TY - JOUR AU - Ziadni, Maisa S AU - gonzez - castro, Lluvia AU - Anderson, Steven AU - Krishnamurthy, Parthasarathy AU - Darnall, Beth D PY - 2021 DA - 2021/9/10 TI -单疗程“授权缓解”放大提供的团体干预对慢性疼痛的疗效:JO - J Med Internet Res SP - e29672 VL - 23 IS - 9 KW -单次KW -增强缓解KW -放大传递KW -疼痛灾难KW -疼痛强度KW -随机对照试验KW -慢性疼痛AB -背景:认知行为疼痛疗法是一种基于证据的慢性疼痛治疗方法，这种慢性疼痛可能会给患者带来巨大负担，包括医疗保健费用、旅行、多次治疗以及在偏远地区缺乏途径。目的:本研究旨在试点测试单疗程视频会议提供赋权缓解(ER)干预与等待列表控制(WLC)条件在慢性疼痛个体中的有效性。我们假设，在治疗后1-3个月，ER在减轻疼痛的严重性、疼痛强度和其他疼痛相关结果方面优于WLC。方法:我们进行了一项随机对照试验，包括基于网络的18-80岁自我报告慢性疼痛的成人样本(N=104)。受试者随机(1:1)分为2个非盲法研究组:ER(50/104, 48.1%)和WLC(54/104, 51.9%)。分配到急诊室的参与者完成了zoom交付的课程，所有参与者在治疗后2周和1、2、3个月完成了随访调查。所有的研究过程都是通过远程和电子方式进行的。主要转归为治疗后1个月的疼痛灾变，次要转归为疼痛强度、疼痛烦扰程度和睡眠中断。 We also report a more rigorous test of the durability of treatment effects at 3 months posttreatment. Data were collected from September 2020 to February 2021 and analyzed using intention-to-treat analysis. The analytic data set included participants (18/101, 17.8% clinic patients; 83/101, 82.1% community) who completed at least one study survey: ER (50/101, 49.5%) and WLC (51/104, 49%). Results: Participants (N=101) were 69.3% (70/101) female, with a mean age of 49.76 years (SD 13.90; range 24-78); 32.7% (33/101) had an undergraduate degree and self-reported chronic pain for 3 months. Participants reported high engagement (47/50, 94%), high satisfaction with ER (mean 8.26, SD 1.57; range 0-10), and high satisfaction with the Zoom platform (46/50, 92%). For the between-groups factor, ER was superior to WLC for all primary and secondary outcomes at 3 months posttreatment (highest P<.001), and between-groups Cohen d effect sizes ranged from 0.45 to 0.79, indicating that the superiority was of moderate to substantial clinical importance. At 3 months, clinically meaningful pain catastrophizing scale (PCS) reductions were found for ER but not for WLC (ER: PCS −8.72, 42.25% reduction; WLC: PCS −2.25, 11.13% reduction). ER resulted in significant improvements in pain intensity, sleep disturbance, and clinical improvements in pain bothersomeness. Conclusions: Zoom-delivered ER had high participant satisfaction and very high engagement. Among adults with chronic pain, this single-session, Zoom-delivered, skills-based pain class resulted in clinically significant improvement across a range of pain-related outcomes that was sustained at 3 months. Web-based delivery of ER could allow greater accessibility of home-based pain treatment and could address the inconveniences and barriers faced by patients when attempting to receive in-person care. Trial Registration: ClinicalTrials.gov NCT04546685; https://clinicaltrials.gov/ct2/show/NCT04546685 SN - 1438-8871 UR - //www.mybigtv.com/2021/9/e29672 UR - https://doi.org/10.2196/29672 UR - http://www.ncbi.nlm.nih.gov/pubmed/34505832 DO - 10.2196/29672 ID - info:doi/10.2196/29672 ER -