SHARE Military Initiative, Shepherd Center, Atlanta, GA 30309, USA.
Virginia C. Crawford Research Institute, Shepherd Center, Atlanta, GA 30309, USA.
Int J Environ Res Public Health. 2023 Jan 30;20(3):2457. doi: 10.3390/ijerph20032457.
This pilot study assessed the feasibility of using SwapMyMood, a smartphone application supporting evidence-based strategies for emotion regulation and problem-solving as a supplement to conventional care for military service members and veterans (SM/Vs) experiencing chronic symptoms of mild traumatic brain injury (mTBI) and co-occurring psychological conditions. Eight military SM/Vs were recruited from an intensive outpatient program. Participants were block randomized to an experimental group (conventional care plus use of the SwapMyMood app) or a conventional care only group for six weeks. Conventional care included instruction on problem-solving and emotion regulation strategies using traditional paper manuals and protocols. Effects on the knowledge and use of strategies and related goal attainment were measured. Patient-reported outcomes were measured via several validated problem-solving and emotion regulation scales. No differences were found between groups in goal attainment, global executive function, problem-solving, emotion regulation, and knowledge of how to use the problem-solving and emotion regulation strategies targeted. Experimental group participants rated the application positively, demonstrating feasibility of integration of the app into clinical care. The implementation of SwapMyMood is feasible in a clinical setting. SwapMyMood may be a clinically effective supplemental tool for supporting executive function in SM/Vs with mTBI and co-occurring psychological conditions.
本试点研究评估了智能手机应用程序 SwapMyMood 作为常规护理的补充，用于支持情绪调节和解决问题的循证策略，以治疗经历慢性轻度创伤性脑损伤 (mTBI) 和共病心理状况的军人和退伍军人 (SM/V) 的可行性。从一个强化门诊计划中招募了 8 名军事 SM/V。参与者按照分组随机分为实验组（常规护理加使用 SwapMyMood 应用程序）或常规护理组，为期六周。常规护理包括使用传统纸质手册和方案对解决问题和情绪调节策略进行指导。测量了策略的知识和使用情况以及相关目标的实现情况。通过几个经过验证的解决问题和情绪调节量表来衡量患者报告的结果。在目标实现、总体执行功能、解决问题、情绪调节以及对如何使用目标解决问题和情绪调节策略的了解方面，两组之间没有发现差异。实验组参与者对该应用程序给予了积极评价，证明了将该应用程序整合到临床护理中的可行性。SwapMyMood 在临床环境中的实施是可行的。SwapMyMood 可能是支持 mTBI 和共病心理状况的 SM/V 执行功能的一种有效的临床辅助工具。
