Auricular Point Acupressure Smartphone Application to Manage Chronic Musculoskeletal Pain: A Longitudinal, One-Group, Open Pilot Trial.
Auricular Point Acupressure Smartphone Application to Manage Chronic Musculoskeletal Pain: A Longitudinal, One-Group, Open Pilot Trial.
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DOI：
10.1177/2164956120987531
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发表时间：
2021
影响因子：
--
通讯作者：
Christo P
中科院分区：
文献类型：
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作者：
Kawi J;Yeh CH;Li M;Caswell Bs K;Mazraani Md M;Lukkahatai PhD Rn N;Mensah Rn S;Taylor J;Budhathoki C;Christo P
慢性肌肉骨骼疼痛（CMP）是最常见的自我报告的慢性疼痛状况。目前对CMP的治疗是有限的。这是一个两阶段的研究。在第一阶段，招募了三名耳穴指压(APA)-naïve参与者来探索他们的APA体验，并根据他们的反馈开发了一款智能手机应用程序。在第二阶段，一项前瞻性纵向研究被用来检验智能手机应用程序对自我管理CMP的有效性。第一阶段成功开发了APA智能手机应用程序。在第二阶段，经过四周的APA治疗，参与者报告疼痛强度降低（30%），疼痛干扰（35%）和残疾（40%），以及身体功能改善（47%）。参与者对治疗效果感知的平均得分为4.94 (SD = 2.08，量表为0-7)，表明约70%的参与者认为整体改善具有明显的变化。大多数（88%,n = 22）的参与者对治疗感到满意：32%的人非常满意，56%的人[n = 14]比较满意。平均每天按压APA种子次数为2.93次（SD = 2.27，范围0 ~ 10）和1.60分钟（SD = 2.64，范围0 ~ 10）；参与者能够坚持每天按建议的时间，尽管他们只按了建议时间的53%。个人可以从智能手机应用程序中学习APA，并成功地自我管理APA来管理他们的疼痛。参与者发现应用程序很有用，并对应用程序提供的信息感到满意。
Chronic musculoskeletal pain (CMP) is the most common self-reported chronic pain condition. Current treatment for CMP is limited. This was a two-phase study. In Phase 1, three auricular point acupressure (APA)-naïve participants were recruited to explore their experiences of APA and a smartphone app was developed based on their feedback. In Phase 2, a prospective longitudinal study was used to examine the effectiveness of the smartphone app to self-manage CMP. Phase 1 resulted in the successful development of the APA smartphone app. In Phase 2, after four weeks of APA, participants reported reduced pain intensity (30%), pain interference (35%), and disability (40%), as well as improved physical function (47%). The mean score for the participants’ perception of treatment efficacy was 4.94 (SD = 2.08, scale of 0–7) indicating that approximately 70% of participants rated global improvements with noticeable changes. The majority (88%, n = 22) of the participants were satisfied with the treatment: 32% [8] were very satisfied and 56% [n = 14] were somewhat satisfied. The average frequency of pressing APA seeds per day was 2.93 times (SD = 2.27, range 0–10) and 1.60 minutes per time (SD = 2.64, range 0–10); the participants were able to adhere to the suggested pressing time per day, although they only pressed the ear points about 53% of the suggested time. It is feasible for individuals to learn APA from the smartphone app and successfully self-administer APA to manage their pain. Participants found the app useful and were satisfied with the information provided through the app.