Web-based Support to Manage Arthritis Pain

基于网络的关节炎疼痛治疗支持

基本信息

批准号：
7481407
负责人：
Kimberlee Jean Trudeau
金额：
$ 14.83万
依托单位：
INFLEXXION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-10 至 2010-03-09
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7481407
关键词：
Address Adult Affect Area Arthritis Back Pain Caring Chronic Chronic Disease Clinical Collaborations Complement Consultations Degenerative polyarthritis Development Diagnosis Discipline Economics Education Evaluation Exercise Face Feedback Health Health Care Costs Health Personnel Health Resources Health education Healthy People 2010 Individual Internet Intervention Knowledge Lead Learning Left Maps Medical Migraine Modeling Motivation Numbers Online Systems Outcome Pain Pain management Patients Pharmaceutical Preparations Phase Provider Recommendation Research Design Resources Review, Systematic (PT)Rheumatoid Arthritis Self Management Site Social Network Social support Societies Technology Testing Time United States United States Dept. of Health and Human Services United States National Institutes of Health Writing arthritis education arthropathies base behavior change bone concept cost day design desire experience improved innovation painful neuropathy pressure programs psychologic social tool

项目摘要

DESCRIPTION (provided by applicant): One of every five adults in the United States (46.4 million people) is affected by arthritis. Increasing the number of days individuals are free of arthritis pain is one of the Healthy People 2010 objectives. Although there are a variety of medical treatments and medications available, self-management is a critical component in helping arthritis sufferers learn how to identify, avoid, and help manage their pain. Unfortunately, clinicians face significant time pressure, leaving little time for desired patient-provider education and collaboration. This is an important omission as tailored advice (e.g., exercise to reduce pain) from health providers could enable behavior change and improve outcomes. Therefore, widely accessible and tailored interventions that address motivational issues are needed to facilitate self-management education among arthritis patients. Because of its reach across demographic groups, the Internet is an excellent vehicle for offering a self-management program to arthritis sufferers. We propose to develop an interactive, pain self-management program for adults who suffer from pain associated with the two most common types of arthritis, osteoarthritis and rheumatoid arthritis. This on-line health intervention, Pain Action: Arthritis, will provide clinically reliable information about diagnosis, treatment, and management of arthritis, written for consumers in a clear and engaging manner. Moreover, this website will be designed to complement and connect to our other SBIR-supported pain websites (chronic back pain, migraine pain, neuropathic pain) to be a more comprehensive resource for those seeking pain management assistance. Pain Action: Arthritis will be course-based and include motivational, tailored feedback, and self-management recommendations, as well as unique personal tracking and social networking features. Our review of available arthritis websites suggests that no site currently offers this combination of empirically derived self-management features and thus will represent a significant advance in arthritis care. The content and intervention model of this on-line health intervention will be developed through consultation with arthritis experts and people with arthritis pain, concept mapping to determine key domains of information, and a pilot test of a demonstration program of one lesson about arthritis pain with people who experience arthritis pain. We will also seek feedback from arthritis experts on the feasibility of the Phase I concept through a review of the demonstration program. One of every five adults in the United States (46.4 million people) is currently affected by arthritis and this number is expected to continue to grow to 67 million over the next twenty years. The global initiative, The Decade of Bone and Joint Disease, was begun in recognition of the growing personal, social, and economic costs of arthritis to global society. The proposed project will employ consultation with people with arthritis pain as well as experts from diverse disciplines in this area to develop content for inclusion in a course-based on-line health intervention. This on-line interactive resource for health consumers will include motivational, tailored feedback, self-management recommendations, unique personal tracking tools, and social networking features.

描述（由申请人提供）：美国每五个成年人之一（4640万人）患有关节炎。增加个人没有关节炎疼痛的天数是2010年健康人的目标之一。尽管有多种药物治疗和药物可用，但自我管理是帮助关节炎患者学习如何识别，避免和帮助管理疼痛的关键组成部分。不幸的是，临床医生面临巨大的时间压力，几乎没有时间进行所需的患者提供教育和协作。这是一个重要的遗漏，因为量身定制的建议（例如，减轻疼痛的锻炼）可以实现行为改变并改善结果。因此，需要广泛访问和量身定制的干预措施来解决动机问题，以促进关节炎患者的自我管理教育。由于互联网跨越了人口群体，因此是为关节炎患者提供自我管理计划的绝佳工具。我们建议针对患有与两种最常见类型的关节炎，骨关节炎和类风湿关节炎相关的成年人制定互动，疼痛自我管理计划。这种在线健康干预措施，疼痛作用：关节炎，将提供有关关节炎的诊断，治疗和管理的临床可靠信息，这些信息以清晰而引人入胜的方式为消费者编写。此外，该网站将旨在补充和连接到我们其他SBIR支持的疼痛网站（慢性背痛，偏头痛，神经性疼痛），是那些寻求疼痛管理帮助的人的更全面的资源。疼痛动作：关节炎将基于课程，包括动机，量身定制的反馈和自我管理建议，以及独特的个人跟踪和社交网络功能。我们对可用关节炎网站的评论表明，目前尚无网站提供这种经验得出的自我管理特征的组合，因此将代表关节炎护理的重大进步。这种在线健康干预措施的内容和干预模型将通过与关节炎专家和关节炎疼痛的人进行磋商，概念映射以确定信息的关键领域，以及与经历关节炎疼痛的人进行一次课程的演示计划的试验测试。我们还将通过对示范计划的审查寻求关节炎专家就I阶段概念的可行性的反馈。目前，美国每五个成年人中的一个人中有一个（4640万人）患有关节炎，预计未来二十年，这一数字将继续增长到6700万。全球倡议是骨和关节疾病的十年，开始认识到全球社会关节炎的个人，社会和经济成本的日益增长。拟议的项目将对关节炎疼痛的人以及该领域各种学科的专家进行咨询，以开发内容，以纳入基于课程的在线健康干预措施。这款针对健康消费者的在线互动资源将包括激励性，量身定制的反馈，自我管理建议，独特的个人跟踪工具和社交网络功能。