Mood Tracker: A Randomized Controlled Trial of a Self-Monitoring Intervention for Emotional Distress After Traumatic Brain Injury
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Persons with traumatic brain injury (TBI) frequently experience emotional distress (ED) manifested in anxiety and depression. However, they may not access mental health services due to external (eg, access, transportation, and cost) or internal (eg, stigma and discomfort with traditional counseling) barriers. Based on substantial literature indicating that self-monitoring can ameliorate several health conditions, we conducted a randomized, parallel group, wait-list control (WLC) trial of a self-monitoring intervention to decrease ED after TBI. SETTING: Community in the southwestern United States. PARTICIPANTS: Persons with medically documented complicated mild, moderate, and severe TBI. DESIGN: About 127 participants were randomized in blocks of 6 to an active treatment (AT) group, wherein they completed multiple assessments of ED each week over a 6-week period via a smartphone app, or a WLC group in a parallel group, controlled trial. Participants received weekly support calls to promote self-monitoring of ED using ecological momentary assessment. MAIN MEASURES: ED (Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7), Satisfaction with Life Scale, and Participation Assessment with Recombined Tools-Objective. RESULTS: Analysis of the primary study outcome at 6 weeks after initiation of treatment for the AT group did not demonstrate that self-monitoring was effective in decreasing ED as compared to the WLC group. Brief support calls made weekly to promote compliance with self-monitoring were effective in achieving the target number of self-assessments. About 80% of support calls lasted less than 5 minutes. Greater ED was associated with lower life satisfaction and lower participation indicating the importance of addressing ED in persons with TBI. CONCLUSION: Additional work is needed to develop nontraditional interventions to circumvent barriers that prevent persons with TBI from accessing care for ED. Brief support calls may be an effective, low-cost intervention to improve compliance with self-monitoring or self-management interventions.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Mood Tracker: A Randomized Controlled Trial of a Self-Monitoring Intervention for Emotional Distress After Traumatic Brain Injury
- Date Crossref
- 27/05/2024
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Memorial Hermann Institute for Rehabilitation and Research Foundation pays non établi dans la noticeÉtablissement de santé
-
The University of Texas Health Science Center pays non établi dans la noticeUniversité ou école supérieure
-
The University of Texas Health Science Center at Houston and Department of Biostatistics and Data Science pays non établi dans la noticeUniversité ou école supérieure
-
Baylor College of Medicine Author Affiliations: Brain Injury Research Center TIRR Memorial Hermann pays non établi dans la noticeUniversité ou école supérieure
-
Juengst) pays non établi dans la noticeInstitution
-
Liu) pays non établi dans la noticeInstitution
-
Tran) pays non établi dans la noticeInstitution
-
Author Affiliations: Brain Injury Research Center TIRR Memorial Hermann pays non établi dans la noticeStructure de recherche
-
Department of Physical Medicine and Rehabilitation pays non établi dans la noticeInstitution
Memorial Hermann Institute for Rehabilitation and Research Foundation, The University of Texas Health Science Center et and Department of Biostatistics and Data Science — The University of Texas Health Science Center at Houston, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.