RNPilotNursing research2019

Characterization of Brain Signatures to Add Precision to Self-Management Health Information Interventions.

Shirley M Moore, Carol M Musil, Anthony I Jack and 6 others

PMID 30540702

WHAT IT FOUND

Fact-focused videos and emotional story videos activated different brain networks in adults with HIV or prehypertension.

The fMRI method was feasible, but this pilot did not test whether brain signatures can guide self-management education.

Key findings

01Fact-focused video clips activated the Analytic Network, and emotional story clips activated the Empathy Network and the ventromedial prefrontal cortex.

02No adverse events occurred, and only one participant asked to be removed from the scanner.

03The study did not report whether these brain signatures are linked to self-management behaviors; those analyses were still forthcoming.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small and convenience-based, so the findings may not apply to other people with chronic conditions. All reported data were from baseline scans, so the study did not test whether brain signatures lead to better self-management. The two samples had different chronic conditions, and disease pathology or medications could have affected brain measures. The video clips may not have felt equally relevant to every participant, which could affect the brain responses. Brain imaging is expensive, time-consuming, and burdensome, so it is not a practical bedside tool now. The cognitive screen may not have been sensitive enough to detect impairment that could affect brain responses. The study used early translational neuroimaging methods, and measurement and interpretation are still evolving.

Declared interests

The authors reported no potential conflicts of interest. The paper is listed as supported by NIH extramural and non-U.S. government research support.

The easy way to misread this

Do not conclude that brain signatures can guide patient education or improve self-management. The study only measured baseline brain responses to video clips, and the analyses of whether these signatures affect self-management were still forthcoming.

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