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Open AccessReview

Use of mHealth Technology for Patient-Reported Outcomes in Community-Dwelling Adults with Acquired Brain Injuries: A Scoping Review

1
UT Southwestern Medical Center, Department of Physical Medicine & Rehabilitation, Dallas, TX 75390, USA
2
UT Southwestern Medical Center, Department of Applied Clinical Research, Dallas, TX 75390, USA
3
Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA 15219, USA
4
Shepherd Center, Atlanta, GA 30309, USA
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Department of Clinical Research & Leadership, George Washington University, Washington, DC 20006, USA
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School of Occupational Therapy, Texas Woman’s University, Denton, TX 76204, USA
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Department of Occupational Therapy, Georgia State University, Atlanta, GA 30303, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Corneel Vandelanotte
Int. J. Environ. Res. Public Health 2021, 18(4), 2173; https://doi.org/10.3390/ijerph18042173
Received: 5 January 2021 / Revised: 16 February 2021 / Accepted: 18 February 2021 / Published: 23 February 2021
(This article belongs to the Special Issue Mobile Health and Mobile Rehabilitation for People with Disabilities)
The purpose of our scoping review was to describe the current use of mHealth technology for long-term assessment of patient-reported outcomes in community-dwelling individuals with acquired brain injury (ABI). Following PRISMA guidelines, we conducted a scoping review of literature meeting these criteria: (1) civilians or military veterans, all ages; (2) self-reported or caregiver-reported outcomes assessed via mobile device in the community (not exclusively clinic/hospital); (3) published in English; (4) published in 2015–2019. We searched Ovid MEDLINE(R) < 1946 to 16 August 2019, MEDLINE InProcess, EPub, Embase, and PsycINFO databases for articles. Thirteen manuscripts representing 12 distinct studies were organized by type of ABI [traumatic brain injury (TBI) and stroke] to extract outcomes, mHealth technology used, design, and inclusion of ecological momentary assessment (EMA). Outcomes included post-concussive, depressive, and affective symptoms, fatigue, daily activities, stroke risk factors, and cognitive exertion. Overall, collecting patient-reported outcomes via mHealth was feasible and acceptable in the chronic ABI population. Studies consistently showed advantage for using EMA despite variability in EMA timing/schedules. To ensure best clinical measurement, research on post-ABI outcomes should consider EMA designs (versus single time-point assessments) that provide the best timing schedules for their respective aims and outcomes and that leverage mHealth for data collection. View Full-Text
Keywords: mHealth; rehabilitation; brain injury; measurement; patient-reported outcomes mHealth; rehabilitation; brain injury; measurement; patient-reported outcomes
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MDPI and ACS Style

Juengst, S.B.; Terhorst, L.; Nabasny, A.; Wallace, T.; Weaver, J.A.; Osborne, C.L.; Burns, S.P.; Wright, B.; Wen, P.-S.; Kew, C.-L.N.; Morris, J. Use of mHealth Technology for Patient-Reported Outcomes in Community-Dwelling Adults with Acquired Brain Injuries: A Scoping Review. Int. J. Environ. Res. Public Health 2021, 18, 2173. https://doi.org/10.3390/ijerph18042173

AMA Style

Juengst SB, Terhorst L, Nabasny A, Wallace T, Weaver JA, Osborne CL, Burns SP, Wright B, Wen P-S, Kew C-LN, Morris J. Use of mHealth Technology for Patient-Reported Outcomes in Community-Dwelling Adults with Acquired Brain Injuries: A Scoping Review. International Journal of Environmental Research and Public Health. 2021; 18(4):2173. https://doi.org/10.3390/ijerph18042173

Chicago/Turabian Style

Juengst, Shannon B.; Terhorst, Lauren; Nabasny, Andrew; Wallace, Tracey; Weaver, Jennifer A.; Osborne, Candice L.; Burns, Suzanne P.; Wright, Brittany; Wen, Pey-Shan; Kew, Chung-Lin N.; Morris, John. 2021. "Use of mHealth Technology for Patient-Reported Outcomes in Community-Dwelling Adults with Acquired Brain Injuries: A Scoping Review" Int. J. Environ. Res. Public Health 18, no. 4: 2173. https://doi.org/10.3390/ijerph18042173

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