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随机对照试验的医疗助理教练行为干预慢性疼痛的随机对照试验
Afton L Hassett1, Terri Voepel-Lewis2, Guohao Zhu2
1Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan, USA afton@med.umich.edu.
Regional anesthesia and pain medicine
|March 6, 2026
概括
将性活动添加到认知行为疗法 (CBT) 中,改善了长期脊柱疼痛的结果. 这种PRISM-CBT方法减少了疼痛干扰和严重程度,为慢性疼痛管理提供了可扩展的数字解决方案.
科学领域:
- 疼痛管理 疼痛管理
- 行为健康 行为健康
- 数字治疗学数字治疗学
背景情况:
- 具有广泛症状的慢性脊柱疼痛很难用传统方法治疗.
- 认知行为疗法 (CBT) 对这种情况提供了适度的益处.
- 需要新的方法来提高慢性疼痛治疗的疗效.
研究的目的:
- 评估为慢性脊柱疼痛的医务助理训练CBT (PRISM-CBT) 增加增强性活动的有效性.
- 将PRISM-CBT结果与标准CBT和通常护理 (UC) 进行比较.
主要方法:
- 一项随机试验,涉及脊柱疼痛和纤维肌痛症状的成年人.
- 参与者被分配到PRISM-CBT (n=119),标准CBT (n=120) 或UC (n=60) 中.
- 主要结局:纤维肌痛影响问卷修订 (FIQR) 全球影响评分在8周. 二级结局:简要的疼痛清单 (BPI) 疼痛干扰和严重程度.
主要成果:
- 在PRISM-CBT和UC之间8周初级FIQR结果没有显著差异.
- 在12个月后,PRISM-CBT在FIQR显著改善,与UC (7.4分) 和CBT (4.8分) 相比.
- 与UC和标准CBT相比,PRISM-CBT在多个时间点上一致降低了BPI疼痛干扰和严重程度.
结论:
- PRISM-CBT是一个可扩展的数字程序,证明了慢性脊柱疼痛的长期益处.
- 这种干预有效地减少了疼痛干扰,并改善了整体症状负担.
- 医务助理教练的数字弹性计划显示出管理慢性疼痛疾病的前景.
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