TY -的AU -欧文,布莱尔盟——罗素,冬青盟——Manocchia迈克尔AU -米诺,大卫·E AU -考克斯Glassen特里非盟-摩根,丽贝卡AU -高斯,杰夫,M AU -伯尼阿米莉亚J AU - Ary,丹尼斯·V PY - 2015 DA - 2015/01/02 TI -移动web应用自主下腰痛:随机对照试验乔- J地中海互联网Res SP - e1六世- 17 - 1 KW -下腰痛KW -互联网KW -移动KW - App KW -电脑KW -预防KW -自我AB -背景:非特异性腰痛(NLBP)是指没有潜在医学原因(如肿瘤、感染、骨折、椎间盘突出、椎管狭窄)的腰痛。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。目的:本研究评估了名为“FitBack”的移动网络干预的有效性，帮助用户实施自定义策略来管理和预防NLBP的发生。方法:共有597名成年人被招募、筛选、同意，并在基线、2个月(T2)和4个月(T3)时在线评估。在基线评估后，参与者被随机分为三组:FitBack干预组、替代护理组(收到8封电子邮件，敦促参与者链接到NLBP的6个互联网资源)和对照组。FitBack组还在8周内每周收到电子邮件提醒提示，以及进行评估的电子邮件。对照组只被联系做评估。结果:在4个月的随访中，与对照组相比，FitBack项目的用户在关键的身体、行为和工作场所结果测量的每一项比较中都有更大的改善。 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). SN - 1438-8871 UR - //www.mybigtv.com/2015/1/e1/ UR - https://doi.org/10.2196/jmir.3130 UR - http://www.ncbi.nlm.nih.gov/pubmed/25565416 DO - 10.2196/jmir.3130 ID - info:doi/10.2196/jmir.3130 ER -