TY -的盟Garg Shashank AU - Garg迪盟——都灵,坦维尔C盟——Chowdhury M Faruq U PY - 2016 DA - 2016/07/26 TI -网络干预慢性背痛:系统回顾乔- J地中海互联网Res SP - e139六世- 18 - 7 KW -互联网KW -慢性背痛KW -基于web的干预千瓦系统回顾KW -认知行为疗法KW -赋权KW -残疾AB -背景:慢性腰痛是医生办公室最常见的投诉之一。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。四项试验研究了在线认知行为疗法(CBT)，五项试验研究了其他具有交互功能的基于网络的干预措施。 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. SN - 1438-8871 UR - //www.mybigtv.com/2016/7/e139/ UR - https://doi.org/10.2196/jmir.4932 UR - http://www.ncbi.nlm.nih.gov/pubmed/27460413 DO - 10.2196/jmir.4932 ID - info:doi/10.2196/jmir.4932 ER -