Evidence map›Paper›PMID 31464189›Full record

Trial reportJournal of medical Internet research2019

The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial.

Michael Alan Kryger, Theresa M Crytzer, Andrea Fairman, Eleanor J Quinby, Meredith Karavolis, Gede Pramana, I Made Agus Setiawan, Gina Pugliano McKernan, Bambang Parmanto, Brad E Dicianno

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02592291 (Mobile Health Self-Management and Support System for Chronic and Complex Health Conditions), which is not on this map. Cited by 28 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 6 pooled it
17.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02592291 narecruitingnot on this map

Mobile Health Self-Management and Support System for Chronic and Complex Health Conditions (Component 3)

TypeinterventionalSponsorUniversity of PittsburghRan2019 to 2026Enrolled160ConditionsSpinal Cord Injuries, Cerebral Palsy, Spinal Dysraphism, Brain InjuriesArmsMHealth
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The iMHere 2.0 System for Family Caregivers of Older Adults: A Focus Group.International journal of telerehabilitation · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Michael Alan KrygerDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0003-1082-0494
Theresa M CrytzerHuman Engineering Research Laboratories, Department of Veterans Affairs, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States.ORCID 0000-0002-5470-6354
Andrea FairmanDepartment of Occupational Therapy, MGH Institute of Health Professions, Boston, MA, United States.ORCID 0000-0002-6777-5391
Eleanor J QuinbyDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-3751-8845
Meredith KaravolisDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0002-3470-8096
Gede PramanaDepartment of Health Information Management, School of Health and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0001-8760-2650
I Made Agus SetiawanDepartment of Health Information Management, School of Health and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0001-8383-8471
Gina Pugliano McKernan *Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0003-3234-7802
Bambang ParmantoHuman Engineering Research Laboratories, Department of Veterans Affairs, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States.ORCID 0000-0002-4907-8402
Brad E DiciannoDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States.ORCID 0000-0003-0738-0192
University of Pittsburgh · USMGH Institute of Health Professions · USUdayana University · IDVA Pittsburgh Healthcare System · US

Funding

Harvard Prevention Research Center on Nutrition and Phy*U48DP000064 · DP · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GORTMAKER, STEVEN L · 2004 to 2009
$4.5M
WV Prevention Research CenterU48DP005004 · DP · WEST VIRGINIA UNIVERSITY · PI DINO, GERI A · 2014 to 2018
$4.3M
NCCDPHP CDC HHS U48 DP000064NCCDPHP CDC HHS U48 DP005004
6 · The paper itself

Abstract

backgroundIndividuals with spinal cord injury (SCI) are at risk for secondary medical complications, such as urinary tract infections (UTIs) and pressure injuries, that could potentially be mitigated through improved self-management techniques. The Interactive Mobile Health and Rehabilitation (iMHere) mobile health (mHealth) system was developed to support self-management for individuals with disabilities.

objectiveThe main objective of this study was to determine if the use of iMHere would be associated with improved health outcomes over a 9-month period. A secondary objective was to determine if the use of iMHere would be associated with improved psychosocial outcomes. Phone usage, app usage, and training time data were also collected to analyze trends in iMHere use.

methodsOverall, 38 participants with SCI were randomized into either the intervention group who used the iMHere system and received standard care or the control group who received standard care without any technology intervention. Health outcomes were recorded for the year before entry into the study and during the 9 months of the study. Participants completed surveys at baseline and every 3 months to measure psychosocial outcomes.

resultsThe intervention group had a statistically significant reduction in UTIs (0.47 events per person; P=.03; number needed to treat=2.11). Although no psychosocial outcomes changed significantly, there was a nonsignificant trend toward a reduction in mood symptoms in the intervention group compared with the control group meeting the threshold for clinical significance. Approximately 34 min per participant per month were needed on average to manage the system and provide technical support through this mHealth system.

conclusionsThe use of the iMHere mHealth system may be a valuable tool in the prevention of UTIs or reductions in depressive symptoms. Given these findings, iMHere has potential scalability for larger populations.

trial registrationClinicalTrials.gov NCT02592291; https://clinicaltrials.gov/ct2/show/NCT02592291.

Indexed as

AdultFemaleHumansMaleSpinal Cord InjuriesTelemedicinecellular phoneemergency departmentshospitalizationmobile applicationspressure ulcerrehabilitationself-carespinal cord injurytelemedicineurinary tract infections

Identifiers

PMID31464189
PMCPMC6737885
OpenAlexW2964115196

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.