Web-based Support to Manage Arthritis Pain

描述(申请人提供)：在美国，每五个成年人(4640万人)中就有一个受到关节炎的影响。增加个人免于关节炎疼痛的天数是2010年健康人目标之一。虽然有各种医疗治疗和药物可用，但自我管理是帮助关节炎患者学习如何识别、避免和帮助管理他们的疼痛的关键组成部分。不幸的是，临床医生面临着巨大的时间压力，几乎没有时间进行理想的患者-提供者教育和协作。这是一个重要的遗漏，因为来自健康提供者的量身定制的建议(例如，减少疼痛的锻炼)可以改变行为并改善结果。因此，需要广泛使用和量身定做的干预措施来解决激励问题，以促进关节炎患者的自我管理教育。由于互联网覆盖了不同的人口群体，它是为关节炎患者提供自我管理计划的绝佳工具。我们建议为患有与两种最常见的关节炎相关的疼痛的成年人开发一个互动的疼痛自我管理程序，骨性关节炎和类风湿性关节炎。这一在线健康干预，疼痛行动：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，以清晰和吸引人的方式为消费者撰写。此外，该网站旨在补充和连接我们其他SBIR支持的疼痛网站(慢性背痛、偏头痛、神经性疼痛)，为寻求疼痛管理帮助的人提供更全面的资源。疼痛行动：关节炎将以课程为基础，包括激励、量身定做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。我们对现有关节炎网站的审查表明，目前还没有任何网站提供这种经验性自我管理功能的组合，因此将代表着关节炎治疗的重大进步。这一在线健康干预的内容和干预模式将通过与关节炎专家和关节炎疼痛患者的咨询、确定关键信息领域的概念图以及与经历过关节炎疼痛的人一起进行关于关节炎疼痛的一节课的示范计划的试点测试来制定。我们还将通过对示范计划的审查，寻求关节炎专家对第一阶段概念的可行性的反馈。目前，美国每五个成年人中就有一个(4640万人)患有关节炎，预计这一数字在未来20年将继续增长到6700万。全球倡议，骨和关节疾病十年，是在认识到关节炎给全球社会带来的日益增长的个人、社会和经济代价的基础上发起的。拟议的项目将与关节炎疼痛患者以及该领域不同学科的专家进行磋商，以制定内容，纳入以课程为基础的在线健康干预。这一面向健康消费者的在线互动资源将包括激励、量身定做的反馈、自我管理建议、独特的个人跟踪工具和社交网络功能。

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.