Bradley Sarah E, Haun Jolie, Powell-Cope Gail, Haire Sharon, Belanger Heather G
Research Service, James A. Haley Veterans' Hospital , Tampa, Florida, USA.
College of Public Health, University of South Florida , Tampa, Florida, USA.
Brain Inj. 2020 Jul 2;34(8):1031-1038. doi: 10.1080/02699052.2020.1771770. Epub 2020 Jun 4.
As part of a larger study to test the efficacy of the Concussion Coach cell phone application for patients with post-concussion symptoms, qualitative data were gathered to assess barriers and facilitators for app use and differences in use of the app among those who declined or improved in symptom severity, or were low-use users.
Using a prospective descriptive study design, 35 semi-structured qualitative interviews were conducted between 2016-2018. Participants had a history of mild traumatic brain injury and were symptomatic. Interview data were analyzed using qualitative content analysis.
Primary facilitators were the app's ease of use, privacy, availability/portability, and increased self-efficacy of the user. Primary barriers were a lack of sufficient app training, stigma, overly "basic" content, and symptom severity. While there were not prominent differences among user groups, users whose symptom severity improved described using more modules of the app than users who declined. Low-users attributed not using the app to content that was too basic or to their forgetting.
Interview data suggest that Concussion Coach can benefit Veterans with post-concussive symptoms through increased agency, perceived benefits to emotional well-being, and the availability of non-stigmatized strategies for symptom management.
作为一项更大规模研究的一部分，该研究旨在测试脑震荡教练手机应用程序对有脑震荡后症状患者的疗效，收集了定性数据以评估应用程序使用的障碍和促进因素，以及症状严重程度下降、改善或使用频率较低的用户在应用程序使用方面的差异。
采用前瞻性描述性研究设计，在2016年至2018年期间进行了35次半结构化定性访谈。参与者有轻度创伤性脑损伤病史且有症状。访谈数据采用定性内容分析法进行分析。
主要促进因素是应用程序的易用性、隐私性、可用性/便携性以及用户自我效能感的提高。主要障碍是缺乏足够的应用程序培训、耻辱感、内容过于“基础”以及症状严重程度。虽然用户群体之间没有显著差异，但症状严重程度改善的用户使用应用程序的模块比症状严重程度下降的用户更多。使用频率较低的用户将不使用应用程序归因于内容过于基础或自己忘记了。
访谈数据表明，脑震荡教练应用程序可以通过增强自主性、对情绪健康的感知益处以及提供无耻辱感的症状管理策略，使有脑震荡后症状的退伍军人受益。
