Pain buddy: A novel use of m-health in the management of children's cancer pain.
Pain buddy: A novel use of m-health in the management of children's cancer pain.
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DOI：
10.1016/j.compbiomed.2016.07.012
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发表时间：
2016-09-01
影响因子：
7.7
通讯作者：
Sender L
中科院分区：
文献类型：
--
作者：
Fortier MA;Chung WW;Martinez A;Gago-Masague S;Sender L
在美国，每年有超过12000名儿童被诊断患有癌症。除了与疾病相关的症状外，接受化疗的儿童还经常经历严重的疼痛，不幸的是，这种疼痛往往得不到充分治疗。移动医疗领域为家庭环境中的疼痛评估和干预提供了创新途径。目前的研究描述了基于片剂的项目Pain Buddy的开发和初步评估，旨在提高8-18岁接受癌症治疗的儿童的疼痛管理和提高生活质量。使用最先进的软件开发了一款基于卡通形象的平板电脑应用程序。Pain Buddy的主要方面包括儿童完成的每日疼痛和症状日记，通过互联网将患者数据上传到云服务器来远程监测症状，认知和行为技能培训，指导儿童完成程序的交互式三维化身，以及激励参与的激励系统。12名年龄在8到18岁之间的儿童参加了Pain Buddy的初步研究。孩子们对这个节目非常满意。疼痛和食欲紊乱是最常见的症状。向外部提供者发出的症状触发警报主要与临床显著疼痛有关。儿童很少使用镇痛药，并报告使用一些非药物疼痛管理策略。Pain Buddy似乎是一种很有前途的工具，可以改善接受癌症治疗的儿童的疼痛和症状管理。目前的研究结果将为Pain Buddy的未来改进提供信息，并为一项随机对照试验做准备，以评估这种创新治疗的疗效。
Over 12,000 children are diagnosed with cancer every year in the United States. In addition to symptoms associated with their disease, children undergoing chemotherapy frequently experience significant pain, which is unfortunately often undertreated. The field of m-Health offers an innovative avenue for pain assessment and intervention in the home setting. The current study describes the development and initial evaluation of a tablet-based program, Pain Buddy, aimed to enhance pain management and foster improved quality of life in children ages 8–18 years undergoing cancer treatment. An animated avatar-based tablet application was developed using state-of-the-art software. Key aspects of Pain Buddy include daily pain and symptom diaries completed by children, remote monitoring of symptoms by uploading patient’s data through internet to a cloud server, cognitive and behavioral skills training, interactive three-dimensional avatars that guide children through the program, and an incentive system to motivate engagement. Twelve children between the ages of 8 and 18 participated in a pilot study of Pain Buddy. Children were highly satisfied with the program. Pain and appetite disturbances were most frequently endorsed. Symptom trigger alerts to outside providers were largely related to clinically significant pain. Children infrequently used analgesics, and reported using some non-pharmacological pain management strategies. Pain Buddy appears to be a promising tool to improve pain and symptom management in children undergoing cancer treatment. Results from the current study will inform future improvements to Pain Buddy, in preparation for a randomized controlled trial to assess the efficacy of this innovative treatment.
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影响因子：
120.7
作者：
Howard, RF
通讯作者：
Howard, RF
影响因子：
4.7
作者：
Collins, JJ;Devine, TD;Portenoy, RK
通讯作者：
Portenoy, RK
影响因子：
4.7
作者：
Gaertner, J;Elsner, F;Sabatowski, R
通讯作者：
Sabatowski, R
影响因子：
7.4
作者：
Franklin, Victoria Louise;Greene, Alexandra;Pagliari, Claudia
通讯作者：
Pagliari, Claudia
DOI：
10.1177/1043454204264387
发表时间：
2004-05-01
期刊：
Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
影响因子：
--
作者：
Hockenberry, Marilyn
通讯作者：
Hockenberry, Marilyn