Reducing concussion symptoms among teenage youth: Evaluation of a mobile health app

Worthen-Chaudhari, Lise; McGonigal, Jane; Logan, Kelsey; Bockbrader, Marcia; Yeates, Keith Owen; Mysiw, W. Jerry

doi:10.1080/02699052.2017.1332388

Cited by 39 publications

(39 citation statements)

References 31 publications

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“…Most studies were conducted in a real-world setting, such as at home or in school locations. Other contexts included emergency rooms [ 44 , 45 ], medical clinics [ 50 ] or hospitals [ 43 ], and commuting settings [ 28 ]. A variety of different program delivery methods (eg, apps, monitoring programs, text messages, videos) were reported among the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…Cognitive behavioral therapy (CBT) was the most commonly reported treatment, with 5 studies noting its use. Other treatments listed were attention bias modification [ 27 ], emotional self-awareness [ 42 ], and positive psychology, social interaction, and gameful design [ 50 ]. Among the CBT-centered interventions, specific features included concepts such as emotional regulation [ 45 ], thought modification [ 44 ], photo libraries of positive memories and physical activities [ 47 ], video diary messages [ 49 ], and psychoeducation [ 48 ].…”

Section: Resultsmentioning

confidence: 99%

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Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis

Buttazzoni¹,

Brar²,

Minaker³

2021

J Med Internet Res

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Background Mental health disorders in youth are a global issue that have important implications for the future quality of life and morbidity of affected individuals. In the context of public health initiatives, smartphone-based interventions have been suggested to hold the potential to be an effective strategy to reduce the symptoms of mental health disorders in youth; however, further evaluation is needed to confirm their effectiveness. This systematic review and meta-analysis documents and synthesizes existing research on smartphone-based interventions targeting internalizing disorders in youth populations. Objective This study aims to synthesize existing research on smartphone-based interventions targeting internalizing disorders in youth populations. Methods PubMed and SCOPUS were searched in 2019, and 4334 potentially relevant articles were found. A total of 12 studies were included in the final synthesis. We used the Hedges g meta-analysis approach and a random effects model for analysis. Results The results of this review note that depression and anxiety are the most commonly targeted symptoms, and unlike other similar topics, most studies reviewed were linked to a proven treatment. The overall pooled effect from the meta-analysis showed small but significant effects (κ=12; N=1370; Hedges g=0.20; 95% CI 0.02-0.38) for interventions in reducing the symptoms of internalizing disorders. In total, 4 subgroup analyses examining specific symptoms and intervention styles found varied small significant and nonsignificant effects. Conclusions Future research should focus on developing robust evaluative frameworks and examining interventions among more diverse populations and settings. More robust research is needed before smartphone-based interventions are scaled up and used at the population level to address youth internalizing disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis

Buttazzoni¹,

Brar²,

Minaker³

2021

J Med Internet Res

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“…Some efforts have been made, as indicated in the literature, to develop and evaluate apps for pediatric concussion management. For example, a study [20] evaluated the effects of a gamified mobile phone app in promoting health management in teenagers with persistent postconcussion symptoms, and it showed promising initial results for the use of mobile phone apps for the management of postconcussion syndrome [20]. However, this app focuses on improving the management of postconcussion syndrome that is experienced by only a subset of all concussed youth [21], and the app does not provide guidance throughout the entire recovery process, thus missing the opportunity to be preventative and guide youth from the onset of injury.…”

Section: Introductionmentioning

confidence: 99%

A Mobile Phone App for the Self-Management of Pediatric Concussion: Development and Usability Testing

Sandhu¹,

Wilson²,

Reed³

et al. 2019

JMIR Hum Factors

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Background Concussion is a common injury among Canadian children and adolescents that leads to a range of neurobehavioral deficits. However, noticeable gaps continue to exist in the management of pediatric concussion, with poor health outcomes associated with the inadequate application of best practice guidelines. Objective The aim of this study was to describe the development and assess the usability of a mobile phone app to aid youth in the self-management of concussion. A secondary objective was to assess the usefulness of the app. Methods An agile user-centered design approach was used to develop the technology, followed by a formative lab-based usability study for assessment and improvement proposals. Youths aged 10 to 18 years with a history of concussion and health care professionals involved in concussion management were recruited. This study included participants performing 12 tasks with the mobile phone app while using the think aloud protocol and the administration of the System Usability Scale (SUS), posttest questionnaire, and a semistructured interview. Results A mobile phone app prototype called NeuroCare , an easily accessible pediatric concussion management intervention that provides easy access to expert-informed concussion management strategies and helps guide youth in self-managing and tracking their concussion recovery, was developed. A total of 7 youths aged between 10 and 18 years with a history of concussion and 7 health care professionals were recruited. The mean SUS score was 81.9, mean task success rates were greater than 90% for 92% (11/12) of the tasks, 92% (11/12) of tasks had a total error frequency of less than 11 errors, and mean task completion times were less than 2 min for 100% of the tasks. Conclusions Results suggest that participants rated this app as highly usable, acceptable to users, and that it may be useful in helping youth self-manage concussion.

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“…Barriers to intervention compliance should also be considered. Although not included in the final review, Worthen-Chaudhari et al [55] reported on barriers to study compliance and found that participants who dropped out of the study had discontinued medical care, faced problems with internet access, busy schedules, and experienced co-occurring illness during the study. Although these factors were not assessed after completion of the intervention, it is important to consider these as potential barriers to intervention usage that could affect study results.…”

Section: Discussionmentioning

confidence: 99%

Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review

McGar¹,

Kindler²,

Marsac³

2019

JMIR Pediatr Parent

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BackgroundPediatric medical conditions have the potential to result in challenging psychological symptoms (eg, anxiety, depression, and posttraumatic stress symptoms [PTSS]) and impaired health-related quality of life in youth. Thus, effective and accessible interventions are needed to prevent and treat psychological sequelae associated with pediatric medical conditions. Electronic health (eHealth) interventions may help to meet this need, with the capacity to reach more children and families than in-person interventions. Many of these interventions are in their infancy, and we do not yet know what key components contribute to successful eHealth interventions.ObjectiveThe primary objective of this study was to conduct a systematic review to summarize current evidence on the efficacy of eHealth interventions designed to prevent or treat psychological sequelae in youth with medical conditions.MethodsMEDLINE (PubMed) and PsycINFO databases were searched for studies published between January 1, 1998, and March 1, 2019, using predefined search terms. A total of 2 authors independently reviewed titles and abstracts of search results to determine which studies were eligible for full-text review. Reference lists of studies meeting eligibility criteria were reviewed. If the title of a reference suggested that it might be relevant for this review, the full manuscript was reviewed for inclusion. Inclusion criteria required that eligible studies (1) had conducted empirical research on the efficacy of a Web-based intervention for youth with a medical condition, (2) had included a randomized trial as part of the study method, (3) had assessed the outcomes of psychological sequelae (ie, PTSS, anxiety, depression, internalizing symptoms, or quality of life) in youth (aged 0-18 years), their caregivers, or both, (4) had included assessments at 2 or more time points, and (5) were available in English language.ResultsA total of 1512 studies were reviewed for inclusion based on their title and abstracts; 39 articles qualified for full-text review. Moreover, 22 studies met inclusion criteria for the systematic review. Of the 22 included studies, 13 reported results indicating that eHealth interventions significantly improved at least one component of psychological sequelae in participants. Common characteristics among interventions that showed an effect included content on problem solving, education, communication, and behavior management. Studies most commonly reported on child and caregiver depression, followed by child PTSS and caregiver anxiety.ConclusionsPrevious research is mixed but suggests that eHealth interventions may be helpful in alleviating or preventing problematic psychological sequelae in youth with medical conditions and their caregivers. Additional research is needed to advance understanding of the most powerful intervention components and to determine when and how to best disseminate eHealth interventions, with the goal of extending the current reach of psychological interventions.

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Reducing concussion symptoms among teenage youth: Evaluation of a mobile health app

Cited by 39 publications

References 31 publications

Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis

Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis

A Mobile Phone App for the Self-Management of Pediatric Concussion: Development and Usability Testing

Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review

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