Evidence map›Paper›PMID 33949674›Full record

ArticleTranslational behavioral medicine2021

Mobile health use predicts self-efficacy and self-management in adolescents with sickle cell disease.

Anna M Hood, Cara Nwankwo, Ashley Walton, Emily McTate, Naomi Joffe, Charles T Quinn, Maria T Britto, James Peugh, Constance A Mara, Lori E Crosby

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Self-management interventions for children and young people with sickle cell disease: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2023
    Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Review
  9. Daily Loneliness Affects Quality of Life in Sickle Cell Disease.International journal of behavioral medicine · 2024
    Article
  10. Article
  11. Article
  12. Article
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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.

Anna M HoodDevelopmental Neurosciences, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0000-0002-7213-1179
Cara NwankwoOklahoma State University, Department of Psychology, Stillwater, OK, USA.
Ashley WaltonDartmouth College, Department of Philosophy, Cognitive Science Program, Hanover, NH, USA.ORCID 0000-0003-1840-8373
Emily McTateDivision of Behavioral Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-6538-109X
Naomi JoffeDivision of Behavioral Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-3785-9068
Charles T QuinnDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID 0000-0002-2372-2175
Maria T BrittoDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
James PeughDivision of Behavioral Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-1134-5667
Constance A MaraDivision of Behavioral Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Lori E CrosbyDivision of Behavioral Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0001-6656-7745

Funding

“ Improving Self-Management in Adolescents with Sickle Cell Disease”R21HD084810 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI CROSBY, LORI E · 2016 to 2017
$429k
White Matter Structural Integrity and Cognition in Children with Sickle Cell DiseaseF32HL143915 · NHLBI · UNIVERSITY COLLEGE LONDON · PI HOOD, ANNA · 2018 to 2021
$167k
NHLBI NIH HHS F32 HL143915NICHD NIH HHS R21 HD084810
6 · The paper itself

Abstract

Sickle cell disease (SCD) is associated with significant health challenges that often worsen during adolescence. Living with SCD requires a substantial amount of self-management and mobile health (mHealth) holds considerable promise for assessing and changing behaviors to improve health outcomes. We integrated a mobile app as an adjunct to a group intervention (SCThrive) and hypothesized that more engagement with the mHealth app would increase self-management and self-efficacy for adolescents and young adults (AYA) with SCD. Twenty-six AYA ages 13-21 years (54% female; 46% HbSS genotype; all African-American/Black) received six weekly group sessions (three in-person, three online). Participants were provided with the mobile app (iManage for SCD) to record progress on their self-management goals and log pain and mood symptoms. The Transition Readiness Assessment Questionnaire (TRAQ-5) assessed self-management skills and the Patient Activation Measure (PAM-13) assessed self-efficacy at baseline and post-treatment. Logging on to the app more frequently was associated higher mood ratings (r = .54, CI[.18, .77], p = .006) and lower pain ratings (r = -.48, CI[-.77, -.02], p = .04). Regression analyses demonstrated that after controlling for scores at baseline, the number of logins to the app predicted self-management skills (p = .05, η2 = .17) and possibly self-efficacy (p = .08, η2 = .13). Our study findings indicate that it can be challenging to maintain engagement in mHealth for AYA with SCD, but for those who do engage, there are significant benefits related to self-management, self-efficacy, and managing pain and mood.

Indexed as

Anemia, Sickle CellMobile ApplicationsSelf-ManagementTelemedicineAdolescentAdultFemaleHumansMaleSelf EfficacyYoung AdultAYAClinical trialMobile healthMoodPainSelf-management

Identifiers

PMID33949674
PMCPMC8541694

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.