A mobile health + health coaching application for the management of chronic non-cancer pain in older adults: Results from a pilot randomized controlled study.
A mobile health + health coaching application for the management of chronic non-cancer pain in older adults: Results from a pilot randomized controlled study.
复制标题
DOI：
10.3389/fpain.2022.921428
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
移动的健康（mHealth）设备的快速增长为改善慢性非癌症疼痛（CNCP）老年人的护理和护理结果提供了巨大的潜力，然而，在老年人中评估这些设备的研究仍然有限。确定移动健康干预（Mymee）的可行性和初步疗效，该干预将通过智能手机应用程序进行的症状、饮食和行为跟踪与数据分析相结合，以检测症状与生活方式因素之间的关联，沿着每周的健康指导课程，以减轻55岁及以上成年人的CNCP。参与者（N = 31）在这项试点研究中招募了一个初级保健实践在纽约市和随机干预[应用程序+多达12个健康辅导课程（计划约每周一次）+常规护理]或对照（应用+常规护理）臂。可行性措施包括招募（符合入学条件者的比例）和保留率（完成随访评估的受试者比例）以及每周辅导课程的依从性和在应用程序上记录每日数据。疗效结果（例如，在一个实施例中，疼痛强度、自我效能、残疾、焦虑）在基线和随访（基线后约16周）时进行评估。获得描述性统计量，并将一般线性混合模型用于主要分析。参与者的平均（标准差）年龄为67.32岁（9.17岁），大多数为女性（61%）。可行性结果喜忧参半，招聘和保留率分别为74%和65%。干预参与者参加的每周辅导课程的平均数量为6.05（SD = 5.35），而在应用程序上记录数据的平均天数为44.82（34.02）。我们发现了一个一致的趋势，有利于干预，其中疼痛强度，影响和生活质量的措施改善了干预（与对照组）的参与者。最后，随访时GAD-7评分的参与者比例下降了0.35至0，而对照组没有变化，这是有利于干预的显著效果（p = 0.02）。这项研究支持未来研究的需要，旨在提高可行性结果，并确认Mymee干预在CNCP老年人中的有效性。
The rapid growth of mobile health (mHealth) devices holds substantial potential for improving care and care outcomes in aging adults with chronic non-cancer pain (CNCP), however, research evaluating these devices in older adults remains limited. To ascertain the feasibility and preliminary efficacy of an mHealth intervention (Mymee) that combines symptom, diet, and behavior tracking via a smartphone application with data analytics to detect associations between symptoms and lifestyle factors along with weekly health coaching sessions to mitigate CNCP in adults 55 years of age and older. Participants (N = 31) in this pilot study were recruited from one primary care practice in New York City and randomized to an intervention [app + up to 12 health coaching sessions (scheduled approximately once weekly) + usual care] or a control (app + usual care) arm. Feasibility measures included recruitment (proportion of eligible persons who enrolled) and retention rates (proportion of subjects completing a follow-up assessment) as well as adherence with the weekly coaching sessions and logging daily data on the app. Efficacy outcomes (e.g., pain intensity, self-efficacy, disability, anxiety) were assessed at baseline and follow-up (~16 weeks after baseline). Descriptive statistics were obtained and general linear mixed models used for primary analyses. Participants had a mean (standard deviation) age of 67.32 (9.17) and were mostly female (61%). Feasibility outcomes were mixed as evidenced by recruitment and retention rates of 74% and 65%, respectively. The mean number of weekly coaching sessions attended by intervention participants was 6.05 (SD = 5.35), while the average number of days logging data on the app was 44.82 (34.02). We found a consistent trend in favor of the intervention, where pain intensity, affect, and quality of life measures improved considerably more among intervention (vs. control) participants. Finally, the proportion of participants with GAD-7 scores at follow up decreased by 0.35 to 0, whereas controls did not change, a significant effect in favor of the intervention (p = 0.02). This study supports the need for future research that seeks to enhance feasibility outcomes and confirm the efficacy of the Mymee intervention among aging adults with CNCP.
登录
查看更多内容
影响因子：
2.3
作者：
Amorim, Anita B.;Pappas, Evangelos;Ferreira, Paulo H.
通讯作者：
Ferreira, Paulo H.
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
1.9
作者：
HENDERSON, CR
通讯作者：
HENDERSON, CR
影响因子：
3.5
作者：
Gaine ME;Chatterjee S;Abel T
通讯作者：
Abel T
DOI：
10.1111/jdv.13306
发表时间：
2016-04
期刊：
Journal of the European Academy of Dermatology and Venereology : JEADV
影响因子：
--
作者：
Betteridge N;Boehncke WH;Bundy C;Gossec L;Gratacós J;Augustin M
通讯作者：
Augustin M