在慢性疼痛中指导数字自我管理干预的实施框架:范围审查
R de la Vega1,2, S L Bartels3,4, R W Wicksell3,5
1Faculty of Psychology, University of Málaga, Málaga, Spain.
European journal of pain (London, England)
|March 14, 2024
概括
慢性疼痛的数字自我管理干预措施显示出有前途. 本审查审查了用于指导和评估这些创新的实施框架,旨在改善获得基于证据的护理的机会.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 慢性疼痛管理 慢性疼痛管理
- 实施科学 实施科学
背景情况:
- 慢性疼痛的数字自我管理干预正在迅速发展.
- 虽然有希望,但它们的开发,评估和实施过程并未得到充分理解.
- 了解这些过程对于将其有效地转化为实践至关重要.
研究的目的:
- 系统地审查并提供实施框架的全面概述.
- 确定用于指导和评估慢性疼痛数字干预的科学创新的框架.
- 评估这些框架如何构建开发,评估和实施.
主要方法:
- 在四个文献数据库 (Medline, Web of Science, PsycInfo, CINAHL) 和两个注册表 (PubMed Central, MedaRxiv) 中进行系统搜索.
- 选6830个搜索结果和由两个独立评论员对351篇文章进行全文审查.
- 10篇同行评审文章的叙述综合,符合纳入标准.
主要成果:
- 确定了10项研究,报告了7种不同的数字干预措施.
- 使用了五个实施框架:使用技术的行为干预 (BIT),实施研究综合框架 (CFIR),mHealth敏捷和以用户为中心的研究和开发生命周期,医学研究委员会 (MRC) 和覆盖范围,有效性,采用实施和维护 (RE-AIM).
- 使用混合方法运行框架,在各种研究设计中评估个人和组织层面的干预措施.
结论:
- 实施框架可能会增加获得基于证据的慢性疼痛护理的机会.
- 关于这些框架对数字自我管理干预措施的有用性的证据仍在出现,但越来越多.
- 未来的研究应该透明地运行,沟通和讨论创新过程,以提高可复制性和影响力.
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