Evidence map›Paper›PMID 39798892›Full record

Trial reportArchives of physical medicine and rehabilitation2025

Improving Outcomes for Care Partners of Individuals With Traumatic Brain Injury: Results for a mHealth Randomized Control Trial of the CareQOL App.

Noelle E Carlozzi, Jonathan P Troost, Srijan Sen, Sung Won Choi, Zhenke Wu, Jennifer A Miner, Wendy L Lombard, Christopher Graves, Angelle M Sander

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
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

9 authors.

Noelle E CarlozziDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI. Electronic address: carlozzi@med.umich.edu.
Jonathan P TroostMichigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI.
Srijan SenDepartment of Psychiatry, University of Michigan, Ann Arbor, MI.
Sung Won ChoiDepartment of Pediatrics, University of Michigan, Ann Arbor, MI.
Zhenke WuDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI; Michigan Institute for Data and Artificial Intelligence, University of Michigan, Ann Arbor, MI.
Jennifer A MinerDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI.
Wendy L LombardDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI.
Christopher GravesDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI.
Angelle M SanderH. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX; Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Quality of Life in Caregivers of Traumatic Brain Injury: The TBI-CareQOLR01NR013658 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARLOZZI, NOELLE E. · 2012 to 2024
$6.0M
Roadmap 2.0: A randomized controlled trial using a technology-mediated platform in family caregivers of BMT patientsR01HL146354 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHOI, SUNG WON · 2019 to 2023
$1.8M
Patient-Oriented Research and Mentoring in Hematopoietic Cell TransplantationK24HL156896 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUNG WON CHOI · 2021 to 2026
$870k
NCATS NIH HHS UL1 TR002240NHLBI NIH HHS K24 HL156896NHLBI NIH HHS R01 HL146354NINR NIH HHS R01 NR013658
6 · The paper itself

Abstract

objectiveTo test the efficacy of a randomized control trial low-touch mobile health intervention designed to promote care partner self-awareness and self-care.

designThis randomized controlled trial included a baseline assessment of self-report surveys of health-related quality of life (HRQOL), care partner-specific outcomes, and the functional/mental status of the person with traumatic brain injury (TBI), as well as a 6-month home monitoring period that included 3 daily questions about HRQOL, monthly assessments of 12 HRQOL domains, and the use of a Fitbit to continuously monitor physical activity and sleep. HRQOL surveys were repeated at 3 and 6 months post-home monitoring.

settingTwo academic medical centers.

participantsA total of 254 TBI care partners.

interventionsThe CareQOL app, a mobile health app designed to promote care partner self-awareness (through self-monitoring) and self-care (through personalized self-care push notifications).

resultsCare partners were randomly assigned to self-monitoring alone (n=128) or self-monitoring plus self-care push notifications (n=126). Although we neither saw improvements in HRQOL outcomes, nor in physical activity or sleep, we found that across all the different measures, approximately 1/3 of the participants showed clinically meaningful improvements, 1/3 stayed the same, and 1/3 got worse; care partners who reported engagement in the intervention were more likely to show improvements than those who were not engaged. There was preliminary support for factors that being male, caring for a person with posttraumatic stress symptoms, living in the same household as the person with TBI, being a spousal care partner, working, and being diagnosed with COVID-19 during the study were associated with increased risk for negative outcomes.

conclusionsFindings suggest that engagement with the app, even when it is confined to self-monitoring alone, is associated with small improvements in HRQOL.

Indexed as

Brain Injuries, TraumaticCaregiversMobile ApplicationsQuality of LifeSelf CareAdultExerciseFemaleHumansMaleMiddle AgedTelemedicineBrain injuriesCaregiversHealth careMobile applicationsOutcome assessmentQuality of lifeRehabilitationSelf-monitoringTraumatic

Identifiers

PMID39798892
PMCPMC11968231

What OpenQuestion holds

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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.