Feasibility Study Of M-Health Transition Care Program  For Traumatic Brain Injury Caregivers

Amelia Ganefianty; Praneed Songwathana; Jintana Damkliang

doi:10.31686/ijier.vol11.iss10.4179

Authors

Amelia Ganefianty Prince of Songkla University
Praneed Songwathana Prince of Songkla University
Jintana Damkliang Prince of Songkla University

DOI:

https://doi.org/10.31686/ijier.vol11.iss10.4179

Abstract

Background: Caring in discharge transition for patients with moderate to severe traumatic brain injury (TBI) has impacted caregivers. MHealth has become popular for communication between a patient/caregiver and a health profession integrated into numerous public well-being programs in low-middle income countries but is limited for TBI caregivers.

Purpose: This study aims to assess the feasibility of the mHealth supportive care transition program based on transitional care theory for improving discharge readiness and reducing caregivers' transition stress and burden of caregiving and the patient's readmission rate.

Methods: Seven family caregivers who met inclusion criteria were recruited. The mHealth supportive care transition program includes education and face-to-face information assisted by an android-based application, skill demonstration, assessment of the readiness of hospital discharge, and weekly monitoring and follow-up after the patient's discharge is given. The outcomes were evaluated using a validated and standardized scale designed to measure transition stress and the burden of caregiving at the baseline, two weeks, and one-month post-discharge, including the patient's readmission one month (within 28 days) after discharge. Feedback through the mHealth satisfaction questionnaire on the trial feasibility was also collected.

Results: The initial findings showed that all subjects experienced a decrease of stress transition and caregiver burden at two weeks and one-month post-discharge follow-up. High satisfaction scores on mHealth were also reported and no patient was readmitted within 28 days.

Conclusion: This feasibility study showed the mHealth supportive care transition program is feasible for implementation, but it is required to test the effectiveness in the next phase on RCT with a larger sample size.

Downloads

Download data is not yet available.

Author Biographies

Amelia Ganefianty, Prince of Songkla University

Ph.D Candidate, Faculty of Nursing
Praneed Songwathana, Prince of Songkla University

Associate Professor, Faculty of Nursing
Jintana Damkliang, Prince of Songkla University

Assistant Professor, Faculty of Nursing

References

Alghnam, S., AlSayyari, A., Albabtain, I., Aldebasi, B., & Alkelya, M. (2017). Long-term disabilities after traumatic head injury (THI): a retrospective analysis from a large level-I trauma center in Saudi Arabia. Injury Epidemiology, 4(1). https://doi.org/10.1186/s40621-017-0126-7 DOI: https://doi.org/10.1186/s40621-017-0126-7

Arifin, M. Z., Sendjaja, A. N., & Faried, A. (2021). Application of the surgical apgar score (Sas) to predict postoperative complication(s) in the patients with traumatic brain injury: Study of single center in Indonesia. Open Access Macedonian Journal of Medical Sciences, 9, 225–229. https://doi.org/10.3889/oamjms.2021.5843 DOI: https://doi.org/10.3889/oamjms.2021.5843

Blake, H. (2017). Blake , Holly ( 2013 ) Caregiver stress in traumatic brain injury . International Journal of Therapy and. September.

Blennow, K., Brody, D. L., Kochanek, P. M., Levin, H., McKee, A., Ribbers, G. M., Yaffe, K., & Zetterberg, H. (2016). Traumatic brain injuries. Nature Reviews Disease Primers, 2, 1–19. https://doi.org/10.1038/nrdp.2016.84 DOI: https://doi.org/10.1038/nrdp.2016.84

Caplan, B., Bogner, J., Brenner, L., Powell, J. M., Fraser, R., Brockway, J. A., Temkin, N., & Bell, K. R. (2016). A telehealth approach to caregiver self-management following traumatic brain injury: A randomized controlled trial. Journal of Head Trauma Rehabilitation, 31(3), 180–190. https://doi.org/10.1097/HTR.0000000000000167 DOI: https://doi.org/10.1097/HTR.0000000000000167

Coxe, K. A., Liu, C., & Moore, M. (2020). Telebehavioral interventions for family caregivers of individuals with traumatic brain injury: A systematic review. Journal of Head Trauma Rehabilitation, 35(6), E535–E546. https://doi.org/10.1097/HTR.0000000000000587 DOI: https://doi.org/10.1097/HTR.0000000000000587

Dewan, M. C., Rattani, A., Gupta, S., Baticulon, R. E., Hung, Y. C., Punchak, M., Agrawal, A., Adeleye, A. O., Shrime, M. G., Rubiano, A. M., Rosenfeld, J. V., & Park, K. B. (2019). Estimating the global incidence of traumatic brain injury. Journal of Neurosurgery, 130(4), 1080–1097. https://doi.org/10.3171/2017.10.JNS17352 DOI: https://doi.org/10.3171/2017.10.JNS17352

Dillahunt-Aspillaga, C., Jorgensen-Smith, T., Ehlke, S., Sosinski, M., Monroe, D., & Thor, J. (2013). Traumatic brain injury: Unmet support needs of caregivers and families in Florida. PLoS ONE, 8(12), 1–9. https://doi.org/10.1371/journal.pone.0082896 DOI: https://doi.org/10.1371/journal.pone.0082896

Griffin, J. M., Bangerter, L. R., Friedemann-Sánchez, G., Carlson, K. F., Lee, M. K., Van Houtven, C. H., Phelan, S. M., & Meis, L. A. (2017). Burden and mental health among caregivers of veterans with traumatic brain injury/polytrauma. American Journal of Orthopsychiatry, 87(2), 139–148. https://doi.org/10.1037/ort0000207 DOI: https://doi.org/10.1037/ort0000207

Huffman, J. C., Mastromauro, C. A., Boehm, J. K., Seabrook, R., Fricchione, G. L., Denninger, J. W., & Lyubomirsky, S. (2011). Development of a positive psychology intervention for patients with acute cardiovascular disease. Heart International, 6(2), 47–54. https://doi.org/10.4081/hi.2011.e13 DOI: https://doi.org/10.4081/hi.2011.e14

Karpa, J., Chernomas, W., Roger, K., & Heinonen, T. (2020). Families’ Experiences Living with Acquired Brain Injury: “thinking Family” - A Nursing Pathway for Family-Centered Care. Nursing Research and Practice, 2020. https://doi.org/10.1155/2020/8866534 DOI: https://doi.org/10.1155/2020/8866534

Lieshout, K., Oates, J., Baker, A., Unsworth, C. A., Cameron, I. D., Schmidt, J., & Lannin, N. A. (2020). Burden and preparedness amongst informal caregivers of adults with moderate to severe traumatic brain injury. International Journal of Environmental Research and Public Health, 17(17), 1–12. https://doi.org/10.3390/ijerph17176386 DOI: https://doi.org/10.3390/ijerph17176386

Luo, N., Yap, P., Teck, K., & Hospital, P. (2010). Validity and Reliability of the Zarit Burden Interview in Assessing Caregiving Validity and Reliability of the Zarit Burden Interview in Assessing Caregiving Burden. October.

Manskow, U. S., Friborg, O., Røe, C., Braine, M., Damsgard, E., & Anke, A. (2017). Patterns of change and stability in caregiver burden and life satisfaction from 1 to 2 years after severe traumatic brain injury: A Norwegian longitudinal study. NeuroRehabilitation, 40(2), 211–222. https://doi.org/10.3233/NRE-161406 DOI: https://doi.org/10.3233/NRE-161406

Mcallister, S., Ganefianty, A., Faried, A., Budi, A., Kalih, S., Regina, S., Zafrullah, M., Sarah, A., & Sumargo, S. (2017). The Bandung neurosurgery patient outcomes project , Indonesia ( Part I ): Methods , participant characteristics , and pre ‐ discharge outcomes. January, 1–10. https://doi.org/10.1002/hpm.2408 DOI: https://doi.org/10.1002/hpm.2408

Meleis, A. (2010). Transitions theory: Middle range and situation specific theories in nursing research and practice. Book Google, 1–11.

Melin, J., Bonn, S. E., Pendrill, L., & Lagerros, Y. T. (2020). A questionnaire for assessing user satisfaction with mobile health apps: Development using rasch measurement theory. JMIR MHealth and UHealth, 8(5). https://doi.org/10.2196/15909 DOI: https://doi.org/10.2196/15909

Ostwald, S. K., Godwin, K. M., Cron, S. G., Kelley, C. P., Hersch, G., & Davis, S. (2014). Home-based psychoeducational and mailed information programs for stroke-caregiving dyads post-discharge: A randomized trial. Disability and Rehabilitation, 36(1), 55–62. https://doi.org/10.3109/09638288.2013.777806 DOI: https://doi.org/10.3109/09638288.2013.777806

Oyesanya, T. O., Arulselvam, K., Thompson, N., Norelli, J., & Seel, R. T. (2019). Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis. Disability and Rehabilitation, 0(0), 1–11. https://doi.org/10.1080/09638288.2019.1638456 DOI: https://doi.org/10.1080/09638288.2019.1638456

Piccenna, L., Lannin, N. A., Gruen, R., Pattuwage, L., & Bragge, P. (2016). The experience of discharge for patients with an acquired brain injury from the inpatient to the community setting: A qualitative review. Brain Injury, 30(3), 241–251. https://doi.org/10.3109/02699052.2015.1113569 DOI: https://doi.org/10.3109/02699052.2015.1113569

Potter, A., Sansonetti, D., D’Cruz, K., & Lannin, N. (2017). What is known about transitional living services for adults with an acquired brain injury? A scoping review. Brain Impairment, 18(2), 240–257. https://doi.org/10.1017/BrImp.2017.8 DOI: https://doi.org/10.1017/BrImp.2017.8

Qadeer, A., Khalid, U., Amin, M., Murtaza, S., Khaliq, M. F., & Shoaib, M. (2017). Caregiver ’ s Burden of the Patients With Traumatic Brain Injury Issues faced by singular caregiver relatives and family units. 9(8). https://doi.org/10.7759/cureus.1590 DOI: https://doi.org/10.7759/cureus.1590

Roozenbeek, B., Maas, A. I. R., & Menon, D. K. (2013). Changing patterns in the epidemiology of traumatic brain injury. Nature Reviews Neurology, 9(4), 231–236. https://doi.org/10.1038/nrneurol.2013.22 DOI: https://doi.org/10.1038/nrneurol.2013.22

Savitsky, B., Givon, A., Rozenfeld, M., Radomislensky, I., & Peleg, K. (2016). Traumatic brain injury: It is all about definition. Brain Injury, 30(10), 1194–1200. https://doi.org/10.1080/02699052.2016.1187290 DOI: https://doi.org/10.1080/02699052.2016.1187290

Semple, B. D., Zamani, A., Rayner, G., Shultz, S. R., & Jones, N. C. (2019). Affective, neurocognitive and psychosocial disorders associated with traumatic brain injury and post-traumatic epilepsy. Neurobiology of Disease, 123(July 2018), 27–41. https://doi.org/10.1016/j.nbd.2018.07.018 DOI: https://doi.org/10.1016/j.nbd.2018.07.018

Shahrokhi, A., Azimian, J., Amouzegar, A., & Oveisi, S. (2018). Effect of telenursing on outcomes of provided care by caregivers of patients with head trauma after discharge. Journal of Trauma Nursing, 25(1), 21–25. https://doi.org/10.1097/JTN.0000000000000338 DOI: https://doi.org/10.1097/JTN.0000000000000338

Siripituphum, D., Songwathana, P., Khupantavee, N., & Williams, I. (2020). Caring for thai traumatic brain injury survivors in a transitional period: What are the barriers? Journal of Health Science and Medical Research, 38(1), 43–52. https://doi.org/10.31584/jhsmr.202076 DOI: https://doi.org/10.31584/jhsmr.202076

Stiekema, A. P. M., Resch, C., Donkervoort, M., Jansen, N., Jurrius, K. H. M., Zadoks, J. M., & van Heugten, C. M. (2020). Case management after acquired brain injury compared to care as usual: study protocol for a 2-year pragmatic randomized controlled superiority trial with two parallel groups. Trials, 21(1), 1–17. https://doi.org/10.1186/s13063-020-04804-2 DOI: https://doi.org/10.1186/s13063-020-04804-2

Turner, B., Fleming, J., Parry, J., Vromans, M., Cornwell, P., Gordon, C., & Ownsworth, T. (2010). Caregivers of adults with traumatic brain injury: The emotional impact of transition from hospital to home. Brain Impairment, 11(3), 281–292. https://doi.org/10.1375/brim.11.3.281 DOI: https://doi.org/10.1375/brim.11.3.281

Verma, K., Tewari, M., Kaur, S., & Ghai, S. (2018). Efficacy of Caregivers’ Intervention on Recovery of Head Injury Cases in India. Indian Journal of Neurosurgery, 07(03), 190–195. https://doi.org/10.1055/s-0038-1671794 DOI: https://doi.org/10.1055/s-0038-1671794

World Health Organization. (2018). Global Status Report on Road Safety 2018. In Photosynthetica (Vol. 2, Issue 1). http://link.springer.com/10.1007/978-3-319-76887-8%0Ahttp://link.springer.com/10.1007/978-3-319-93594-2%0Ahttp://dx.doi.org/10.1016/B978-0-12-409517-5.00007-3%0Ahttp://dx.doi.org/10.1016/j.jff.2015.06.018%0Ahttp://dx.doi.org/10.1038/s41559-019-0877-3%0Aht DOI: https://doi.org/10.1016/j.jff.2015.06.018

Zarit, S. H., Ann, M., Stephens, P., Townsend, A., & Greene, R. (1998). Stress Reduction for Family Caregivers : Effects of Adult Day Care Use. 53(5), 267–277. DOI: https://doi.org/10.1093/geronb/53B.5.S267