Progressive Muscle Relaxation for Chronic Pain in an Acute Care Setting

渐进式肌肉放松治疗急性护理环境中的慢性疼痛

基本信息

批准号：
10648574
负责人：
Mia Minen
金额：
$ 5.4万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-01-12 至 2023-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10648574
关键词：
Accident and Emergency department Acute Pain Adherence Adverse effects Advisory Committees Affect American Analgesics Area Behavior Behavioral Research Cellular Phone Characteristics Chronic Care Chronic disabling pain Clinical Clinical Investigator Clinical Research Clinical Trials Comparative Effectiveness Research Complementary Health Data Discharge Plannings Emergency Medicine Emergency department visit Epilepsy Evidence based intervention Feedback Foundations Frequencies Funding Future Goals Headache Health Services Integrative Medicine Interdisciplinary Study Intervention Intervention Studies Interview Measures Medical Medical center Medicine Mental Depression Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methodology Methods Migraine Mind-Body Intervention Monitor Muscle relaxation phase New York Nutraceutical Outcome Pain Pain Research Pain management Pain-Free Participant Patients Pharmaceutical Preparations Physicians Prevention Process Provider Psychologist Public Health Qualitative Methods Questionnaires Randomized Randomized Clinical Trials Relaxation Reporting Research Research Design Research Methodology Research Personnel Research Training Science Self Efficacy Self Management Standardization Stress Symptoms Techniques Technology Testing Training Translating United States Universities Variant Visit World Health Organization acceptability and feasibility acute care arm base body-mind chronic pain chronic pain patient chronic painful condition demographics diaries disability effective intervention efficacy evaluation evidence base experience follow-up health care service utilization improved intervention program knowledge base mHealth medical specialties migraine treatment non-opioid analgesic novel pain self-management population health prevent primary care setting primary outcome prototype randomized controlled study recruit research study satisfaction secondary outcome skills sleep quality smartphone Application standard of care statistics therapy development treatment as usual treatment planning trend usability usual care arm

项目摘要

PROJECT SUMMARY/ABSTRACT The overall goals of this proposed project are 1) to develop Dr. Mia Minen into a pain researcher in integrative and complementary health with skills to conduct independent multidisciplinary research; and 2) to conduct a clinical research study to assess the feasibility and acceptability of a relaxation intervention for migraine patients who present to the emergency department (ED). Dr. Minen will develop and advance her knowledge base, experience, and skills in 5 key areas through mentored training: 1) Mind-body intervention (MBI) techniques; 2) Advanced research methods (in health services, clinical trials, and mobile health strategies); 3) Emergency medicine pain research methodology and responsible conduct; 4) New research design frameworks; and 5) Prevention science, program intervention development, and comparative effectiveness research. The long-term goal of the research training is to be able to independently develop, assess, refine, and compare novel and existing evidence-based MBIs for migraine patients across medical specialties, with a special focus on the emergency medicine and primary care settings. In addition, the purpose of the training is to gain advanced skills to study the MBIs alone and in combination with nutraceuticals and medications. The research proposed in this K23 application is important to understanding how evidence-based MBIs can be made more accessible for chronic pain patients in the acute care setting. It helps to set the framework for translating evidence-based MBIs into use in other medical settings. Migraine, the chronic pain condition being used as an example for study, is a significant public health issue. Migraine affects over 30 million Americans, and it is considered to be one of the most disabling conditions. It is responsible for a substantial number of the five million headache visits/year to US EDs. The purpose of this research is to study use of progressive muscle relaxation, a MBI, in patients with migraine who present to the emergency department. During the study, we will use patient feedback to optimize the smartphone application (app) RELAXaHEAD, an app with PMR and a daily headache diary. We will then conduct a feasibility and acceptability study of the RELAX approach (use of RELAXaHEAD and abortive migraine pain medication). The results of this research will inform a future R01 application to conduct a large-scale trial of MBI for migraine patients who present to the ED. The proposed research and training will be conducted at New York University Langone Medical Center's ED. Dr. Minen's mentorship and advisory team includes an interdisciplinary team with experts in MBI and behavioral research, mobile health, headache medicine, emergency medicine, qualitative and mixed methods research, population health, and statistics. The proposed research and training plans will provide a strong foundation for Dr. Minen as an independently funded clinical investigator dedicated to using MBIs alone and in combination with nutraceuticals and medications to improve the care of chronic pain patients in the acute care setting.

项目摘要/摘要该拟议项目的总体目标是1）将Mia Minen博士发展成综合性研究人员以及与进行独立多学科研究的技能的互补健康； 2）进行临床研究，以评估偏头痛放松干预的可行性和可接受性出席急诊科（ED）的患者。 Minen博士将发展并提高她的知识通过指导培训在5个关键领域的基础，经验和技能：1）心身干预（MBI）技术； 2）高级研究方法（在卫生服务，临床试验和移动健康策略中）； 3）急诊医学疼痛研究方法和负责任的行为； 4）新研究设计框架； 5）预防科学，计划干预发展和比较效率研究。研究培训的长期目标是能够独立开发，评估，完善，并比较了医学专业的偏头痛患者的新颖和现有的基于证据的MBI，特别关注急诊医学和初级保健环境。此外，培训的目的是获得高级技能，独自研究MBI并与营养和药物结合使用。这在此K23应用中提出的研究对于了解如何基于证据的MBI是重要的在急性护理环境中，慢性疼痛患者更容易获得。它有助于设置框架将基于证据的MBI转换为其他医疗环境。偏头痛，慢性疼痛状况是用作研究的例子，是一个重大的公共卫生问题。偏头痛影响超过3000万美国人，它被认为是最残疾的条件之一。它负责大量美国EDS/年五百万个头痛访问。这项研究的目的是研究渐进肌肉的使用放松，MBI，偏头痛患者出席急诊室。在研究期间，我们将使用患者反馈来优化智能手机应用程序（APP）slayahead，一个带有PMR和A的应用程序每日头痛日记。然后，我们将对放松方法进行可行性和可接受性研究（使用 LASEAHEAD和流产的偏头痛止痛药）。这项研究的结果将为未来的R01提供信息针对出现在ED的偏头痛患者进行的MBI大规模试验的应用。提议研究和培训将在纽约大学兰尼医学中心的编辑中进行。 Minen博士指导和咨询团队包括一个跨学科团队，由MBI和行为研究专家，移动健康，头痛医学，急诊医学，定性和混合方法研究，人口健康和统计。拟议的研究和培训计划将为Minen博士提供坚实的基础作为一名独立资助的临床研究者，致力于单独使用MBI并结合使用在急性护理环境中改善慢性疼痛患者护理的营养素和药物。

项目成果

期刊论文数量（48）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Introduction of a smartphone based behavioral intervention for migraine in the emergency department.

DOI：
10.1016/j.genhosppsych.2020.12.009
发表时间：
2021-03
期刊：
General hospital psychiatry
影响因子：
7
作者：
Minen MT;Friedman BW;Adhikari S;Corner S;Powers SW;Seng EK;Grudzen C;Lipton RB
通讯作者：
Lipton RB

Heartrate variability biofeedback for migraine using a smartphone application and sensor: A randomized controlled trial.

DOI：
10.1016/j.genhosppsych.2020.12.008
发表时间：
2021-03
期刊：
General hospital psychiatry
影响因子：
7
作者：
Minen MT;Corner S;Berk T;Levitan V;Friedman S;Adhikari S;Seng EB
通讯作者：
Seng EB

Underuse of Behavioral Treatments for Headache: a Narrative Review Examining Societal and Cultural Factors.

DOI：
10.1007/s11606-020-06539-x
发表时间：
2021-10
期刊：
Journal of general internal medicine
影响因子：
5.7
作者：
Langenbahn D;Matsuzawa Y;Lee YSC;Fraser F;Penzien DB;Simon NM;Lipton RB;Minen MT
通讯作者：
Minen MT

The role of urgent care centers in headache management: a quality improvement project.

DOI：
10.1186/s12913-021-07457-2
发表时间：
2022-02-08
期刊：
BMC health services research
影响因子：
2.8
作者：
Minen MT;Khanns D;Guiracocha J;Ehrlich A;Khan FA;Ali AS;Birlea M;Singh NN;Peretz A;Larry Charleston IV
通讯作者：
Larry Charleston IV

Smartphone based behavioral therapy for pain in multiple sclerosis (MS) patients: A feasibility acceptability randomized controlled study for the treatment of comorbid migraine and ms pain.