Pilot of a text messaging system to monitor caregivers' and children's mental health recovery after pediatric traumatic injury.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-07-29 DOI:10.1037/tra0001795
Caitlyn O Hood, Kristen Higgins, Gabriela Becerra, Olivia Bravoco, Tatiana M Davidson, Lynne Nemeth, Rachel Houchins, Kenneth J Ruggiero, Leigh E Ridings
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Abstract

Objective: Pediatric traumatic injury (PTI) is associated with a high risk for psychiatric sequelae. Most trauma centers do not adequately address the emotional needs of children and their caregivers. Technology-based programs offer a low-cost and low-burden opportunity to track and potentially enhance families' emotional recovery following PTI. This feasibility pilot project was designed to examine caregivers' usage of and feedback on a text message-based symptom monitoring service.

Method: Participants included 25 caregivers of PTI patients under age 12. Caregivers received up to four texts daily for 30 days postdischarge from the automated system: one symptom-based question to capture the current mental health status of the caregiver and child, respectively, and a corresponding educational tip each time a symptom was endorsed. Data analyses describe the number of questions to which caregivers responded on behalf of themselves and their children. A semistructured qualitative interview was used to assess caregivers' reactions and suggested improvements for the service.

Results: Almost all caregivers (91.1%) responded to at least one text message, and two thirds (66.6%) responded to over half of the messages. Themes from the qualitative interviews indicated that caregivers perceived the timing and content of the text messaging service facilitated their own and their child's emotional recovery following PTI. Caregivers suggested that the service could be improved by providing an option to interact directly with mental health care providers.

Conclusions: Text message-based symptom monitoring services offer an opportunity to bridge the gap in mental health services during the acute recovery phase for families of traumatically injured children. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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试行短信系统,监测儿科创伤后护理人员和儿童心理健康的恢复情况。
目的:小儿创伤(PTI)与精神后遗症的高风险相关。大多数创伤中心没有充分满足儿童及其照顾者的情感需求。以技术为基础的项目提供了一个低成本、低负担的机会,可用于跟踪并潜在地促进家庭在 PTI 后的情绪恢复。本可行性试点项目旨在研究照护者对基于短信的症状监测服务的使用情况和反馈意见:参与者包括 25 名 12 岁以下 PTI 患者的护理人员。在出院后的 30 天内,护理人员每天都会收到来自自动系统的多达四条短信:一条以症状为基础的问题,分别记录护理人员和儿童当前的心理健康状况,以及每当症状得到认可时相应的教育提示。数据分析描述了护理人员代表自己和孩子回答的问题数量。我们还采用了半结构化定性访谈的方式来评估护理人员的反应和对服务的改进建议:几乎所有照顾者(91.1%)都回复了至少一条短信,三分之二(66.6%)的照顾者回复了一半以上的短信。定性访谈的主题表明,照护者认为短信服务的时间和内容有助于他们自己和孩子在 PTI 之后的情绪恢复。护理人员建议,该服务可以通过提供与心理健康护理人员直接互动的选项来加以改进:结论:基于短信的症状监测服务提供了一个机会,可以弥补受创伤儿童家庭在急性恢复阶段的心理健康服务缺口。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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