A randomized controlled evaluation of an online chronic pain self management program.
A randomized controlled evaluation of an online chronic pain self management program.
复制标题
DOI：
10.1016/j.pain.2011.10.025
复制
发表时间：
2012-02
期刊：
影响因子：
7.4
通讯作者：
Enders C
中科院分区：
文献类型：
--
作者：
Ruehlman LS;Karoly P;Enders C
基于互联网的教育和治疗方案（电子健康应用）在各种心理和身体疾病中越来越受欢迎。我们测试了在线慢性疼痛管理程序的有效性，这是一个全面的，完全自我指导和自定节奏的系统，将社交网络功能和自我管理工具集成到交互式学习环境中。305名成年参与者（196名女性，109名男性）中，共有162名慢性疼痛患者被随机分配到无监督的项目中，为期约6周；143人被分配到等待名单的对照组，接受常规治疗。在研究前和研究后约7周和14周进行全面评估。所有的招募、数据收集和参与者参与都在网上进行。参与是完全自定进度的，允许在现实条件下评估项目的有效性。意向治疗分析使用线性增长模型作为主要分析工具。结果表明，项目使用与疼痛严重程度、疼痛相关干扰和情绪负担、感知残疾、灾难化和疼痛诱发恐惧显著降低相关。此外，程序的使用导致抑郁，焦虑和压力的显著下降。最后，与等待名单的对照组相比，实验组对慢性疼痛及其管理原理的知识显着增加。考虑到研究的局限性，包括认识到并非所有患有慢性疼痛的人都一定是自我发起、自定节奏、互动学习的良好候选人。
Internet-based educational and therapeutic programs (e-health applications) are becoming increasingly popular for a variety of psychological and physical disorders. We tested the efficacy of an online Chronic Pain Management Program, a comprehensive, fully self-directed and self-paced system that integrates social networking features and self-management tools into an interactive learning environment. Of 305 adult participants (196 women, 109 men), a total of 162 individuals with chronic pain were randomly assigned unsupervised access to the program for approximately 6 weeks; 143 were assigned to the wait-listed control group with treatment as usual. A comprehensive assessment was administered before the study and approximately 7 and 14 weeks thereafter. All recruitment, data collection, and participant involvement took place online. Participation was fully self-paced, permitting the evaluation of program effectiveness under real-world conditions. Intent-to-treat analysis that used linear growth models was used as the primary analytic tool. Results indicated that program utilization was associated with significant decreases in pain severity, pain-related interference and emotional burden, perceived disability, catastrophizing, and pain-induced fear. Further, program use led to significant declines in depression, anxiety, and stress. Finally, as compared to the wait-listed control group, the experimental group displayed a significant increase in knowledge about the principles of chronic pain and its management. Study limitations are considered, including the recognition that not all persons with chronic pain are necessarily good candidates for self-initiated, self-paced, interactive learning.
登录
查看更多内容
影响因子：
3.1
作者：
Cuijpers, Pirn;van Straten, Annemieke;Andersson, Gerhard
通讯作者：
Andersson, Gerhard
影响因子：
120.7
作者：
Begg, C;Cho, M;Stroup, DF
通讯作者：
Stroup, DF
影响因子：
3.1
作者：
Jamison, RN;Gintner, L;Fairchild, DG
通讯作者：
Fairchild, DG
影响因子：
3.7
作者：
Carlbring, P;Westling, BE;Andersson, G
通讯作者：
Andersson, G
DOI：
10.1146/annurev.clinpsy.032408.153538
发表时间：
2009-01-01
影响因子：
18.4
作者：
Marks, Isaac;Cavanagh, Kate
通讯作者：
Cavanagh, Kate