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：
8146990
负责人：
Kimberlee Jean Trudeau
金额：
$ 78.1万
依托单位：
INFLEXXION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-11-01 至 2013-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8146990
关键词：
Address Adult Affect Ankylosing spondylitis Arthritis Awareness Behavior Bone Diseases Characteristics Chronic Disease Clinical Cognition Collaborations Communication Complement Custom Data Degenerative polyarthritis Development Diagnosis Education Exercise Face Frequencies Health Health Personnel Health Professional Healthy People 2010 Individual Internet Intervention Knowledge Learning Left Medical Migraine Neurobehavioral Manifestations Online Systems Outcome Pain Pain management Participant Patients Pharmaceutical Preparations Phase Physicians Production Provider Psoriatic Arthritis Quality of life Randomized Controlled Trials Recommendation Resources Rheumatoid Arthritis Self Assessment Self Efficacy Self Management Site Small Business Innovation Research Grant Social support Societies Symptoms Technology Testing Time United States United States Dept. of Health and Human Services Work Writing arthritis education arthropathies behavior change behavioral health chronic back pain design economic cost efficacy testing experience improved improved functioning meetings painful neuropathy pressure programs public health relevance response satisfaction skills social social cognitive theory symptom management systematic review technological innovation trafficking usability web site

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., specific exercises 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, online pain self- management program for adults who suffer from pain associated with osteoarthritis, rheumatoid arthritis, Ankylosing spondylitis, and other arthritic conditions (e.g., psoriatic arthritis) using principles from Social Cognitive Theory (Bandura, 1977, 1997). This online health intervention, painACTION: Arthritis, will provide clinically reliable information about diagnosis, treatment, and management of arthritis, written for health consumers in a clear and engaging manner to help increase their skills and confidence to use self- management strategies. Moreover, it will be designed to complement and connect to our other SBIR- supported pain online health interventions (chronic back pain, migraine pain, neuropathic pain) to be a more comprehensive resource for those seeking pain management assistance. The most unique aspect of painACTION: Arthritis is that it includes three technological innovations -- a Web 2.0-enabled platform, a Custom Recommendation Engine, and Dynamic Lessons - to help people self manage their arthritis pain. In Phase I we accomplished two important objectives: 1) established the feasibility of painACTION: Arthritis as an intervention and a technical project and 2) generated preliminary plans for the content, design, and technical development of painACTION: Arthritis. In Phase II we will produce the program and test its efficacy. PUBLIC HEALTH RELEVANCE: 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. In 2003, $128 billion was spent on arthritis treatment in the United States alone. During the Phase I project we worked with consultants, people with arthritis pain, health professionals, and technical staff to: a) establish the feasibility of creating an online self management program for people with arthritis pain and b) develop plans for content, design, and features for a fully functional painACTION: Arthritis program. In Phase II, we propose to create painACTION: Arthritis then conduct a study to find out if it helps people with arthritis pain to increase their self management skills and functioning.

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，因为健康提供者的量身定制建议（例如，减轻疼痛的特定练习以减轻疼痛）可以使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群群体，因此是为关节炎患者提供自我管理计划的绝佳工具。我们建议针对患有骨关节炎，类风湿关节炎，强直性脊柱炎和其他关节炎（例如，牛皮癣关节炎）的疼痛的成年人开发互动的在线疼痛自我管理计划，使用社会认知理论（Bandura，1977，1997）。这种在线健康干预措施，疼痛：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健康消费者编写，以帮助提高他们使用自我管理策略的技能和信心。此外，对于那些寻求疼痛管理帮助的人来说，它将旨在补充和连接到我们其他SBIR支持的在线健康干预措施（慢性背痛，偏头痛，神经性疼痛），成为一种更全面的资源。疼痛性最独特的方面：关节炎是其中包括三项技术创新 - 一个支持Web 2.0的平台，一种自定义推荐引擎和动态课程 - 可帮助人们自我管理关节炎的疼痛。在第一阶段，我们实现了两个重要目标：1）确定疼痛性的可行性：关节炎作为一种干预和技术项目，以及2）为疼痛的内容，设计和技术开发产生了初步计划：关节炎。在第二阶段，我们将制定该程序并测试其功效。公共卫生相关性：美国每5名成年人之一（4640万人）目前患有关节炎，预计该数字在未来20年内将继续增长到6700万。 2003年，仅在美国，就花费了1,280亿美元用于关节炎治疗。在第一阶段项目中，我们与顾问，关节炎疼痛，卫生专业人员和技术人员一起工作：a）建立为关节炎疼痛和患有关节炎疼痛的人创建在线自我管理计划的可行性，b）为全功能功能性疼痛制定内容，设计和功能：关节炎计划。在第二阶段，我们建议创造疼痛性：关节炎然后进行一项研究，以找出它是否有助于关节炎疼痛的人提高其自我管理技能和功能。