在初级保健中通过互联网干预腰部疼痛来支持自我管理:一个RCT (SupportBack 2)
Adam W A Geraghty1, Taeko Becque1, Lisa C Roberts2
1Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Health technology assessment (Winchester, England)
|April 15, 2025
概括
对腰部疼痛的互联网干预措施在12个月内没有显著减少残疾. 然而,这些数字健康工具是安全的,并显示了管理背痛的潜在成本效益.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 肌肉骨健康 肌肉骨健康
- 卫生技术评估 卫生技术评估
背景情况:
- 腰部疼痛 (LBP) 是一种普遍的疾病,导致严重的残疾.
- 通过互联网提供的干预措施为LBP自我管理提供了可扩展的解决方案.
- 需要证据来证明LBP可访问的在线支持的有效性.
研究的目的:
- 评估LBP的互联网干预措施的临床和成本效益.
- 为了比较单独的互联网干预与物理治疗师的支持与常规护理.
- 评估12个月内对腰部疼痛相关残疾的影响.
主要方法:
- 一个多中心,务实的,三臂随机对照试验.
- 参与者接受了通常的护理,通常的护理 + 互联网干预,或通常的护理 + 互联网干预 + 电话支持.
- 主要结果:罗兰-莫里斯残疾调查问卷;使用经过质量调整的寿命年进行经济评估.
主要成果:
- 无论互联网干预组与通常护理相比,在12个月内,与LBP相关的残疾没有统计显著的减少.
- 干预措施被发现是安全的,没有报告严重的不良事件.
- 经济分析表明,这两种干预措施都可能具有成本效益,联合干预措施占据了通常护理的优势.
结论:
- 对LBP的互联网干预,有或没有理疗师的支持,并没有显著改善残疾的结果.
- 数字干预表明了安全性和潜在的成本效益.
- 平衡临床结果,成本效益和可访问性对于实施至关重要.
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