ICT-Based Health Care Services for Individuals with Spinal Cord Injuries: A Feasibility Study

Sensors, 2020 · DOI: 10.3390/s20092491 · Published: April 28, 2020

Spinal Cord Injury Rehabilitation Telehealth & Digital Health

Simple Explanation

This study explores using technology to help people with spinal cord injuries (SCI) manage their health at home. It looks at whether providing health care services through information and communication technology (ICT) can be effective for this population. The study involved occupational therapists visiting participants' homes and using devices to collect health data, which was then shared with clinicians. Participants were also advised to follow up with their healthcare providers if any issues were detected. The results suggest that this ICT-based approach could be a promising way to improve health management for individuals with SCI, leading to a planned, larger clinical trial.

Study Duration

4 Months

Participants

8 individuals living with chronic SCI

Evidence Level

Pilot Study

Key Findings

1
The ICT-based health care management service showed a favorable expected level of outcome for individuals with SCI.
2
There was a statistically significant improvement in the Spinal Cord Independence Measure (SCIM) scores, indicating improved activities of daily living (ADL) after the intervention (p = 0.018).
3
Participants reported high levels of satisfaction and an overall increased quality of life from their participation and in receiving the services rendered.

Research Summary

This study investigated the feasibility of ICT-based health care services for individuals with SCI, focusing on home-based interventions and data collection. The results showed improvements in several outcome indicators, including a significant increase in SCIM scores, suggesting enhanced independence in daily living activities. The study concludes that the ICT-based health care service model is feasible and has the potential to improve the health and well-being of community-dwelling SCI individuals, warranting further investigation through a randomized controlled trial.

Practical Implications

Improved Access to Care

ICT-based services can overcome transportation and economic barriers, providing healthcare to SCI individuals in their homes.

Enhanced Monitoring and Prevention

Remote monitoring allows for early detection of potential health issues, such as urinary tract infections and pressure sores, enabling timely intervention.

Promotion of Independence

The use of assistive devices and home exercise programs, guided by occupational therapists, can improve the independence and quality of life for individuals with SCI.

Study Limitations

1
The small sample size and absence of a control group limit the generalizability of the findings.
2
Subjective assessment by occupational therapists may introduce researcher bias.
3
The short study period of four months may not be sufficient to observe long-term effects.

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