TY -的盟Martorella,杰拉尔丁盟——Boitor Madalina盟——Berube梅勒妮盟——弗雷德里克斯苏珊娜AU - Le,西尔维盟——吉席琳PY - 2017 DA - 2017/11/10 TI -定制的基于web的干预疼痛:系统回顾和荟萃分析乔- J地中海互联网Res SP - e385六世- 19 - 11 KW -网络干预KW -定制的干预KW -疼痛管理KW -慢性疼痛KW -急性疼痛千瓦审查KW -系统回顾KW -荟萃分析AB -背景:在过去十年中，强调疼痛管理重要性的努力成倍增加。对于急性和慢性疼痛管理，各种障碍产生了相当大的治疗可及性问题，因此提供了实施替代干预格式的机会。最近对基于web的干预措施进行了一些系统的综述，其中主要强调慢性疼痛和认知行为疗法，以探索这些干预措施对疼痛管理的影响。然而，据我们所知，针对疼痛管理的基于web的干预措施的具体贡献尚未被描述，其对疼痛的效果也尚未被评估。目的:本系统综述的主要目的是回答以下研究问题:与常规护理、面对面干预和标准化的网络干预相比，成人定制的网络疼痛管理干预对疼痛强度的影响是什么?第二个目的是检查这些干预对身体和心理功能的影响。方法:我们对2000年1月至2015年12月发表的文章进行了系统的综述。我们使用DerSimonian-Laird随机效应模型，95%置信区间计算所有分析的效应估计。我们从提取的平均值和标准差计算标准化的平均值差异，结果变量在不同的连续尺度上测量。我们评估了5种不同的结果:疼痛强度(主要结果)、疼痛相关残疾、焦虑、抑郁和疼痛灾难化。 We assessed effects according to 3 time intervals: short term (<1 month), medium term (1-6 months), and long term (6-12 months). Results: After full-text review, we excluded 31 articles, resulting in 17 eligible studies. Only 1 study concerned acute pain and was removed from the meta-analysis, resulting in 16 studies available for quantitative assessment. Compared with standard care or a waiting list, tailored Web-based intervention showed benefits immediately after, with small effect sizes (<0.40) for pain intensity (10 randomized controlled trials [RCTs], n=1310, P=.003) and pain-related disability (6 RCTs, n=953, P<.001). No other improvements were observed at follow-up in the medium and long terms. Compared with the active control group, no improvements were found for the primary outcome (pain intensity) or any of the outcomes except for a small effect size on pain catastrophizing (2 RCTs, n=333, P<.001) immediately after the intervention. Conclusions: Tailored Web-based interventions did not prove to be more efficacious than standardized Web-based interventions in terms of pain intensity, pain-related disability, anxiety, and depression. An interesting finding was that some efficacy was shown on pain catastrophizing compared with active control interventions. Considering the diversity of approaches used in tailored Web-based interventions for chronic pain management, their efficacy is yet to be explored. Moreover, their contribution to acute pain management is embryonic. Trial Registration: International prospective register of systematic reviews (PROSPERO): CRD42015027669; http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42015027669 (Archived by WebCite at http://www. webcitation.org/6uneWAuyR) SN - 1438-8871 UR - //www.mybigtv.com/2017/11/e385/ UR - https://doi.org/10.2196/jmir.8826 UR - http://www.ncbi.nlm.nih.gov/pubmed/29127076 DO - 10.2196/jmir.8826 ID - info:doi/10.2196/jmir.8826 ER -