IVR-based cognitive behavior therapy for chronic low back pain
基于 IVR 的认知行为疗法治疗慢性腰痛
基本信息
- 批准号:8698787
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2010
- 资助国家:美国
- 起止时间:2010-07-01 至 2015-06-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdherenceAdultAffectiveAftercareAgeAppointmentAreaBack PainBehavioralCaringChronicChronic low back painClinicalCognitive TherapyComorbidityComplexConnecticutCoping SkillsDataData ReportingDeveloped CountriesDisease ManagementDistressDropoutDropsEmotionalEthnic OriginFeedbackFreedomGasolineGoalsHealthHealth Services AccessibilityHealthcareHealthcare SystemsHigh PrevalenceHome environmentHourImprove AccessInferiorInterventionLocationLow Back PainMeasuresMedicalMental HealthMeta-AnalysisMethodsMusculoskeletal DiseasesNumeric Rating ScaleOffice VisitsOutcomeOutcome MeasureOutpatientsPainPain intensityPain managementParticipantPatientsPersonsPharmaceutical PreparationsPhysical FunctionPopulationPrevalenceQuality of CareQuality of lifeRaceRandomizedRecommendationRelative (related person)ReportingResearchRoleRural HealthScheduleSiteSymptomsTelephoneTimeTouch sensationTransportationTravelTreatment outcomeVeteransVoiceWorkWorkplacebasechronic painclinically significantcomputerizedcostcost effectivenessdisabilityefficacy testingexperienceflexibilityfollow-uphealth economicshealth related quality of lifeimprovedinnovationoperationprimary outcomepsychologicpsychosocialresponsesatisfactionsecondary outcomesexsocialstandard of caretreatment adherence
项目摘要
The proposed study will test the efficacy of an innovative method, interactive voice response
(IVR), for delivering an empirically validated psychological treatment (cognitive behavior therapy
[CBT]) for chronic low back pain in order to improve accessibility to veterans. IVR is a
computerized interface that allows patients to use their telephone to: 1) obtain pre-recorded
didactic information, 2) report data regarding pain-related symptoms and adherence to pain
coping skill practice, and 3) receive personalized therapist feedback. Although CBT has been
shown to be effective in reducing pain intensity, disability, and affective distress in two meta-
analyses, traditional CBT is time intensive for therapists and requires patients to make frequent
office visits. The use of IVR will allow veterans to access CBT from their home via a touch-tone
telephone, thereby allowing them to access treatment at their convenience without travel to the
VA for an outpatient appointment. Veterans with chronic low back pain will be randomized in
equal numbers to receive either standard CBT or IVR-based CBT. The primary outcome
measure will be pain intensity. Secondary outcome measures will be quality of life and physical
and emotional functioning. Study participants will be evaluated pre-treatment (baseline), 12
weeks post-baseline (post-treatment) and at 3 and 6 months post-baseline (follow-up).
Exploratory objectives of the study are to examine: (1) factors other than clinical outcomes on
which the treatments may differ (drop-out rate, treatment satisfaction, treatment credibility, and
behavioral goal accomplishment); and (2) moderators (e.g., age, sex, race/ethnicity, pain site
location and number, medication use and psychiatric comorbidities) of treatment
engagement and participation, adherence to therapist recommendations for pain coping skill
practice and outcomes.
这项拟议中的研究将测试一种创新方法--交互式语音应答的有效性
(IVR),用于提供经经验验证的心理治疗(认知行为疗法
[CBT]),以改善退伍军人的可及性。IVR是一个
计算机化界面,允许患者使用他们的电话:1)获得预先记录的
教学信息,2)报告有关疼痛相关症状和疼痛依从性的数据
应对技巧练习,3)接受个性化的治疗师反馈。虽然CBT已经
在两个Meta分析中,显示有效降低疼痛强度、残疾和情感困扰,
分析,传统的CBT对治疗师来说是时间密集型的,需要患者经常进行
办公室访问。IVR的使用将允许退伍军人通过按键从家中访问CBT
电话,从而使他们能够在方便时获得治疗,而无需前往
一个门诊预约。患有慢性腰痛的退伍军人将被随机分组,
接受标准CBT或基于IVR的CBT的人数相等。主要结局
疼痛强度将是衡量标准。次要结局指标将是生活质量和身体状况。
和情绪功能。将在治疗前(基线)对研究参与者进行评价,12
基线后(治疗后)以及基线后3个月和6个月(随访)。
本研究的探索性目的是检查:(1)临床结局以外的因素,
治疗可能不同(脱落率,治疗满意度,治疗可信度,
行为目标完成);和(2)调节者(例如,年龄、性别、人种/种族、疼痛部位
地点和数量、药物使用和精神病合并症)
参与和参与,坚持治疗师对疼痛应对技能的建议
实践和成果。
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Perfusion preparation of the rat bladder decellularized scaffold.
- DOI:10.1016/j.reth.2023.09.005
- 发表时间:2023-12
- 期刊:
- 影响因子:4.3
- 作者:Tan, Jiang;Qiu, Guoping;Wang, Maoqi;Yu, Zhuoyuan;Ling, Xinyi;Aremu, John Ogooluwa;Wang, Chunyu;Liu, Hao;Zhang, Aozhou;Yang, Mei;Gao, Fei
- 通讯作者:Gao, Fei
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Alicia Heapy其他文献
Alicia Heapy的其他文献
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{{ truncateString('Alicia Heapy', 18)}}的其他基金
Adapting Web-based CBT to improve adherence and outcome for individuals with opioid use disorder and chronic pain treated with opioid agonists
采用基于网络的 CBT 来提高阿片类药物使用障碍和阿片类药物激动剂治疗慢性疼痛患者的依从性和结果
- 批准号:
10625477 - 财政年份:2022
- 资助金额:
-- - 项目类别:
Adapting Web-based CBT to improve adherence and outcome for individuals with opioid use disorder and chronic pain treated with opioid agonists
采用基于网络的 CBT 来提高阿片类药物使用障碍和阿片类药物激动剂治疗慢性疼痛患者的依从性和结果
- 批准号:
10569775 - 财政年份:2022
- 资助金额:
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Cooperative Pain Education and Self-management: Expanding Treatment for Real-World
合作疼痛教育和自我管理:扩大现实世界的治疗范围
- 批准号:
10015199 - 财政年份:2017
- 资助金额:
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Cooperative Pain Education and Self-management: Expanding Treatment for Real-World
合作疼痛教育和自我管理:扩大现实世界的治疗范围
- 批准号:
10474976 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Cooperative Pain Education and Self-management: Expanding Treatment for Real-World
合作疼痛教育和自我管理:扩大现实世界的治疗范围
- 批准号:
10225516 - 财政年份:2017
- 资助金额:
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Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
使用人工智能和移动健康工具以患者为中心的疼痛护理
- 批准号:
10181034 - 财政年份:2015
- 资助金额:
-- - 项目类别:
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
使用人工智能和移动健康工具以患者为中心的疼痛护理
- 批准号:
10179467 - 财政年份:2015
- 资助金额:
-- - 项目类别:
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
使用人工智能和移动健康工具以患者为中心的疼痛护理
- 批准号:
9145506 - 财政年份:2015
- 资助金额:
-- - 项目类别:
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
使用人工智能和移动健康工具以患者为中心的疼痛护理
- 批准号:
8783061 - 财政年份:2015
- 资助金额:
-- - 项目类别:
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
使用人工智能和移动健康工具以患者为中心的疼痛护理
- 批准号:
10176571 - 财政年份:2015
- 资助金额:
-- - 项目类别:
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