Ecological Momentary Assessment Methodology in Chronic Pain Research: A Systematic Review.
Ecological Momentary Assessment Methodology in Chronic Pain Research: A Systematic Review.
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DOI：
10.1016/j.jpain.2018.01.006
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发表时间：
2018-07
期刊：
影响因子：
--
通讯作者：
Schneider S
中科院分区：
文献类型：
--
作者：
May M;Junghaenel DU;Ono M;Stone AA;Schneider S
自我报告的疼痛强度评估是慢性疼痛研究的核心。生态瞬时评估(EMA)方法在收集这些数据方面具有独特的地位，而且确实在实地得到了利用。然而，EMA方案是复杂的，在EMA研究研究的设计中许多决策是必要的。一项系统的文献综述确定了来自62个定量EMA研究项目的105篇文章，这些研究项目检查了成人慢性疼痛患者的疼痛强度。表中列出了研究特点，以总结和描述环境管理评估的使用情况，重点放在执行环境管理评估方法所涉及的决策的各个层面。大多数已确定的研究考虑了疼痛和其他变量之间的人内关系，少数研究检查了对慢性疼痛的干预。最近有一种趋势是使用智能手机作为EMA数据收集设备，近三分之一的研究没有报告完成率。疼痛强度项目在量表点数、锚标签和报告期长短方面差异很大；最常用的是数字分级标准。提供了报告建议，以改进结果的重复性、可比性和解释，并提供机会澄清设计决定的重要性。
Self-reported pain intensity assessments are central to chronic pain research. Ecological Momentary Assessment (EMA) methodologies are uniquely positioned to collect these data, and are indeed being utilized in the field. However, EMA protocols are complex, and many decisions are necessary in the design of EMA research studies. A systematic literature review identified 105 articles drawing from 62 quantitative EMA research projects examining pain intensity in adult chronic pain patients. Study characteristics were tabulated in order to summarize and describe the use of EMA, with an emphasis placed on various dimensions of decision-making involved in executing EMA methodologies. Most identified studies considered within-person relationships between pain and other variables, and a few examined interventions on chronic pain. There was a trend toward the use of smartphones as EMA data collection devices more recently, and completion rates were not reported in nearly one-third of studies. Pain intensity items varied widely with respect to number of scale points, anchor labels, and length of reporting period; most used numeric rating scales. Recommendations are provided for reporting to improve reproducibility, comparability, and interpretation of results, and for opportunities to clarify the importance of design decisions.
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