%0期刊文章%@ 1438- 8871% I JMIR出版物%V 18卡塔尔世界杯8强波胆分析% N 7% P e139% T基于网络的慢性背部疼痛干预:A Garg,Shashank %A Garg,Divya %A Turin,Tanvir C %A Chowdhury,M Faruq +卡尔加里大学家庭医学系G012室，健康科学中心，3330医院西北路，卡尔加里，AB, T2N 4N1，加拿大，1 403 210 7199，sgarg@ucalgary.ca %K互联网%K慢性背痛%K网络干预%K系统回顾%K认知行为疗法%K赋权%K残疾%D 2016 %7 26.07.2016 %9回顾%J J医学互联网Res %G英语%X背景:慢性下腰痛是向医生办公室提出的最常见的投诉之一。治疗往往具有挑战性，康复取决于各种因素，往往导致大量的时间和资源投资。目的:本综述的目的是确定哪些针对慢性腰痛的网络干预措施对患者有益。方法:随机对照试验(rct)研究了针对成人慢性腰痛的网络干预。排除回顾性研究、叙述性回顾、非随机试验和观察性研究。对电子数据库和书目进行了检索。结果:总共确定了9个独特的rct(总参与者=1796)。每次试验随机抽取的患者数量在51到580之间。 Four trials studied online cognitive behavioral therapy (CBT) and five trials studied other Web-based interventions with interactive features. Empowerment/control was improved in six studies. Use of CBT was associated with reduced catastrophization among patients. Mixed results were reported with regards to reduction in pain levels and disability, although some studies showed promise in reducing disability in the short term. One study that measured health care utilization reported reduced utilization with the use of moderated email discussion. Conclusions: Limited data are available regarding effective Web-based interventions to improve outcomes for patients with chronic low back pain. Nine RCTs with small sample sizes were identified in this review. Online CBT appears to show some promise in terms of reducing catastrophization and improving patient attitudes. Further research in this area with larger-scale studies focusing on appropriate outcomes appears to be a priority. %M 27460413 %R 10.2196/jmir.4932 %U //www.mybigtv.com/2016/7/e139/ %U https://doi.org/10.2196/jmir.4932 %U http://www.ncbi.nlm.nih.gov/pubmed/27460413