Systematic evaluation of commercially available pain management apps examining behavior change techniques.

Systematic evaluation of commercially available pain management apps examining behavior change techniques.
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DOI:
10.1097/j.pain.0000000000002090
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发表时间:
2021-03-01
期刊:
影响因子:
7.4
通讯作者:
--
中科院分区:
医学1区
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--
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移动的健康(mHealth)应用程序有可能通过使用每日日记、药物和预约提醒、教育以及促进患者和提供者之间的沟通来加强疼痛管理。尽管存在许多疼痛管理应用程序,但这些应用程序使用循证行为改变技术(BCT)的程度在很大程度上仍然未知,这使得提供商几乎不可能推荐具有循证策略的应用程序。本研究系统地评价了市售疼痛管理应用程序的循证BCT和应用程序质量。使用App和Google Play商店中的检索词“pain”和“pain management”识别疼痛管理应用程序。审查的应用程序是专门针对疼痛管理的,英语版,供患者使用,而且是免费的。共有28个应用程序使用BCT的分类法进行编码。使用移动的应用程序评级量表评估应用程序质量。应用程序包括2 - 15个BCT(M = 7.36)和1 - 8个(M = 4.21)疼痛管理专用BCT。及时的意图形成,指导,行为健康联系,后果,反馈和自我监控是审查应用程序中最常见的BCT。移动的应用程序评级量表的应用程序质量范围为2.27至4.54(M = 3.65)(满分为5),分数越高表示质量越好。PainScale其次是Migraine Buddy,显示出最高数量的总体和疼痛管理BCT以及良好的质量评分。虽然现有的应用程序应该通过随机对照试验进行评估,未来的应用程序应该包括电子病历集成的功能,但目前的疼痛管理应用程序通常使用循证疼痛管理BCT。
Mobile health (mHealth) apps have the potential to enhance pain management through the use of daily diaries, medication and appointment reminders, education, and facilitating communication between patients and providers. Although many pain management apps exist, the extent to which these apps use evidence-based behavior change techniques (BCTs) remains largely unknown, making it nearly impossible for providers to recommend apps with evidence-based strategies. This study systematically evaluated commercially available pain management apps for evidence-based BCTs and app quality. Pain management apps were identified using the search terms “pain” and “pain management” in the App and Google Play stores. Reviewed apps were specific to pain management, in English, for patients, and free. A total of 28 apps were coded using the taxonomy of BCTs. App quality was assessed using the Mobile App Rating Scale. Apps included 2 to 15 BCTs (M = 7.36) and 1 to 8 (M = 4.21) pain management–specific BCTs. Prompt intention formation, instruction, behavioral-health link, consequences, feedback, and self-monitoring were the most common BCTs used in the reviewed apps. App quality from the Mobile App Rating Scale ranged from 2.27 to 4.54 (M = 3.65) out of a possible 5, with higher scores indicating better quality. PainScale followed by Migraine Buddy demonstrated the highest number of overall and pain management BCTs as well as good quality scores. Although existing apps should be assessed through randomized controlled trials and future apps should include capabilities for electronic medical record integration, current pain management apps often use evidence-based pain management BCTs.
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发表时间: 2016
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