Self-Guided Smartphone Application to Manage Chronic Musculoskeletal Pain: A Randomized, Controlled Pilot Trial.
Self-Guided Smartphone Application to Manage Chronic Musculoskeletal Pain: A Randomized, Controlled Pilot Trial.
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DOI：
10.3390/ijerph192214875
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发表时间：
2022-11-11
影响因子：
--
通讯作者：
Christo, Paul J.
中科院分区：
文献类型：
--
作者：
Yeh, Chao Hsing;Kawi, Jennifer;Grant, Lauren;Huang, Xinran;Wu, Hulin;Hardwicke, Robin L.;Christo, Paul J.
目的：本研究的目的是评估耳穴穴位按摩智能手机应用程序 (mAPA) 自我管理慢性肌肉骨骼疼痛的可行性和有效性。方法：采用三组设计（自我指导的 mAPA（n = 14）；现场 mAPA（n = 12）；和对照（n = 11））进行前瞻性、纵向、随机、对照试点试验。主要结果包括身体功能和疼痛强度。结果：经过 4 周的 APA 干预后，现场 mAPA 组的参与者的身体功能在干预后立即改善了 32%，在 1M 随访时改善了 29%。自我引导 mAPA 组的参与者有更高的改善（干预后为 42%，1M 随访时为 48%）。两个 mAPA 组在干预后（现场治疗组为 45%，自我指导组为 48%）和 1M 随访时（现场治疗组为 42%，自我指导组为 45%）疼痛强度缓解程度相似。每组中超过 50% 的参与者在干预后疼痛强度至少降低了 30%，并且在 1M 随访中 mAPA 组的这种情况得以持续。两个 mAPA 组中大约 80% 的参与者对治疗结果感到满意，并遵守建议的 APA 实践；然而，自我指导组的参与者使用 APA 的持续时间更长、频率更高。 1M 随访时的流失率为 16%。没有报告 APA 的不良影响，参与者发现 APA 是有益的，并且该应用程序很有价值。结论：研究结果表明，参与者使用智能手机应用程序有效地学习了 APA，无论他们是自学还是接受面对面培训。他们能够自行进行 APA 来成功控制疼痛。参与者发现 APA 对他们的疼痛自我管理很有价值，并对使用该应用程序进行的干预表示满意。
Objective: The goal of this study is to evaluate the feasibility and efficacy of an auricular point acupressure smartphone app (mAPA) to self-manage chronic musculoskeletal pain. Methods: A prospective, longitudinal, randomized, controlled pilot trial was conducted using a three-group design (self-guided mAPA (n = 14); in-person mAPA (n = 12); and control (n = 11)). The primary outcomes included physical function and pain intensity. Results: After a 4-week APA intervention, participants in the in-person mAPA group had improved physical function of 32% immediately post-intervention and 29% at the 1M follow-up. Participants in the self-guided mAPA group had higher improvement (42% at post-intervention and 48% at the 1M follow-up). Both mAPA groups had similar degrees of pain intensity relief at post-intervention (45% for in-person and 48% for the self-guided group) and the 1M follow-up (42% for in-person and 45% for the self-guided group). Over 50% of the participants in each group reached at least 30% reduced pain intensity at post-intervention, and this was sustained in the mAPA groups at the 1M follow-up. Approximately 80% of the participants in both mAPA groups were satisfied with the treatment outcomes and adhered to the suggested APA practice; however, participants in the self-guided group had higher duration and more frequency in APA use. The attrition rate was 16% at the 1M follow-up. No adverse effects of APA were reported, and participants found APA to be beneficial and the app to be valuable. Conclusions: The study findings indicate that participants effectively learned APA using a smartphone app, whether they were self-guided or received in-person training. They were able to self-administer APA to successfully manage their pain. Participants found APA to be valuable in their pain self-management and expressed satisfaction with the intervention using the app.
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DOI：
10.1001/jama.2016.2323
发表时间：
2016-03-22
期刊：
JAMA
影响因子：
--
作者：
Cherkin DC;Sherman KJ;Balderson BH;Cook AJ;Anderson ML;Hawkes RJ;Hansen KE;Turner JA
通讯作者：
Turner JA
“门民”和“零点”点处的耳孔针灸会诱导副交感神经激活。
DOI：
10.1155/2013/945063
发表时间：
2013
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Arai YC;Sakakima Y;Kawanishi J;Nishihara M;Ito A;Tawada Y;Maruyama Y
通讯作者：
Maruyama Y
影响因子：
4.5
作者：
Craig, Benjamin M.;Reeve, Bryce B.;Revicki, Dennis A.
通讯作者：
Revicki, Dennis A.
影响因子：
120.7
作者：
Dieleman, Joseph L.;Cao, Jackie;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.
影响因子：
3.1
作者：
Chen, Lucy;Houghton, Mary;Mao, Jianren
通讯作者：
Mao, Jianren