Technology-mediated therapy for chronic pain management: the challenges of adapting behavior change interventions for delivery with pervasive communication technology.
Technology-mediated therapy for chronic pain management: the challenges of adapting behavior change interventions for delivery with pervasive communication technology.
复制标题
慢性疼痛管理的技术介导疗法：通过普及的通信技术调整行为改变干预措施的挑战。
DOI：
10.1089/tmj.2010.0136
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
C. Eccleston
中科院分区：
文献类型：
--
作者：
B. Rosser;P. Mccullagh;R. Davies;G. Mountain;L. McCracken;C. Eccleston
目的
从传统的面对面交流到基于远程技术的交付，适应治疗实践对治疗师，患者和技术作家提出了挑战。本文记录了SMART2项目的治疗适应过程和由此产生的规范，SMART2项目是一种基于技术的自我管理系统，用于协助长期健康状况，包括慢性疼痛。
材料和方法
与医疗保健专业人员和患者进行了焦点小组讨论，以告知治疗目标和适当技术的选择。
结果
相关的挑战被确定，涉及（1）减少和治疗目标的定义，以及（2）如何处理适应治疗的形式适合技术交付。还强调了系统对患者体验和行为提供动态和智能响应的要求。
结论
这些挑战的解决方案是在SMART2技术为基础的干预的背景下描述。鼓励在文献中更明确地讨论和记录治疗适应于基于技术的递送。
OBJECTIVE
Adapting therapeutic practice from traditional face-to-face exchange to remote technology-based delivery presents challenges for the therapist, patient, and technical writer. This article documents the process of therapy adaptation and the resultant specification for the SMART2 project-a technology-based self-management system for assisting long-term health conditions, including chronic pain.
MATERIALS AND METHODS
Focus group discussions with healthcare professionals and patients were conducted to inform selection of therapeutic objectives and appropriate technology.
RESULTS
Pertinent challenges are identified, relating to (1) reduction and definition of therapeutic objectives, and (2) how to approach adaptation of therapy to a form suited to technology delivery. The requirement of the system to provide dynamic and intelligent responses to patient experience and behavior is also emphasized.
CONCLUSION
Solutions to these challenges are described in the context of the SMART2 technology-based intervention. More explicit discussion and documentation of therapy adaptation to technology-based delivery within the literature is encouraged.