Date Presented 04/21/2023

The review examined the use of mobile applications in management of secondary conditions in individuals with spinal cord injury (SCI). The results found positive trends in prevention and promotion, with the potential to affect future health outcomes in this population.

Primary Author and Speaker: Bridget Coonrod

Additional Authors and Speakers: Natalie Parks

Contributing Authors: Rebekah Daniel, Sydney Price, Nelson Aguilar, Claudia List Hilton, Amber B. Armstead

PURPOSE: Few studies regarding the use of mobile applications to manage secondary conditions after spinal cord injuries (SCI) have been published, and no systematic reviews have been published or are currently in process of publication.

DESIGN: A systematic review was completed using qualitative and quantitative studies published within the last 10 years and interventions associated with the use of mobile applications/programs.

METHOD: A search of four databases (Ovid, CINAHL, Cochrane Trials, and Scopus) produced a total of 634 results. Ninety were retrieved for full-text screening, and fifteen articles met the selected criteria.

RESULTS: Evidence demonstrates positive trends towards effective use in managing secondary conditions in those with SCI. Of specific benefit, the areas of prevention and promotion of health outcomes were demonstrated.

CONCLUSION: With secondary conditions resulting in added healthcare costs and complexity of care, the positive implications for both clients with SCI and healthcare professionals support the need for further research and development of such technologies in practice.

IMPACT STATEMENT: The resulting research serves as a beneficial tool for use across the profession of occupational therapy. Through the process of scientific rigor, this research provides to inform practical clinical knowledge for practitioners in an evolving technological climate while further informing policymakers on key concerns related to healthcare outcomes.

References

Kryger, M. A., Crytzer, T. M., Fairman, A., Quinby, E. J., Karavolis, M., Pramana, G., Setiawan, I. M. A., McKernan, G. P., Parmanto, B., Dicianno, B. E. (2019). The effect of the interactive mobile health and rehabilitation system on health and psychosocial outcomes in spinal cord injury: Randomized controlled trial. Journal of Medical Internet Research, 21, e14305. https://dx.doi.org/10.2196/14305

Liu, T., Xie, S., Wang, Y., Tang, J., He, X., Yan, T., Li, K. (2021). Effects of app-based transitional care on the self-efficacy and quality of life of patients with spinal cord injury in china: Randomized controlled trial. JMIR MHealth and UHealth, 9, e22960. https://dx.doi.org/10.2196/22960

Jia, M., Tang, J., Xie, S., He, X., Wang, Y., Liu, T., Yan, T., Li, K. (2020). Using a mobile app-based international classification of functioning, disability, and health set to assess the functioning of spinal cord injury patients: Rasch analysis. JMIR MHealth and UHealth, 8, e20723. https://dx.doi.org/10.2196/20723

Amann, J., Fiordelli, M., Scheel-Sailer, A., Brach, M., Rubinelli, S. (2020). Opportunities and challenges of a self-management app to support people with spinal cord injury in the prevention of pressure injuries: Qualitative study. JMIR MHealth and UHealth, 8, e22452. https://dx.doi.org/10.2196/22452