Feasibility of using mobile health to promote self-management in Spina Bifida

Brad E. Dicianno, Andrea D. Fairman, Michael Mccue, Bambang Parmanto, Erika Yih, Andrew Mccoy, Gede Pramana, Daihua X. Yu, Justin McClelland, Diane M. Collins, David M. Brienza

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


Objective To determine feasibility of using the interactive Mobile Health and Rehabilitation (iMHere) system in spina bifida and its effects on psychosocial and medical outcomes. Design In a randomized controlled trial, 13 intervention participants using the iMHere system and receiving usual care and 10 control participants receiving usual care were followed for 1 year. Results Feasibility of use of the system was demonstrated by participants using a customized smartphone system for reminders to conduct various self-care tasks, upload photos of wounds, manage medications, complete mood surveys, and for secure messaging. High usage of the system was associated with positive changes in the subscales of the Adolescent Self-Management and Independence Scale II. Conclusion Use of the iMHere system in spina bifida is feasible and was associated with short-term self-reported improvements in self-management skill. This system holds promise for use in many diverse chronic care models to support and increase self-management skills.

Original languageEnglish (US)
Pages (from-to)425-437
Number of pages13
JournalAmerican Journal of Physical Medicine and Rehabilitation
Issue number6
StatePublished - Jun 1 2016


  • Cellular Phone
  • Emergency Departments
  • Health Care Costs
  • Hospitalization
  • Mobile Applications
  • Pressure Ulcer
  • Rehabilitation
  • Self-Care
  • Spina Bifida
  • Spinal Dysraphism
  • Telemedicine
  • Urinary Tract Infections

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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