应用程序和互联网提供的头痛干预措施的叙事审查:从构想到实施以及未来的未来
Anker Stubberud1,2, Mattias Linde1,3, Erling Tronvik1,2,4
1NorHead Norwegian Centre for Headache Research, NTNU Norwegian University of Science and Technology, Trondheim, Norway.
Cephalalgia : an international journal of headache
|June 11, 2025
概括
基于互联网和应用程序的头痛干预措施显示出混合的结果,护理协调和坚持似乎是可行的. 开发这些数字健康工具带来了重大的监管和临床试验挑战.
科学领域:
- 数字健康数字健康
- 神经学 神经学
- 医疗信息学 医疗信息学
背景情况:
- 越来越多地使用互联网和智能手机应用程序进行头痛干预.
- 关于这些数字健康工具的有效性的不确定性.
- 由于医疗器械监管环境,在开发干预措施方面存在挑战.
研究的目的:
- 审查关于基于互联网和应用程序的头痛干预措施的文献.
- 讨论开发这些干预措施的机遇和挑战.
- 为未来的发展和监管航行提供建议.
主要方法:
- 基于全面的PubMed文献搜索的叙事评论.
- 系统评估和总结识别的出版物.
- 专注于随机对照试验和试点/可行性研究.
主要成果:
- 干预措施主要提供行为技术,放松训练,护理协调和药物坚持支持.
- 互联网交付的行为疗法的优越性证据有限;放松训练试验较旧,不那么强大.
- 基于应用程序的干预措施大多是试点研究;护理管理和坚持似乎是可行的,但需要进一步调查.
结论:
- 数字头痛干预措施的开发需要解决概念化,设计和证据生成.
- 软件干预通常被规范为医疗设备,需要遵守严格的法规.
- 成功开发是耗时的,需要在医疗,技术和监管领域的专业知识.
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