Electronic Reminding Technology Following Traumatic Brain Injury: Effects on Timely Task Completion
Electronic Reminding Technology Following Traumatic Brain Injury: Effects on Timely Task Completion
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DOI：
10.1097/htr.0b013e3181f2bf1d
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发表时间：
2011-09-01
影响因子：
2.4
通讯作者：
Glenn, Mel B.
中科院分区：
文献类型：
--
作者：
Dowds, Murdo M.;Lee, Patricia H.;Glenn, Mel B.
目的：确定来自2种现代个人数字助理（PDA）设备的自动提醒是否能提高创伤性脑损伤（TBI）患者及时完成任务的比率。设置：门诊和社区康复机构。参与者：36名年龄在18至66岁之间的TBI和自我确定的记忆障碍投诉的成年人。测量：在4种随机分配的记忆辅助条件下，分配的记忆任务的及时完成率。结果如下：值得注意的是，与基线和纸质记忆辅助条件相结合相比，使用PDA设备时完成率更高（对于Palm OS器械，发生率比[IRR] = 2.14，P < .0005，CI [置信区间] = 1.77-2.59;微软PocketPCOS设备的IRR = 1.47，P <0.001，CI = 1.18-1.82）。两种PDA设备之间的完成率也存在显著差异（IRR = 1.46，P <0.0005，CI = 1.26-1.70），Palm版本的得分更高。结论：当使用PDA设备时，任务完成率明显较高（在某些情况下超过两倍），这表明康复临床医生可以在TBI患者人群中有效使用基于PDA的记忆辅助工具。PDA器械使用的影响强度表明需要进一步研究器械使用对生活质量和护理成本的影响，以及预测器械成功和持续使用的个人和护理人员因素。
Objective: To determine whether automated reminders from 2 contemporary personal digital assistant (PDA) devices produce higher rates of timely task completion in people with traumatic brain injury (TBI). Setting: Outpatient and community rehabilitation settings. Participants: Thirty-six adults aged 18 to 66 years with TBI and self-determined complaints of memory impairment. Measures: Timely completion rates for assigned memory tasks under 4 randomly assigned memory aid conditions. Results: Significantly, higher completion rates were found when using either PDA device when compared with a combined baseline and paper memory aid condition (for Palm OS device, Incidence Rate Ratio [IRR] = 2.14, P < .0005, CI [confidence interval] = 1.77-2.59; for Microsoft Pocket PCOS device, IRR = 1.47, P < .001, CI = 1.18-1.82). A significant difference in completion rates was also found between the 2 PDA devices (IRR = 1.46, P < .0005, CI = 1.26-1.70), with the Palm version producing the better scores. Conclusions: Substantially higher rates of task completion (more than double in some cases) when using either PDA device suggest that rehabilitation clinicians can make productive use of PDA-based memory aids in their TBI patient populations. The strength of the effects of PDA device usage argues for further investigation of the impact of device usage on quality-of-life and costs of care, and of personal and caregiver factors predictive of successful and sustained device usage.