数字认知行为疗法与治疗状细胞病的成年人的疼痛教育
Charles R Jonassaint1, Christina M Lalama1, C Patrick Carroll2
1Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Blood advances
|October 7, 2024
概括
数字认知行为疗法 (CBT) 和数字教育计划在状细胞疾病 (SCD) 疼痛干扰方面显示出类似的改善. 健康指导的参与度很高,但数字组件的使用不同,这可能解释了这个多样化的人口中可比结果.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 疼痛管理 疼痛管理
- 状细胞疾病研究研究.
背景情况:
- 对状细胞疾病 (SCD) 慢性疼痛的非药物治疗方法有限.
- 数字认知行为疗法 (CBT) 和教育计划提供了潜在的管理策略.
研究的目的:
- 将数字CBT与数字SCD教育计划进行比较,用于管理患有SCD的成年人的慢性疼痛.
- 评估这些干预措施对疼痛干扰,强度,抑郁,焦虑,生活质量和自我效能的影响.
主要方法:
- 一个多站点随机试验,涉及359名患有SCD相关慢性疼痛的成年人.
- 参与者接受了数字CBT或数字教育12周,包括基于应用程序的课程和健康教练支持.
- 主要结局是六个月后疼痛干扰的变化.
主要成果:
- 两组都在疼痛干扰方面表现出显著的组内改善.
- 对于疼痛干扰或二次结果 (疼痛强度,抑郁,焦虑,生活质量) 没有发现显著的群体间差异.
- 与健康指导的高参与度 (80%) 与可变的聊天机器人课程完成率 (48%) 相比.
结论:
- 数字CBT和数字教育在这个多样化的SCD人群中产生了类似的疼痛管理结果.
- 健康指导的参与可能是关键因素,而数字组件的变化可能会影响结果.
- 需要进一步的研究来优化SCD慢性疼痛的数字干预措施.
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