Multidimensional Effects of Telemedicine on Patients With Spinal Cord Injury: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

J Med Internet Res · 2026 · PMC13148336 · PMID 42090333

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a favorable trendno p-value reported

Consistent with this, a 12-week mHealth program incorporating multiple behavior-change strategies showed a favorable trend toward improved PSQI scores [ 72 ], and an earlier systematic review reported that telecounseling may improve sleep difficulties as part of broader comorbidity management, although the evidence base was small [ 54 ].

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did not reach statistical significanceno p-value reported

Overall effects for depressive symptoms were not significant (SMD −0.11, 95% CI −0.26 to 0.05; prediction interval −0.37 to 0.15; P =.16; I 2=36.3%), while findings for anxiety, other WHOQOL-BREF domains, sleep quality at 1 month, functional outcomes, and pain intensity generally favored telemedicine but did not reach statistical significance.

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