The Integration of Technology into Treatment Programs to Aid in the Reduction of Chronic Pain

C. Eckard, C. Asbury, Brandon Bolduc, Chelsea Camerlengo, J. Gotthardt, Lauren Healy, Laura Waialae, C. Zeigler, Jennifer Childers, Joseph Horzempa
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引用次数: 16

Abstract

In the United States, roughly $600 billion is spent on pain management – usually in the form of addictive opioid drugs. Due to the dangers associated with long-term opiate-based pain medication, the development of additional strategies for chronic pain management is warranted. The advent of smartphones and associated technology has provided healthcare providers with a unique opportunity to provide pain management support. This review summarizes of the use of technology to supplement chronic pain management regimens. Smartphone and internet-based applications that employ online journals facilitate improved communication between patient and clinician and allow for more personalized care and improved pain management. For instance, the e-Ouch application provides a platform for pain logs as well as feedback and coaching to patients via Twitter postings and blogs. Other applications provide online resources and blogs to improve patient education, which has shown to relieve patient symptoms through lifestyle modification. Internet-delivered cognitive behavioral therapy (CBT) focuses on the psychological coping mechanisms. The application of technology and smartphone apps toward pain management shows promise toward reducing the use of opioids in pain management, but has yet to be incorporated as a standard practice. More robust studies critically evaluating the efficacy of these technology-based therapies need to be conducted before standardization and insurance coverage can become reality.
技术与治疗方案的整合,以帮助减少慢性疼痛
在美国,大约有6000亿美元花费在疼痛管理上——通常是以成瘾性阿片类药物的形式。由于与长期阿片类镇痛药物相关的危险,开发额外的慢性疼痛管理策略是必要的。智能手机和相关技术的出现为医疗保健提供者提供了提供疼痛管理支持的独特机会。这篇综述总结了使用技术来补充慢性疼痛管理方案。采用在线期刊的智能手机和基于互联网的应用程序促进了患者和临床医生之间的沟通,并允许更个性化的护理和改进的疼痛管理。例如,e-Ouch应用程序提供了一个疼痛日志平台,并通过Twitter帖子和博客向患者提供反馈和指导。其他应用程序提供在线资源和博客来改善患者教育,这表明通过改变生活方式可以减轻患者的症状。网络认知行为疗法(CBT)关注的是心理应对机制。技术和智能手机应用程序在疼痛管理方面的应用有望减少阿片类药物在疼痛管理中的使用,但尚未被纳入标准实践。在标准化和保险覆盖成为现实之前,需要进行更有力的研究,严格评估这些基于技术的疗法的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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