UT Southwestern Medical Center, Department of Physical Medicine & Rehabilitation, Dallas, TX 75390, USA.
UT Southwestern Medical Center, Department of Applied Clinical Research, Dallas, TX 75390, USA.
Int J Environ Res Public Health. 2021 Feb 23;18(4):2173. doi: 10.3390/ijerph18042173.
The purpose of our scoping review was to describe the current use of mHealth technology for long-term assessment of patient-reported outcomes in community-dwelling individuals with acquired brain injury (ABI). Following PRISMA guidelines, we conducted a scoping review of literature meeting these criteria: (1) civilians or military veterans, all ages; (2) self-reported or caregiver-reported outcomes assessed via mobile device in the community (not exclusively clinic/hospital); (3) published in English; (4) published in 2015-2019. We searched Ovid MEDLINE(R) < 1946 to 16 August 2019, MEDLINE InProcess, EPub, Embase, and PsycINFO databases for articles. Thirteen manuscripts representing 12 distinct studies were organized by type of ABI [traumatic brain injury (TBI) and stroke] to extract outcomes, mHealth technology used, design, and inclusion of ecological momentary assessment (EMA). Outcomes included post-concussive, depressive, and affective symptoms, fatigue, daily activities, stroke risk factors, and cognitive exertion. Overall, collecting patient-reported outcomes via mHealth was feasible and acceptable in the chronic ABI population. Studies consistently showed advantage for using EMA despite variability in EMA timing/schedules. To ensure best clinical measurement, research on post-ABI outcomes should consider EMA designs (versus single time-point assessments) that provide the best timing schedules for their respective aims and outcomes and that leverage mHealth for data collection.
我们的范围综述的目的是描述当前使用移动健康技术(mHealth technology)对居住在社区中的后天性脑损伤 (ABI) 患者进行患者报告结局 (PRO) 的长期评估的情况。根据 PRISMA 指南，我们对符合以下标准的文献进行了范围综述：(1) 平民或退伍军人，所有年龄段；(2) 通过移动设备在社区（不仅限于诊所/医院）自我报告或照顾者报告的结果；(3) 以英文发表；(4) 发表于 2015 年至 2019 年。我们在 Ovid MEDLINE(R) <1946 年至 2019 年 8 月 16 日，MEDLINE InProcess、EPub、Embase 和 PsycINFO 数据库中搜索了文章。有 13 篇论文代表了 12 项不同的研究，根据 ABI 的类型 [创伤性脑损伤 (TBI) 和中风] 进行了组织，以提取结果、使用的移动健康技术、设计以及包含的即时评估 (EMA)。结果包括脑震荡后、抑郁和情感症状、疲劳、日常活动、中风危险因素和认知劳累。总体而言，通过移动健康收集患者报告的结果在慢性 ABI 人群中是可行且可接受的。尽管 EMA 的时间/时间表存在差异，但研究一致表明使用 EMA 的优势。为了确保最佳的临床测量，ABI 后结局的研究应考虑 EMA 设计（而非单次时间点评估），为各自的目标和结果提供最佳的时间安排，并利用移动健康进行数据收集。
