and evidence on the use of mHealth technology for long-term assessment of patient-reported outcomes in community-dwelling individuals with chronic ABI.…”

Identifying user-centered content, design, and features for mobile health apps to support long-term assessment, behavioral intervention, and transitions of care in neurological rehabilitation: An exploratory study

“…Though the majority of the studies were small, seven of the studies reported significant findings, concluding that: (a) stroke- and TBI-related apps can, in some cases, effectively replace paper-based screening and assessment tools (Choi et al., 2015); (b) some stroke- and TBI-related education apps designed with a client-focused approach demonstrate high usability; and (c) some apps that provide patient interventions can significantly improve functional outcomes and self-management skills (De Joode et al., 2013; Paul et al., 2016; Pavliscsak et al., 2016). A quick review published in 2019 on mHealth technology use after TBI yielded similar results, concluding that mHealth apps can provide cognitive strategy techniques for monitoring and reducing symptoms, and effectively augment education and self-management, but that research was still predominantly limited to developmental and small pilot studies (Juengst et al., 2019a).…”