@Article{信息:doi 10.2196 / / jmir。3130，作者=“Irvine, A Blair和Russell, Holly和Manocchia, Michael和Mino, David E和Cox Glassen, Terri和Morgan, Rebecca和Gau, Jeff M和Birney, Amelia J和Ary, Dennis V”，标题=“移动web应用程序来自我管理腰痛:随机对照试验”，期刊=“J医学互联网研究”，年=“2015”，月=“Jan”，日=“02”，卷=“17”，数=“1”，页数=“e1”，关键词=“腰痛;互联网;移动;应用程序;电脑;预防;背景:非特异性腰痛(NLBP)是对没有潜在医学原因(如肿瘤、感染、骨折、椎间盘突出、椎管狭窄)的腰痛患者的诊断。美国医师学会(ACP)和美国疼痛学会(APS)建议对NLBP进行持续4周以上的多学科治疗。然而，这种方法对许多医生来说是不切实际的，而且相对较少的提供者提供符合ACP-APS联合指南的NLBP治疗。 Objective: This study evaluated the efficacy of a mobile-Web intervention called ``FitBack'' to help users implement self-tailored strategies to manage and prevent NLBP occurrences. Methods: A total of 597 adults were recruited, screened, consented, and assessed online at baseline, at 2 months (T2), and at 4 months (T3). After baseline assessments, participants were randomized into three groups: FitBack intervention, alternative care group that received 8 emails urging participants to link to six Internet resources for NLBP, and control group. The FitBack group also received weekly email reminder prompts for 8 weeks plus emails to do assessments. The control group was only contacted to do assessments. Results: Users of the FitBack program showed greater improvement compared to the control group in every comparison of the critical physical, behavioral, and worksite outcome measures at 4-month follow-up. In addition, users of the FitBack program performed better than the alternative care group on current back pain, behavioral, and worksite outcomes at 4-month follow-up. For example, subjects in the control group were 1.7 times more likely to report current back pain than subjects in the FitBack group; subjects in the alternative care group were 1.6 times more likely to report current back pain at 4-month follow-up. Further, the users of the FitBack program showed greater improvement compared to both the control and alternative care groups at 4-month follow-up on patient activation, constructs of the Theory of Planned Behavior, and attitudes toward pain. Conclusions: This research demonstrated that a theoretically based stand-alone mobile-Web intervention that tailors content to users' preferences and interests can be an effective tool in self-management of low back pain. When viewed from the RE-AIM perspective (ie, reach, efficacy/effectiveness, adoption, implementation fidelity, and maintenance), this study supports the notion that there is considerable value in this type of intervention as a potentially cost-effective tool that can reach large numbers of people. The results are promising considering that the FitBack intervention was neither supported by professional caregivers nor integrated within a health promotion campaign, which might have provided additional support for participants. Still, more research is needed on how self-guided mobile-Web interventions will be used over time and to understand factors associated with continuing user engagement. Trial Registration: Clinicaltrials.gov NCT01950091; http://clinicaltrials.gov/ct2/show/NCT01950091 (Archived by WebCite at http://www.webcitation.org/6TwZucX77). ", issn="1438-8871", doi="10.2196/jmir.3130", url="//www.mybigtv.com/2015/1/e1/", url="https://doi.org/10.2196/jmir.3130", url="http://www.ncbi.nlm.nih.gov/pubmed/25565416" }