Leveraging mHealth to deliver integrated pain-CBT, opioid monitoring, and self-management support for advanced cancer patients coping with chronic pain
利用移动医疗为应对慢性疼痛的晚期癌症患者提供综合疼痛 CBT、阿片类药物监测和自我管理支持
基本信息
- 批准号:10286805
- 负责人:
- 金额:$ 22.16万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-05-01 至 2024-04-30
- 项目状态:已结题
- 来源:
- 关键词:Active LearningAddressAdvanced Malignant NeoplasmAffectAlgorithmsAnalgesicsBeliefCancer CenterCancer Pain ManagementCancer PatientCancer SurvivorCaringCellular PhoneChronicChronic Cancer PainClinicCognitiveCognitive TherapyComplementComplexComplicationConstipationConsumptionData CollectionDevelopmentDiseaseDistressEducationElementsEmotionsEnsureExerciseFeedbackFrightFutureGoalsGrowthHealth TechnologyInterventionInterviewLibrariesLifeMalignant - descriptorMalignant NeoplasmsMediator of activation proteinMedicalMedication ManagementMental HealthMobile Health ApplicationModelingMonitorMoodsMultimediaNociceptionNon-MalignantOpioidOutcome StudyOutpatientsPainPain ResearchPain intensityPain managementPalliative CareParentsPatientsPersonsPharmacological TreatmentPharmacologyPharmacotherapyPilot ProjectsPopulationPsychological FactorsPublic HealthQuality of lifeRandomizedRelaxationReportingScheduleSelf EfficacySelf ManagementSelf-DirectionSelf-ExaminationSeriesSeveritiesSleepSocial Well-BeingStressStructureSurveysSymptomsSyndromeTechnologyTestingTherapeuticTimeTitrationsUnited States National Institutes of HealthVulnerable Populationsacceptability and feasibilityaddictionarmbiological adaptation to stressbiopsychosocialcancer painchronic painchronic pain managementchronic pain patientcopingdesigndisabilityefficacy trialend of lifeexperienceimprovedinsightintervention effectlaxativemHealthmobile computingmultidisciplinarynegative affectnovelopioid usepain outcomepain perceptionpain self-managementpalliateprogramspsychoeducationpsychoeducationalpsychologicpsychological outcomespsychological symptomrecruitresponseretention ratesatisfactionsmartphone Applicationsymptom self managementtelehealththerapy designtrendusability
项目摘要
Project Summary
Pain affects approximately two thirds of patients with advanced cancer, with rates approaching 90% near the
end-of-life. Although pharmacotherapy is vitally important to alleviating chronic cancer pain, psychological
factors also substantially influence pain outcomes. Cognitive Behavioral Therapy for pain (pain-CBT) is
effective for chronic cancer and non-malignant pain. Unfortunately, pain-CBT in its traditional format (60-
minute, in-person sessions for 12-16 weeks) is unrealistic for advanced cancer patients. Effective
biopsychosocial cancer pain management requires substantial adaptation to meet the real-life needs of
advanced cancer patients and should ideally integrate with pharmacotherapy support. Given the expansive
need, mobile health technology is a promising strategy to deliver and ultimately disseminate brief, pain-CBT
interventions to cancer patients.
Our goal is to improve advanced cancer patients' pain self-management by adapting and integrating pain-CBT
into our existing mHealth program designed to support patients' pharmacologic management. Our parent
intervention, STAMP (Smartphone Technology to Alleviate Malignant Pain) is a patient-facing smartphone
application that supports daily symptom and opioid monitoring, and delivers tailored pain psychoeducation and
advice. We have a strategic opportunity to adapt and integrate pain-CBT to create novel mHealth intervention
that harmonizes psychological and medical support for advanced cancer pain. Leveraging mobile technology,
we will simulate the therapeutic experience of pain-CBT by 1) presenting advanced cancer-specific, multimedia
psychoeducational content, 2) developing schedules to deliver daily, brief didactics, 3) facilitating insight
building via surveys and tailored feedback, & 4) stimulating active learning through gamified cognitive
restructuring exercises and audio-recorded relaxations. In Aim 1: We will supplement our multi-media library of
cancer pain psycho-education and adapt pain-CBT content for brief mHealth delivery specific to advanced
cancer, while integrating clinician and patient (n=20) feedback throughout. In Aim 2: 25 patients with chronic
pain from advanced cancer will use STAMP+CBT for 6 weeks. Findings will illuminate feasibility of app use
and data collection for a larger future efficacy trial (R01), allowing for exploration of meaningful trends in pain,
psychological mediators, and care utilization. If proven effective, this pain-CBT and opioid management
intervention has great potential to scale and make biopsychosocial pain treatment available to a population that
suffers disproportionately from chronic pain and has little access to non-pharmacologic pain management
treatments.
项目摘要
疼痛影响大约三分之二的晚期癌症患者,接近90%的比例接近100%。
生命终结。虽然药物治疗对缓解慢性癌症疼痛至关重要,但心理治疗对缓解慢性癌症疼痛至关重要。
这些因素也显著影响疼痛结果。疼痛的认知行为疗法(CBT)
对慢性癌症和非恶性疼痛有效。不幸的是,传统形式的疼痛CBT(60-
分钟,12-16周的面对面治疗)对于晚期癌症患者是不现实的。有效
生物心理社会癌症疼痛管理需要进行实质性调整,以满足患者的现实生活需求
晚期癌症患者,理想情况下应结合药物治疗支持。鉴于广阔的
需要,移动的健康技术是一个有前途的战略,提供并最终传播简短的,痛苦的CBT
对癌症患者的干预。
我们的目标是通过调整和整合疼痛-CBT来改善晚期癌症患者的疼痛自我管理
我们现有的移动健康项目旨在支持患者的药物管理。子公司
STAMP(智能手机技术,以减轻恶性疼痛)是一种面向患者的智能手机,
支持日常症状和阿片类药物监测的应用程序,并提供量身定制的疼痛心理教育,
建议.我们有一个战略机会来适应和整合疼痛CBT,以创造新的移动健康干预
协调对晚期癌症疼痛的心理和医疗支持。利用移动的技术,
我们将通过以下方式模拟疼痛-CBT的治疗体验:1)展示先进的癌症特异性多媒体
心理教育内容,2)制定时间表,每天提供简短的教学,3)促进洞察力
通过调查和量身定制的反馈进行建设,以及4)通过游戏化的认知刺激主动学习
重组工作和录音放松。在目标1:我们将补充我们的多媒体图书馆,
癌症疼痛心理教育和适应疼痛CBT内容为简短的移动健康交付特定于先进的
癌症,同时自始至终整合临床医生和患者(n=20)的反馈。目标2:25例慢性
晚期癌症的疼痛将使用STAMP+CBT 6周。调查结果将阐明应用程序使用的可行性
以及为更大规模的未来疗效试验(R 01)收集数据,以便探索疼痛的有意义趋势,
心理中介和护理利用。如果证明有效,这种疼痛CBT和阿片类药物管理
干预有很大的潜力来扩大规模,使生物心理社会疼痛治疗可用于人口,
不成比例地患有慢性疼痛,并且几乎无法获得非药物疼痛管理
治疗。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('Desiree R Azizoddin', 18)}}的其他基金
Integrating pain-CBT into an mHealth analgesic support intervention for patients with chronic pain from advanced cancers
将疼痛 CBT 纳入 mHealth 镇痛支持干预中,治疗晚期癌症慢性疼痛患者
- 批准号:
10655306 - 财政年份:2022
- 资助金额:
$ 22.16万 - 项目类别:
Integrating pain-CBT into an mHealth analgesic support intervention for patients with chronic pain from advanced cancers
将疼痛 CBT 纳入 mHealth 镇痛支持干预中,治疗晚期癌症慢性疼痛患者
- 批准号:
10349763 - 财政年份:2022
- 资助金额:
$ 22.16万 - 项目类别:
Leveraging mHealth to deliver integrated pain-CBT, opioid monitoring, and self-management support for advanced cancer patients coping with chronic pain
利用移动医疗为应对慢性疼痛的晚期癌症患者提供综合疼痛 CBT、阿片类药物监测和自我管理支持
- 批准号:
10609388 - 财政年份:2022
- 资助金额:
$ 22.16万 - 项目类别:
Admin Supplement: Integrating pain-CBT into an mHealth analgesic support intervention for patients with chronic pain from advanced cancers
管理补充:将疼痛 CBT 纳入 mHealth 镇痛支持干预中,以治疗晚期癌症引起的慢性疼痛
- 批准号:
10767398 - 财政年份:2022
- 资助金额:
$ 22.16万 - 项目类别:
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