In-clinic use of electronic pain diaries: barriers of implementation among pain physicians.
In-clinic use of electronic pain diaries: barriers of implementation among pain physicians.
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DOI：
10.1016/j.jpainsymman.2009.12.021
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发表时间：
2010-09
影响因子：
4.7
通讯作者：
Jamison, Robert N.
中科院分区：
文献类型：
--
作者：
Marceau, Lisa D.;Link, Carol L.;Smith, Lauren D.;Carolan, Sarah J.;Jamison, Robert N.
本研究的目的是检查在临床环境中使用电子日记的障碍，并确定使用电子日记监测其进展并提供汇总数据反馈的患者与使用纸质日记监测其进展但不提供汇总数据反馈的患者之间的结局差异。134例（n=134）慢性疼痛患者被要求在每月门诊访视前立即在纸质或电子日记上监测他们的疼痛、情绪、活动干扰、药物使用和疼痛位置，持续10个月。电子日记组（n=67）的患者及其治疗医生能够观察到其评分的变化，而使用纸质日记的患者（n=67）没有关于其数据输入的反馈。大多数参与者认为完成疼痛日记是有益的，但在实验条件下，只有23%的患者认为电子日记的数据改善了他们的护理，不到15%的患者认为他们的医生根据总结日记信息改变了他们的治疗。总体而言，治疗医生对电子日记的使用持积极态度，尽管他们承认他们没有定期将总结数据纳入治疗决策中，因为他们忘记了或他们忙碌。为了改善对慢性疼痛患者的护理，需要进一步研究了解医生和患者使用日记数据影响治疗结果的障碍。
The aim of this study was to examine barriers to the use of electronic diaries within the clinic setting and to determine outcome differences between patients who used electronic diaries to monitor their progress with summary data feedback and patients who monitored their progress with paper diaries without summary data feedback. One hundred thirty-four (n=134) chronic pain patients were asked to monitor their pain, mood, activity interference, medication use, and pain location on either a paper or electronic diary immediately before each monthly clinic visit for 10 months. Patients and their treating physicians in the electronic diary group (n=67) were able to observe changes in their ratings while patients using the paper diaries (n=67) had no feedback about their data entry. Most participants believed that completing pain diaries was beneficial, yet only 23% of patients in the experimental condition felt that the data from the electronic diaries improved their care and less than 15% believed that their doctor made a change in their treatment based on the summary diary information. In general, treating physicians were positive about the use of electronic diaries, although they admitted that they did not regularly incorporate the summary data in their treatment decision-making either because they forgot or they were too busy. Future studies in understanding barriers to physicians’ and patients’ use of diary data to impact treatment outcome are needed in order to improve care for persons with chronic pain.
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