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Using text messaging as an intervention to help with goal-relevant behaviour after brain injury Main Image

Using text messaging as an intervention to help with goal-relevant behaviour after brain injury

Thu 19 Jan 2017

Objective

To examine feasibility of participant-created implementation intentions, delivered as text message reminders, to enhance goal-related activity in persons with chronic, moderate/severe traumatic brain injury (TBI).

Design

Pilot randomized controlled trial on effects of 8 weeks receiving goal-related implementation intentions (GI) compared to control condition, educational review regarding goals (GR).

Participants

Eight persons with moderate/severe TBI nearing discharge from intensive outpatient brain injury treatment.

Measures

Neuropsychological tests to characterize cognitive status; Participation with Recombined Tools-Objective (PART-O) assessing community activity, social relations and productivity; Brief Symptom Inventory-18 (BSI-18) assessing depression, anxiety and overall distress; Goal Attainment Scales (GAS). PART-O, BSI-18 and GAS were completed at baseline and 8 weeks; significant others provided ratings on PART-O and GAS.

Results

Participants replied to SMS messages at high rates. Statistically significant group × time interactions with medium-to-large effect sizes favouring the GI group were observed on PART-O community activity and social relations. Neither BSI-18 nor GAS revealed differences or trends by group. Qualitative results suggested overall acceptance and success of SMS reminders.

Conclusions

Given positive preliminary findings, implementation intentions delivered by text holds promise as a simple, low-cost intervention to help people with moderate/severe TBI to implement goal-relevant behaviours.

 

Reference: Hart, T., & Vaccaro, M.J. (2017). Goal intention reminding in traumatic brain injury: A feasibility study using implementation intentions and text messaging. Brain Injury, 31(3), 297-303.  

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