Text messaging intervention for fatigue self-management in people with stroke, spinal cord injury, and multiple sclerosis: A pilot study.

Autor: Wong AWK; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, 60611, USA; Department of Physical Medicine and Rehabilitation and Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA., Tomazin R; Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA., Walker K; Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA., Heeb Desai R; Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA. Electronic address: desairh@wustl.edu., Hollingsworth H; Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA., Newland PK; Goldfarb School of Nursing at Barnes Jewish College, St. Louis, MO, USA. Electronic address: mpnewland@hometel.com., Morgan KA; Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA.
Jazyk: angličtina
Zdroj: Disability and health journal [Disabil Health J] 2024 Apr; Vol. 17 (2), pp. 101549. Date of Electronic Publication: 2023 Nov 11.
DOI: 10.1016/j.dhjo.2023.101549
Abstrakt: Background: Fatigue negatively impacts the function and quality of life of people with disabilities (PwD). Mobile health (mHealth) platforms are recognized as effective and accessible approaches to delivering health interventions and may show higher satisfaction by tailoring the information toward personalized needs for PwD.
Objective: To evaluate the acceptability, feasibility, and participant engagement with a Short Message Service (SMS) text messaging intervention for fatigue self-management and to explore the pre- and post-score health changes in PwD.
Methods: A total of 27 PwD (multiple sclerosis = 9, spinal cord injury = 9, or stroke = 9) experiencing fatigue in their daily lives participated in a 12-week self-management text messaging intervention. Participants completed a demographic survey and health outcome measures, including patient activation, self-efficacy for managing symptoms, fatigue, sleep, and satisfaction with participation in social roles before and after the intervention. Participants also completed a client satisfaction questionnaire after the intervention. We also tracked the program retention and SMS response rates over the 12-week intervention period.
Results: Twenty-five participants completed the entire intervention (93% retention rate), and the overall SMS response rate was 84.67%, indicating high acceptability and adherence to the intervention. The mean satisfaction score was 3.18, indicating high satisfaction with the intervention. Despite finding a negligible effect on patient activation, we found a small intervention effect on self-efficacy for managing symptoms (η 2  = 0.04) and moderate effects on fatigue (η 2  = 0.06-0.12), sleep (η 2  = 0.11), and satisfaction with participation in social roles (η 2  = 0.08).
Conclusions: This study provides initial feasibility and health outcome change evidence to support an SMS text messaging intervention to manage fatigue in PwD.
Competing Interests: Declaration of competing interest There are no conflicts of interest to disclose.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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