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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
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Tailored Web-Based Interventions for Pain: Systematic Review and Meta-Analysis.

Geraldine Martorella1,2,3, Madalina Boitor4, Melanie Berube4,5,6

  • 1College of Nursing, Florida State University, Tallahassee, FL, United States.

Journal of Medical Internet Research
|November 12, 2017
PubMed
Summary

Tailored web-based pain management interventions show immediate benefits for pain intensity and disability compared to usual care. However, long-term effects and superiority over standardized interventions require further exploration.

Keywords:
Web-based interventionacute painchronic painmeta-analysispain managementreviewsystematic reviewtailored intervention

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Area of Science:

  • Digital Health
  • Pain Management
  • Evidence-Based Medicine

Background:

  • Growing emphasis on pain management highlights treatment accessibility barriers.
  • Web-based interventions, particularly for chronic pain and cognitive behavioral therapy, are increasingly studied.
  • The specific impact of tailored web-based pain management interventions remains underexplored.

Purpose of the Study:

  • To evaluate the effect of tailored web-based pain management interventions on adults' pain intensity.
  • To compare these interventions against usual care, face-to-face interventions, and standardized web-based interventions.
  • To examine effects on physical and psychological functions.

Main Methods:

  • Systematic review of studies published between January 2000 and December 2015.
  • Meta-analysis using DerSimonian-Laird random effects models and standardized mean differences.
  • Assessment of pain intensity, disability, anxiety, depression, and pain catastrophizing at short, medium, and long-term intervals.

Main Results:

  • Tailored web-based interventions demonstrated immediate small effect sizes for pain intensity and disability versus usual care.
  • No significant improvements were observed at medium or long-term follow-ups.
  • A small effect on pain catastrophizing was noted compared to active controls, but not for pain intensity.

Conclusions:

  • Tailored web-based interventions are not more effective than standardized ones for pain intensity, disability, anxiety, or depression.
  • Efficacy on pain catastrophizing warrants further investigation.
  • The role of tailored interventions in acute pain management is nascent.