Adapting MHealth Technology to Improve Patient Activation and Overall Wellness for Persons with Disabilities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 27
- 试验地点
- 2
- 主要终点
- Patient Activation - change in knowledge, skill and confidence for self-management
研究概览
简要总结
Persons with disabilities (PwD) commonly experience fatigue, which often negatively impacts their everyday lives. Management of this symptom can be challenging. Satisfaction with current interventions to manage fatigue is low among PwD and there is a desire for more personalized approaches. The purpose of this study is to develop and test a fatigue self-management intervention using mobile phones that is personalized to each person's needs.
详细描述
Persons with disabilities (PwD) commonly experience fatigue, which adversely impacts their everyday lives. Information to manage and improve fatigue can be complicated and overwhelming. Little has been done to link mobile health (mHealth) approaches with patient activation and self-management to effectively address fatigue for PwD. The purpose of this study is to develop and pilot-test a fatigue self-management short message service (SMS) text intervention using mobile phones to target patient activation levels in PwD. The proposed study will: (1) develop content for a fatigue self-management intervention using SMS tailored to patient activation levels in persons with multiple sclerosis, spinal cord injury, and stroke. An advisory board made up of one physical medicine and rehabilitation physician and six PwD will provide input on the content and format for the developed content. (2) test the feasibility and acceptability of SMS to improve patient activation for fatigue self-management in PwD. The long-term goal is to improve the health of PwD by increasing their skills, confidence, and knowledge to manage fatigue and other chronic symptoms that affect their daily life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years of age or older
- •had disability for at least one year
- •score of less than 10 on the Modified Fatigue Impact Scale 5 question (MFIS-5)
- •ability to read and speak English at the 6th grade level
- •willing to use their own phone and SMS
排除标准
- •evidence of acute condition (e.g. relapse)
- •sleep apnea
- •inability to answer interview questions or provide consent
- •terminal cancer
结局指标
主要结局
Patient Activation - change in knowledge, skill and confidence for self-management
时间窗: Baseline and up to 2 weeks post intervention
The Patient Activation Measure (PAM-13) assesses four levels of activation: (1) the patient is disengaged and overwhelmed, (2) the patient is becoming aware but still struggling, (3) the patient takes action, and (4) the patient maintains behaviors. The psychometric properties of the PAM have been assessed in multiple healthcare settings. Raw PAM scores can be transformed into a continuous (0-100) scale, where higher scores represent higher levels of patient activation. In order to target self-management strategies, participants will proceed through these levels.
次要结局
- The Patient-Reported Outcomes Measurement Information System (PROMIS) - Fatigue Short Form 8a(Baseline and up to 2 weeks post intervention)
- The Patient-Reported Outcomes Measurement Information System (PROMIS) - Sleep Disturbance Short Form 8a(Baseline and up to 2 weeks post intervention)
研究者
Kerri Morgan
Assistant Professor of Occupation Therapy and Neurology
Washington University School of Medicine