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Mobile Application-Based Interventions for Chronic Pain Patients: A Systematic Review and Meta-Analysis of Effectiveness

机译:基于移动应用的慢性疼痛患者的干预措施:有效性的系统审查和荟萃分析

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摘要

Chronic pain is one of the major causes of disability in the general population. Even though there are effective treatment options available for reducing symptoms, these treatments often do not have consistent lasting effects. As the usage of mobile devices has increased enormously during the last few years, mobile application-based treatment options are widespread. Such app-based programs are not yet empirically proven but might enable patients to become more independent in their pain management in order to prevent relapse. The aim of this meta-analysis was to summarize the literature on mobile application-based interventions for chronic pain patients. Therefore, three electronic bibliographic databases, PubMed, PsycINFO, and Web of Science, were searched for studies that investigated the effectiveness of mobile application-based intervention for chronic pain on pain intensity. The final sample comprised twenty-two studies, with a total of 4679 individuals. Twelve of these twenty-two studies used a randomized control trial (RCT) design, while ten studies only used an observational design. For all twenty-two studies, a small but significant effect (d = −0.40) was found when compared to baseline measures or control groups. The results suggest that apps-based treatment can be helpful in reducing pain, especially in the long-term.
机译:慢性痛是一般人群残疾的主要原因之一。尽管有有效的治疗方案可用于减少症状,但这些治疗通常不会产生一致的持久效果。随着移动设备的使用在过去几年中,移动应用程序的治疗选项非常普遍。这些基于应用程序的计划尚未经验证明,但可能使患者能够在止痛管理中变得更加独立,以防止复发。该荟萃分析的目的是总结了慢性疼痛患者的基于移动应用的干预措施的文献。因此,搜索了三个电子书目数据库,PubMed,Psycinfo和科学网,研究了研究了基于移动应用的干预的慢性疼痛对疼痛强度的慢性疼痛的有效性的研究。最终样品组成二十两项研究,共有4679个个体。这两项研究的十二例使用了随机控制试验(RCT)设计,而十项研究仅使用了观测设计。对于所有二十两项研究,与基线措施或对照组相比,发现了小但显着的效果(d = -0.40)。结果表明,基于应用的治疗可能有助于减少疼痛,特别是长期。

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