Pain Management Electronic Calendar: Phase II

描述(申请人提供)：慢性疼痛是一种代价高昂的综合症，会影响到人的功能的方方面面。它占急诊室就诊的21%，占每年错过工作日的25%，考虑到直接和间接的成本，它带来的经济负担比任何其他疾病都要大，据估计，每年的成本总计高达1000亿美元。疼痛是促使个人寻求医疗关注的主要症状，但尽管它很普遍，它仍然是一个难以治疗的疾病，也是一个难以通过客观测量技术捕捉到的概念。 此应用程序的目标是最终确定和评估一个可定制的电子疼痛软件程序，供医生及其患者监控慢性疼痛的关键方面，包括疼痛强度、情绪、活动水平和用药情况。这项拟议研究的重要创新特征是：1)开发相关图表来绘制疼痛强度和其他因素；2)全面的疼痛身体地图，以绘制随时间变化的疼痛位置；以及3)临床无线传输数据，以便实时访问。可通过相关网站查阅反映所输入数据结果的图表。该网站还将包括有关疼痛管理的信息。 这一第二阶段SBIR的总体目标是最终确定并严格测试慢性疼痛软件程序，并开发一个相关网站，供医生和患者查看图表显示的疼痛数据和患者教育信息。为了实现我们的总体目标，我们提出以下建议：1)完成复杂的编程和严格的Beta测试电子日记；2)完成网站的开发，参与者和医生可以在该网站上查看日记数据并下载有关慢性疼痛管理的信息；以及3)在临床环境中对最终软件进行评估。评估的重点将是确定该软件是否提高了患者对治疗的满意度，并帮助医生和患者随着时间的推移更有效地管理慢性疼痛。

DESCRIPTION (provided by applicant): Chronic pain is a costly syndrome that influences every aspect of a person's functioning. It accounts for 21 percent of emergency room visits and 25 percent of annual missed work days and, when considering direct and indirect costs, imposes a greater economic burden than any other disease, with estimates of annual costs adding up to $100 billion. Pain is the primary symptom that prompts individuals to seek medical attention, but despite its prevalence, it remains a stubborn condition to treat and a difficult concept to capture by objective measurement techniques. The objective of this application is to finalize and evaluate a customizable electronic pain software program for physicians and their patients to monitor key aspects of chronic pain including pain intensity, mood, activity level, and medication use. Significant innovative features of this proposed research are: 1) the development of associated graphs to chart pain intensity and other factors; 2) a comprehensive Pain Body Map to chart pain location over time; and 3) In-clinic wireless transmission of data for real-time access. Charts reflecting results of the data entered will be accessible via an associated website. The site will also include information on pain management. The overall aim of this Phase II SBIR is to finalize and rigorously test a chronic pain software program and develop an associated website for doctors and patients to view charted pain data and patient education information. To achieve our overall objective, we propose the following: 1) to complete complex programming and rigorously beta test the electronic diary; 2) to complete development of a website where participants and physicians can review diary data and download information on chronic pain management; and 3) to evaluate the final software in a clinic setting. The focus of the evaluation will be to determine whether this software improves patient satisfaction with treatment and assists physicians and patients to manage chronic pain more effectively over time.