Just TRAC it! Transitioning Responsibly to Adult Care Using Smart Phone Technology.
J Adolesc Health
; 73(3): 561-566, 2023 09.
Article
em En
| MEDLINE
| ID: mdl-37306646
ABSTRACT
PURPOSE:
There is little evidence on whether smartphone technology influences transition readiness among adolescents with heart disease. Just TRAC it! is a method of using existing smartphone features (Notes, Calendar, Contacts, Camera) to manage personal health. We evaluated the impact of Just TRAC it! on self-management skills.METHODS:
Randomized clinical trial of 16-18 year-olds with heart disease. Participants were randomly allocated 11 to either usual care (education session) or intervention (education session including Just TRAC it!). The primary outcome was change in TRANSITION-Q score between baseline, 3 and 6 months. Secondary outcomes were frequency of use and perceived usefulness of Just TRAC it! Analysis was intention-to-treat.RESULTS:
We enrolled 68 patients (41% female, mean age 17.3 years), 68% having previous cardiac surgery and 26% had cardiac catheterization. TRANSITION-Q scores were similar at baseline and increased over time in both groups but were not significantly different between groups. Each additional point at the baseline score brought, on average, a 0.7-point increase in TRANSITION-Q score (95% CI 0.5-0.9) at each of 3 and 6 months. The Camera, Calendar and Notes apps were reported as most useful. All intervention participants would recommend Just TRAC it! to others.DISCUSSION:
A nurse-led transition teaching with versus without Just TRAC it! improved transition readiness, with no significant difference between groups. Higher baseline TRANSITION-Q scores were associated with greater increase in scores over time. Participants had a positive reception to Just TRAC it! and would recommend it to others. Smartphone technology may be useful in transition education.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Transição para Assistência do Adulto
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Autogestão
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Cardiopatias
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article