Meeting them where they are: Using the Internet to deliver behavioral medicine interventions for pain.

Meeting them where they are: Using the Internet to deliver behavioral medicine interventions for pain.
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会见他们在哪里:使用互联网提供行为医学干预措施。

DOI:
10.1007/s13142-011-0107-2
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发表时间:
2012-03
影响因子:
3.6
通讯作者:
Keefe FJ
Keefe FJ
中科院分区:
医学3区
文献类型:
--
作者:
Rini C;Williams DA;Broderick JE;Keefe FJ

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尽管有强有力的证据表明行为方法的有效性和安全性,但在慢性疼痛的常规治疗中,药物和介入性疼痛药物治疗仍被强调。大多数医疗专业人员并没有将行为疼痛治疗纳入他们的实践。基于互联网的干预措施有可能增加这些治疗的临床应用。我们讨论了当前基于互联网的行为疼痛管理干预的优势和劣势,重点关注三大类干预:治疗师指导的干预、非指导(自动化)干预和移动平台的疼痛相关应用。讨论了每个类别的例子,揭示了方法、用户界面和组件的高度变化,以及这些干预措施受到经验测试的程度的变化。最后,我们强调了研究和临床实施的关键问题,目标是推进这一领域,使其能够发挥其潜力,增加对慢性疼痛的循证行为医学治疗。
Pharmacological and interventional pain medicine treatments are emphasized in the routine treatment of chronic pain, despite strong evidence for the efficacy and safety of behavioral approaches. Most medical professionals have not incorporated behavioral pain treatments into their practices. Internet-based interventions have the potential to increase clinical use of these treatments. We discuss the strengths and weaknesses of current Internet-based behavioral pain management interventions, focusing on three broad intervention categories: therapist-guided interventions, unguided (automated) interventions, and pain-relevant applications for mobile platforms. Examples of each category are discussed, revealing a high degree of variation in approaches, user interfaces, and components as well as variability in the degree to which these interventions have been subjected to empirical testing. Finally, we highlight key issues for research and clinical implementation, with the goal of advancing this field so that it can meet its potential to increase access to evidence-based behavioral medicine treatments for chronic pain.
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