Mobile health intervention for self-management of adolescent chronic pain (WebMAP mobile): Protocol for a hybrid effectiveness-implementation cluster randomized controlled trial.
Mobile health intervention for self-management of adolescent chronic pain (WebMAP mobile): Protocol for a hybrid effectiveness-implementation cluster randomized controlled trial.
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DOI：
10.1016/j.cct.2018.10.003
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发表时间：
2018-11
影响因子：
2.2
通讯作者：
Law E
中科院分区：
文献类型：
--
作者：
Palermo TM;de la Vega R;Dudeney J;Murray C;Law E
大约5-8%的儿童报告严重的慢性疼痛和残疾。虽然有证据表明疼痛自我管理对减轻疼痛和残疾有效，但大多数青年人无法获得心理干预。我们先前的研究表明，现有的互联网提供的疼痛自我管理计划（WebMAP）可以减少护理障碍，是可行的，可接受的，并有效地减少慢性疼痛青年的疼痛相关残疾。目前的审判旨在：1）确定WebMAP的移动的应用程序版本改善患者疼痛相关结局的有效性，2）评价一种新的实施策略，以最大限度地提高干预措施的公共卫生影响，包括确定WebMAP在美国慢性疼痛儿童专科诊所的采用率、覆盖范围和可持续性。这项混合有效性-实施群集随机对照试验采用了阶梯式楔形设计，在常规护理期后，在8个专业疼痛诊所中依次实施WebMAP移动的干预。该试验旨在招募至少120名患有慢性疼痛的青少年（10-17岁）。结果分析将确定治疗对青少年疼痛相关结果的有效性，以及通过覆盖、采用、实施和维持对公共卫生的影响。这项试验研究了一种创新的方法，以评估技术提供的疼痛自我管理计划，为青年慢性疼痛。研究结果预计将产生一种战略方法，为患有慢性疼痛的青少年提供数字疼痛管理计划，这些疼痛可以在临床环境中持续。
Approximately 5–8% of children report severe chronic pain and disability. Although evidence supports pain-self management as effective for reducing pain and disability, most youth do not have access to psychological intervention. Our prior studies demonstrate that an existing internet-delivered pain self-management program (WebMAP) can reduce barriers to care, is feasible, acceptable, and is effective in reducing pain-related disability in youth with chronic pain. The current trial seeks to: 1) determine the effectiveness of a mobile app version of WebMAP for improving patient pain-related outcomes, and 2) evaluate a novel implementation strategy to maximize the public health impact of the intervention including the determination of adoption, reach, and sustainability of WebMAP in specialty clinics serving children with chronic pain in the United States. This hybrid effectiveness-implementation cluster randomized controlled trial employs a stepped wedge design in which the WebMAP mobile intervention is sequentially implemented in 8 specialty pain clinics following a usual care period. This trial aims to enroll a minimum of 120 youth (ages 10–17) who have chronic pain. Outcome analyses will determine effectiveness of treatment on adolescent pain-related outcomes as well as public health impact via reach, adoption, implementation, and maintenance. This trial examines an innovative approach to evaluate a technology-delivered pain self-management program for youth with chronic pain. Findings are expected to yield a strategic approach for delivering a digital pain management program for youth with chronic pain that can be sustained in clinical settings.
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影响因子：
7.4
作者：
Holley AL;Zhou C;Wilson AC;Hainsworth K;Palermo TM
通讯作者：
Palermo TM
影响因子：
7.4
作者：
Palermo, Tonya M.;Law, Emily F.;Tai, Gabrielle
通讯作者：
Tai, Gabrielle
DOI：
10.1002/14651858.cd011118.pub2
发表时间：
2015-03-23
期刊：
The Cochrane database of systematic reviews
影响因子：
--
作者：
Fisher, Emma;Law, Emily;Eccleston, Christopher
通讯作者：
Eccleston, Christopher
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
7.4
作者：
Palermo TM;Wilson AC;Peters M;Lewandowski A;Somhegyi H
通讯作者：
Somhegyi H