Feasibility of Using Mobile Health to Promote Self-Management in Spina Bifida.
To determine feasibility of using the interactive Mobile Health and Rehabilitation (iMHere) system in spina bifida and its effects on psychosocial and medical outcomes.



In a randomized controlled trial, 13 intervention participants using the iMHere system and receiving usual care and 10 control participants receiving usual care were followed for 1 year.



Feasibility of use of the system was demonstrated by participants using a customized smartphone system for reminders to conduct various self-care tasks, upload photos of wounds, manage medications, complete mood surveys, and for secure messaging. High usage of the system was associated with positive changes in the subscales of the Adolescent Self-Management and Independence Scale II.



Use of the iMHere system in spina bifida is feasible and was associated with short-term self-reported improvements in self-management skill. This system holds promise for use in many diverse chronic care models to support and increase self-management skills.
From the Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (BED); MGH Institute of Health Professions, Boston, Massachusetts (ADF); Departments of Rehabilitation Science and Technology (MM), and Health Information Management and Biomedical Informatics (BP), University of Pittsburgh, Pittsburgh, Pennsylvania; University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (EY); Drexel University College of Medicine, Philadelphia, Pennsylvania (AM); Department of Health Information Management, University of Pittsburgh, Pittsburgh, Pennsylvania (GP, DXY, JM); Department of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas (DMC); and Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, Pennsylvania (DMB).
Brad E
BE
Dicianno
Andrea D
AD
Fairman
Michael
M
McCue
Bambang
B
Parmanto
Erika
E
Yih
Andrew
A
McCoy
Gede
G
Pramana
Daihua X
DX
Yu
Justin
J
McClelland
Diane M
DM
Collins
David M
DM
Brienza
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D012648:Self Care / Q000379:methods*; D000068997:Smartphone; D016135:Spinal Dysraphism / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome