杂志文章%@ 2561-326X %I JMIR出版物%V 6% N 卡塔尔世界杯8强波胆分析10% P 40869 %T一款慢性腰痛管理移动应用程序的评估:前瞻性试点研究%A Browne,Jonathan D %A Vaninetti,Michael %A Giard,David %A Kostas,Konstantinos %A Dave,Ankur + Ascension Illinois, Alexian兄弟医疗中心，Eberle Building, 610套房，800 Biesterfield road, Elk Grove Village, IL, 60007，美国，1 630 379 9815，ankur.dave@ascension.org %K背痛%K慢性疼痛%K移动%K应用%K多学科护理%K生物心理社会%K自我管理%K mHealth %K移动健康%K移动应用%D 2022 %7 13.10.2022 %9原始论文%J JMIR表单Res %G英文%X背景:由于多学科的考虑，慢性下腰痛是具有挑战性的管理。它具有重大的社会经济影响，不能简单地通过药物治疗、非手术干预或脊柱手术来治疗。医学共识建议优化保守的自我管理疗法(如家庭运动、健康策略、瑜伽等)，作为慢性腰痛的一线治疗方案。然而，获得这些模式往往是有限的，次于成本、便利性和易用性。移动健康应用程序已经成为一种具有成本效益和可访问的选择，用于慢性腰痛的自我管理。建立的亲身疼痛程序可以为最佳的移动应用程序适应提供结构。PainNavigator (PainNavigator, Inc)是一个移动应用程序的例子，它是基于Ascension-Illinois基于小组的疼痛计划-疼痛康复门诊-营地。目的:这是一项前瞻性的试点临床试验，评估PainNavigator平台在腰背痛管理中的实用性，为未来的试验开发提供信息。 Methods: A total of 75 participants who used PainNavigator were studied. Pain, Enjoyment, and General Activity (PEG-3) scale scores and scores from a brief anxiety and depression scale based on the Patient Health Questionnaire-4 (PHQ-4) were obtained at baseline and following program completion. The PEG-3 total score was used, in addition to individual items—Average Pain, Pain Effect on Enjoyment, and Pain Effect on Activity. The PHQ-4 total score was also used, in addition to other individual items, including Felt Depressed, Loss of Interest, Felt Anxious, and Difficult to Control Worry. Paired sample t tests (2-tailed) compared mean differences in scores from before and after participants received the intervention. Results: The analysis found that PEG-3 (n=27) and PHQ-4 (n=27) total scores were significantly lower upon the completion of PainNavigator (P<.001 and P=.001, respectively). The findings showed a 36% reduction in PEG-3 total scores, a 40% reduction in pain intensity, and a 40% reduction in PHQ-4 total scores. Scores for individual PEG-3 scale and PHQ-4 items also significantly decreased. All PEG-3 measures had large effect sizes. The PHQ-4 total score and Difficult to Control Worry item had large effect sizes, while the other three measures had medium effect sizes. Conclusions: These findings show that PainNavigator has clinical significance in managing chronic low back pain and can be easily utilized to improve patient care. All PEG-3 scale and PHQ-4 measures significantly improved following the use of the platform, supporting the multidimensional, biopsychosocial approach to low back pain management. Differences in effect sizes may inform quality improvement investigations, such as optimizing features that impact measures with only medium effect sizes. This feasibility study demonstrates an effective protocol, and it will inform future, more extensive randomized controlled trials. %M 36227637 %R 10.2196/40869 %U https://formative.www.mybigtv.com/2022/10/e40869 %U https://doi.org/10.2196/40869 %U http://www.ncbi.nlm.nih.gov/pubmed/36227637