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mHealth for the Monitoring of Brace Compliance and Wellbeing in Adolescents with Idiopathic Scoliosis: Study Protocol for a Feasibility Study

Author

Listed:
  • Verónica Martínez-Borba

    (Instituto de Investigación Sanitaria de Aragón, 50009 Zaragoza, Spain
    Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, 12071 Castellón, Spain)

  • Carlos Suso-Ribera

    (Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, 12071 Castellón, Spain)

  • Amanda Díaz-García

    (Department of Psychology and Sociology, Universidad de Zaragoza, 44003 Teruel, Spain)

  • Judith Salat-Batlle

    (Physical Medicine and Rehabilitation Service, Hospital Universitario Vall d’Hebron, 08035 Barcelona, Spain)

  • Diana Castilla

    (Department of Personality, Assessment, and Psychological Treatments, Universidad de Valencia, 46010 Valencia, Spain
    CIBER of Physiopathology of Obesity and Nutrition (CIBERON), 28029 Madrid, Spain)

  • Irene Zaragoza

    (CIBER of Physiopathology of Obesity and Nutrition (CIBERON), 28029 Madrid, Spain)

  • Azucena García-Palacios

    (Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, 12071 Castellón, Spain
    CIBER of Physiopathology of Obesity and Nutrition (CIBERON), 28029 Madrid, Spain)

  • Judit Sánchez-Raya

    (Physical Medicine and Rehabilitation Service, Hospital Universitario Vall d’Hebron, 08035 Barcelona, Spain)

Abstract

Attempts to optimize monitoring of brace adherence prescribed to adolescents with idiopathic scoliosis (IS) have generally relied on sensors. Sensors, however, are intrusive and do not allow the assessment of psychological and physical consequences of brace use that might underlie poor adherence. Mobile applications have emerged as alternatives to monitor brace compliance. However, the feasibility and utility of these app-based systems to assess key psychological and physical domains associated with non-adherence remain unexplored. This feasibility study aims to test the usability, acceptability, and clinical utility of an app-based system that monitors brace use and related psychological and physical factors. Forty adolescents with IS daily respond to the app for 90 days. The patient responses may generate clinical alarms (e.g., brace non-adherence, discomfort, or distress) that will be sent daily to the medical team. Primary outcomes will be app usability, acceptability, and response rates. Secondary outcomes will include brace adherence, the number of side effects reported, number and type of clinical alarms, stress, quality of life, perceived health status, and mood. If accepted by patients and clinicians, apps may allow rapid detection and response to undesired events in adolescents undergoing brace treatment.

Suggested Citation

  • Verónica Martínez-Borba & Carlos Suso-Ribera & Amanda Díaz-García & Judith Salat-Batlle & Diana Castilla & Irene Zaragoza & Azucena García-Palacios & Judit Sánchez-Raya, 2021. "mHealth for the Monitoring of Brace Compliance and Wellbeing in Adolescents with Idiopathic Scoliosis: Study Protocol for a Feasibility Study," IJERPH, MDPI, vol. 18(15), pages 1-22, July.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7767-:d:599224
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    References listed on IDEAS

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    1. Carlos Suso-Ribera & Diana Castilla & Irene Zaragozá & Ángela Mesas & Anna Server & Javier Medel & Azucena García-Palacios, 2020. "Telemonitoring in Chronic Pain Management Using Smartphone Apps: A Randomized Controlled Trial Comparing Usual Assessment against App-Based Monitoring with and without Clinical Alarms," IJERPH, MDPI, vol. 17(18), pages 1-23, September.
    2. Francisco Villegas & Verónica Martínez-Borba & Carlos Suso-Ribera & Diana Castilla & Irene Zaragoza & Azucena García-Palacios & Carlos Ferrer, 2021. "Characterizing Breakthrough Cancer Pain Using Ecological Momentary Assessment with a Smartphone App: Feasibility and Clinical Findings," IJERPH, MDPI, vol. 18(11), pages 1-21, June.
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    Cited by:

    1. Andra Ioana Maria Tudor & Eliza Nichifor & Adriana Veronica Litră & Ioana Bianca Chițu & Tamara-Oana Brătucu & Gabriel Brătucu, 2022. "Challenges in the Adoption of eHealth and mHealth for Adult Mental Health Management—Evidence from Romania," IJERPH, MDPI, vol. 19(15), pages 1-25, July.

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