a School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University , Melbourne , Australia.
b Monash-Epworth Rehabilitation Research Center , Melbourne , Australia.
Disabil Rehabil. 2017 Nov;39(23):2387-2394. doi: 10.1080/09638288.2016.1226434. Epub 2016 Oct 17.
Smartphones have great potential as a convenient, multifunction tool to support cognition and independence following traumatic brain injury (TBI). However, there has been limited investigation of their helpful and less helpful aspects for people with TBI. We aimed to investigate patterns of smartphone use amongst individuals with TBI, identify potential barriers to use, and examine the relationships between smartphone use and daily functioning.
Twenty-nine participants with TBI and 33 non-injured participants completed the Smartphone Survey, and measures of subjective and objective cognitive functioning, mood, and community integration.
Smartphone use was equally common in both groups, and patterns of app use were similar. More participants with TBI than the comparison group listed using their smartphone as a memory aid as its main benefit. Difficulty in learning how to use the smartphone was identified by participants with TBI, however only 10% had been shown how to use it by a clinician. Those with poorer subjective cognitive function used memory/organisational apps more frequently; and higher communication app use with better social integration, in participants with TBI.
These findings suggest that smartphones have potential in improving independence following TBI, but receiving support in using them is vital. Implications for Rehabilitation Smartphones are accessible, acceptable, convenient devices for most individuals with traumatic brain injury (TBI), and are perceived as a useful memory and organizational aid as well as having multiple other helpful functions. Use of communication apps such as text messages and social media is associated with better social and community integration in people with TBI. Direct instruction on how to use smartphone apps is more important for people with TBI than for non-injured individuals. Developers of apps designed for this population should prioritize ease of app use, large displays, and availability of technical support, while maintaining an engaging design and interface.
智能手机作为一种方便、多功能的工具，具有支持创伤性脑损伤（TBI）后认知和独立的巨大潜力。然而，对于 TBI 患者，其有益和无益方面的研究有限。我们旨在调查 TBI 患者使用智能手机的模式，确定使用的潜在障碍，并研究智能手机使用与日常功能之间的关系。
29 名 TBI 患者和 33 名非损伤参与者完成了智能手机调查，以及主观和客观认知功能、情绪和社区融合的测量。
两组参与者使用智能手机的情况同样普遍，应用程序使用模式相似。与对照组相比，更多的 TBI 患者将使用智能手机作为记忆辅助工具作为其主要益处。然而，只有 10%的 TBI 患者曾接受过临床医生教授如何使用智能手机。认知功能较差的患者更频繁地使用记忆/组织应用程序；而 TBI 患者中，更高频率地使用沟通应用程序与更好的社交融合相关。
这些发现表明，智能手机有可能改善 TBI 后的独立性，但获得使用支持至关重要。
智能手机对于大多数 TBI 患者来说是一种易于获取、可接受、方便的设备，被认为是一种有用的记忆和组织辅助工具，同时具有多种其他有益功能。在 TBI 患者中，使用诸如短信和社交媒体等沟通应用程序与更好的社交和社区融合相关。对于 TBI 患者来说，与非损伤个体相比，直接教授如何使用智能手机应用程序更为重要。为该人群设计的应用程序的开发者应优先考虑应用程序的易用性、大屏幕和技术支持的可用性，同时保持吸引人的设计和界面。
