Mobile Application-Based Interventions for Chronic Pain Patients: A Systematic Review and Meta-Analysis of Effectiveness.
Mobile Application-Based Interventions for Chronic Pain Patients: A Systematic Review and Meta-Analysis of Effectiveness.
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基于移动应用的慢性疼痛患者干预措施：有效性的系统综述和荟萃分析
DOI：
10.3390/jcm9113557
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发表时间：
2020-11-05
影响因子：
3.9
通讯作者：
Schiltenwolf M
中科院分区：
文献类型：
--
作者：
Pfeifer AC;Uddin R;Schröder-Pfeifer P;Holl F;Swoboda W;Schiltenwolf M
慢性疼痛是普通人群中残疾的主要原因之一。尽管有有效的治疗方案可用于减轻症状，但这些治疗往往没有持续一致的效果。由于移动设备的使用在过去几年中大幅增加，基于移动应用的治疗方案广泛存在。这类基于应用程序的方案尚未经过实证检验，但可能使患者在疼痛管理方面变得更加独立，以防止复发。本荟萃分析的目的是总结关于针对慢性疼痛患者的基于移动应用的干预措施的文献。因此，对三个电子文献数据库（PubMed、PsycINFO和Web of Science）进行了搜索，以查找研究基于移动应用的干预措施对慢性疼痛强度有效性的相关研究。最终样本包括22项研究，共涉及4679人。在这22项研究中，有12项采用了随机对照试验（RCT）设计，而10项研究仅采用了观察性设计。对于所有22项研究，与基线测量值或对照组相比，发现了一个较小但显著的效应（d = -0.40）。结果表明，基于应用程序的治疗有助于减轻疼痛，尤其是在长期情况下。
Chronic pain is one of the major causes of disability in the general population. Even though there are effective treatment options available for reducing symptoms, these treatments often do not have consistent lasting effects. As the usage of mobile devices has increased enormously during the last few years, mobile application-based treatment options are widespread. Such app-based programs are not yet empirically proven but might enable patients to become more independent in their pain management in order to prevent relapse. The aim of this meta-analysis was to summarize the literature on mobile application-based interventions for chronic pain patients. Therefore, three electronic bibliographic databases, PubMed, PsycINFO, and Web of Science, were searched for studies that investigated the effectiveness of mobile application-based intervention for chronic pain on pain intensity. The final sample comprised twenty-two studies, with a total of 4679 individuals. Twelve of these twenty-two studies used a randomized control trial (RCT) design, while ten studies only used an observational design. For all twenty-two studies, a small but significant effect (d = −0.40) was found when compared to baseline measures or control groups. The results suggest that apps-based treatment can be helpful in reducing pain, especially in the long-term.
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